THERMO GROUP

HYDERABAD
TG/F/50
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Candidate Name : _________________________________________

Post Applied For : _________________________________________ Please affix

your recent
Mobile No. : _________________________________________ photograph

Email : _________________________________________

Age : _________Marical status: Wedding Date: ----------------

Blood Group : ____________ Emergency Contact No: __________________________

Permanent Address:
_____________________________________________________________

______________________________________________________________

Present address : ------------------------------------------------------------------------------------------------

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2) Family Details :

Name Relationship Age Occupation

(3) Qualification (Starting from Matriculation) :

Course Name Year of College/ Class/Rank Marks %

passing University
 Scholarships / Prizes won if any:

(4) Experience Details:

(a) Details of Present Employment:-

Name of the Employer :

Designation / Dept :

Name of the contact person and phone no :

Details of Present Monthly Salary (Rs.) :

Total Gross per

Basic HRA Conveyance Allowances Benefits
Month

Present CTC per annum (Rs) :

Expected CTC per annum (Rs) :

(b) Details of Previous Experience:

Name of the last drawn Reporting Reasons for

Designation Period Nature of duties
Employer salary to leaving

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(5) General Information:

(a) Proficiency in languages (Including Mother Tongue)

S No. Language Read Write Speak

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2
3
4
5

(b) Time required for joining :

(c) Please mention the places at which you are willing to work, if selected.

1.
2.
3.

(d) List out your hobbies.

1.
2.
3.

(e) Do you have any relatives or persons known to you working in any of the ‘Thermo
Group of companies’? If so, state the details:-

(f) Do you hold a valid (Car / Two wheeler) driving license? If yes, please furnish the
details:-

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 (g) References (Other than relatives – who can be contacted to know about your work
& conduct).

S No. Name Occupation Phone No.

(6) Declaration:

I certify that the above particulars given by me are correct. I know that any willful
concealment/ mis-statement of the facts renders me liable for disqualification and instant
dismissal if appointed.

PLACE: DATE:

SIGNATURE