CONFIDENTIAL

PersonaI ProfiIe
JK ORGANISATION
Corporate Human Resource Department
Link House, 3, Bahadur Shah Zafar Marg
New Delhi - 110 002
Phone : +91 11 33001112
Affix
a passport
size
photograph
Please fill up each and every part in your own hand -
mentioning 'NA' if any part is not applicable to you. Use a same size
additional sheet if space is inadequate
3 FAMILY BACKGROUND :
Relationship Name Age Present/Past occupation/profession Dependant
Father Yes/No
Mother Yes/No
Spouse Yes/No

Sons /
Daughters Yes/No
Yes/No
Yes/No
Brothers /
Yes/No
Sisters
Yes/No
4 ACADEMIC RECORD (Please mention details Starting with Secondary school ) :
Course / Duration (dd/mm/yy) School/College Board / University Main Subjects % Marks
Degree obtained
From To
1 PERSONAL INFORMATION :
1.1 Position Applied :
1.2 Name (first/middle/last) :
(Block letters please) First Middle Last
1.3 Name in brief Mr/Mrs/Dr/Other (e.g. Mr S.K.Shankar) :
1.4 Place of Birth : Birth date (dd/mm/yy) : Age (Yrs.) :
1.5 Gender (Male/ Female) : Nationality :
1.6 Marital status (Single/Married/Divorced/Widowed) : Marriage Anniversary Date, if Married :
1.7 Blood Group : Height (in cm) : Weight (Kgs.) :
2 CONTACT INFORMATION :
2.1 Present address : Permanent address :
PN : PN :
2.2 Residence phone : Residence phone :
2.3 Email : Work Phone :
2.4 May we discretely call you at work? Yes/No : Mobile Phone :
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6.1 Name and address of Organisation :
6.2 Nature of Employer's business :
6.3 Approx annual turnover of company (Rs. in Cr.) :
6.4 Number of Employees :
6.5 Present position :
6.6 Details of loans, if any :
6.7 Total Cost to Company (CTC) per annum (Rs.) :
6.8 Please outline your present job responsibilities :
Date of Joining (dd/mm/yy) :
Turnover under the applicant (Rs. in Cr.) :
Employees under the applicant :
Date appointed to present position (dd/mm/yy) :
6.9 To whom are you responsible ?
6.10 Who are responsible to you ? (Please explain through an organisation chart on a separate sheet (attached), showing your place &

role relationship in it, others at your level, who are reporting to you and to whom are you responsible). Please also draw a similar chart for

your last organisation
Reasons for seeking new job : 6.11
6.12 f you have held your present appointment for less than one year, please describe your previous appointment
on an attached sheet. What are your significant career / professional achievements ?
6.13 Overseas travel - Countries visited and purpose ?
6 PRESENT ORGANISATION :
7 LANGUAGES YOU KNOW:
8 Hobbies including membership of social & cultural bodies :
9 Please provide an assessment of your strengths and weaknesses :
10 Are you physicaIIy chaIIenged ? (f Yes, how ?)
11 Have you had any illness in the last 3 years, which lasted for more than 15 days with/without hospitalisation ?
f Yes, which 12 Have you ever been interviewed or worked in any JK Organisation concern ? Yes / No. (
Business in the JK Organisation and for what position?)

(f Yes, give Name, Designation & Organisation) 13 Are you reIated to anyone in the JK Organisation ? Yes / No.
(in 100 words including why you consider yourself suitable for the position) : 14 PIease state your career objectives
14.a One major achievement of your's in the present EmpIoyment :
(No reference will be made without your permission) 15 May we refer to your previous empIoyers' ? Yes / No
16 What remuneration do you expect to receive per annum ? (Rs. in Lakh)

SaIary & DA Others Gross TotaI (CTC)
17 Once seIected how much time you require for joining ?
please indicate places/areas in order of preference) : 18 Are you prepared to work anywhere in India ? (f 'No',
19 Name and address of three referees, two of whom shouId not be reIatives and shouId have known you in
a ProfessionaI capacity, eg former bosses, a senior colleage, mentor or a customer :

Phone with STD code
Name Designation Organisation How known
Work/Home/Mobile/email D
20 Can we directIy contact the referees provided by you ? Yes/No.
AII information stated by me in this form is accurate and true to the best of my knowIedge.
Date Applicant Signature
FOR OFFICE USE ONLY
1st Interview :
1. Date of nterview : Place of nterview :
2. nterviewed by :
3. Remarks :
FinaI Interview :
Place of nterview :
1. Date of nterview :
2. nterviewed by :
3. Remarks :
Assessment Rating :