Professional Documents
Culture Documents
HR DEPARTMENT
Reliance Corporate Park,
Building Number TC23, D Wing, 7th Floor,
Phase IV, Reliance Corporate Park,
Thane Belapur Road,
Ghansoli, Navi Mumbai 400 701.
CONFIDENTIAL
AFFIX
PHOTOGRAPH
HERE
AA.
FULL NAME:
02.
`DATE OF BIRTH:
PLACE OF BIRTH:
NATIONALITY:
GENDER: MALE
FEMALE
03
06.
PAN CARD:
BANK A/C (Only ICICI/HDFC/SBI):
Label1
07.
PRESENT MAILING ADDRESS:
TEL NO:
08.
PERMANENT ADDRESS:
TEL NO:
09.
EMERGENCY CONTACT DETAILS
(Please mention name and address of person to be contacted in case of emergency)
TEL NO:
10.
YOUR PRESENT RESIDENCE
a)
Staying in your own house/flat
b)
Staying in company quarters
c)
Staying with parents/relatives
d)
Staying on rental accommodation
11.
RELIGION:
12.
FAMILY DETAILS
RELATIONSHIP
NAME
DATE OF BIRTH
TO BE INSURED
1)
FATHER
Choose an item.
Choose an item.
NA
4)
NA
5)
SISTERS
NA
6)
NA
13.
MARITAL STATUS:
Choose an item.
NAME
GENDER
BIRTH
DATE
DEPENDENT
(Y/N)
INSURANCE
(Y/N)
SPOUSE
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
19.
CONVEYANCE
Do you own a vehicle? (If yes, please provide a copy of Registration Certificate)
Choose an item.
BB.
EDUCATIONAL QUALIFICATIONS: (Starting from Post Graduation/Graduation)
01.
Sr. No
Qualification
From
(dd.mm.yy)
To
(dd.mm.yy)
School / College
Board / University
Class / Percentage
Main Subjects
1)
2)
3)
4)
5)
From
To
1)
2)
3)
4)
5)
6)
7)
8)
CC.
From Date
(dd.mm.yy)
Designation
Duties
Salary Net
Per Annum
(Rs.)
Reasons for
Leaving
ORGANIZATION CHART
IDENTIFY AND DRAW THE REPORTING STRUCTURE IN YOUR EARLIER ORGANIZATIONS DEPT. VIZ;
SUBORDINATES, COLLEAGUES, IMMEDIATE BOSS AND HOD.
TEXT
SELF
TEXT
TEXT
IF YOU ARE THE HEAD OF A DEPARTMENT IN THE COMPANY YOU ARE WITH, PLEASE STATE IN
BRIEF YOUR RESPONSIBILITIES, NUMBER OF PEOPLE SUPERVISED AND WHOM DO YOU RESORT TO.
ALSO STATE IN BRIEF THE NATURE OF YOUR WORK?
01.
PLEASE DESCRIBE IN DETAIL YOUR FUNCTIONS/ RESPONSIBILITIES DURING THE LAST FIVE (5)
YEARS OF YOUR SERVICE (USE SEPARATE SHEETS IF REQUIRED)
02.
04.
2.
MEMBERSHIPS: Professional Societies / Social and Cultural Associations / Political, Semi Political Parties,
Educational or any other Societies and Group.
3.
EE
.
1.
2.
3.
4.
5.
WHAT ARE YOUR GREATEST PERSONAL ASSETS (QUALITIES, SKILLS, ABILITIES), WHICH MAKE YOU
SUCCESFUL IN THE JOBS YOU TAKE UP?
LANGUAGES KNOWN
READ
LANGUAGE Average Good Fluent
Select as applicable.
6.
WRITE
Average Good Fluent
Select as applicable
SPEAK
Average Good Fluent
Select as applicable
7.
F
F.
REMUNERATION STRUCTURE
(You may need to support this with a salary certificate)
1.
1.1
Present
1.2
Dearness Allowance
1.3
1.4
Fixed D.A.
TOTAL CONSOLIDATED SALARY
2.1
2.2
2.3
3.1
3.2
3.3
TOTAL (2.3+3.1+3.2)
4.1
4.2
4.3
4.4
4.5
Entertainment Expenses
4.6
4.7
4.8
4.9
Servants
Residence/ Telephone / Maintenance
TOTAL
5.1
5.2
Gratuity (Rate)
5.3
5.4
Hospitalization Insurance
5.5
5.6
6.1
Gross Salary
6.2
6.3
7.1
7.2
10
7.3
8.1
Do you have a Provident Fund Account? If yes, do you wish to transfer the fund balance?
b)
DECLARATION :
I Certify that the foregoing information is correct and complete to the best of my knowledge and nothing has been
concealed/ distorted. If at any time, I am found to have concealed / distorted any material / information; my
appointment shall be liable to summary termination without notice or compensation.
Place: ____________________
Date : ____________________
Signature : ________________
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DECLARATION
PRIOR ASSOCIATION
Have you ever applied or been interviewed for a job in this Company or in any of the RELIANCE Group or Associate
Companies.
Choose an item.
Outcome :
Have you ever worked in this Company or in any of the RELIANCE GROUP or Associate Companies before?
Choose an item.
ACQUAINTANCES / RELATIVES
Indicate acquaintances and relatives (in the wildest sense) associated with the Reliance group and Associate
Companies.
Name
Relationship
Particulars
(i.e. Position etc.)
REFERENCES
Name & Address of 2 persons other than relatives to whom we may write to :
12
Company
Date :
Signature :
I hereby declare that the foregoing statements are true to the best of my knowledge and I understand that it will form
the basis of contract of employment if / I am employment if / I am employed by the company. If at a future date, it is
found that any of the information herein is false or incorrect in any material respect, the company will have the right
to terminate my service without any notice or salary in lieu thereof.
Date :
13
Signature :
14