Annexure IV

Photograph

Name:
Post Applied for:
Date and Place of interview:
Name of Reference:

Jindal Steel & Power Limited

1
 PERSONAL PROFILE
Name (Last, First, Middle)
Father’s/Husband’s Name
Permanent address:

Address for communication:

Phone/Mobile number(s)
E-mail address
Date of birth Age Yrs Place of birth
Nationality: Marital status:
Sex: Blood Group:
No of Children (if any) Boy Age
Girl Age

Academic Qualification (starting from school leaving to graduation)

Name of School/ College/ Year of

Main Subject Class & %
Course University Passing

Professional Qualification (Any Professional Degree/Diploma/Post Graduation)

Name of College/ Year of

Course Main Subject Class & %
Institution/ University Passing

Academic achievements (Prizes/Scholarships/Awards won)

Details of Experience
List down Present employment details (Pl complete this section even if you are attaching a
resume).
1. Present organization Major achievements / contributions

2
 Address to the company or its
customers
Date of joining
1.
On At
Joining Present 2.
Designation
3.
CTC per annum
4.
Reason(s) for leaving
5.
Present Job Responsibilities:

Please draw the relevant part of your Current Organization Chart to specify the reporting
relationship between you, your superiors and subordinates (highlight your position).

Detail of Previous Employments Other than current employment (if applicable)

Sr. Name of the Year (MM/YY) Designation Job CTC (PA)
No Organization From To Responsibilities

3
Total Experience: …….(in years).

Detail of missing years in experience (if any)

Period Reason

Membership of any professional body/association:

Body / Association Nature of membership (eg. Life / individual, etc.)

Specialized Training Undergone: Please don’t mention routine courses.

Course Period / duration Institution

Language proficiency: (Language Known)

1. 2. 3. 4.
(Mother Tongue)

4
Why would you like to join Jindal Steel and Power? (Max 200 words)

Why should you consider yourself fit to be hired by JSPL? (max 200 words)

5
 Additional Information
Yes No
Have you ever been employed or interviewed by this company before?
If Yes, give detail

Do you have any friends or relatives employed in this company?

If Yes, please provide their names and relationship with you:

Time required to join in case selected Expected Date of Joining

References: Two persons (not relative) who have knowledge of your work performance
1 2

Name

Occupation

Company name

Address

E-mail

Telephone Nos.

I certify that the facts stated in this document are true and correct to the best of my
knowledge and belief.

Dated:_____________ (Signature of Applicant)

DETAILS OF COMPENSATION

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Please attach latest salary slip as proof (Mandatory), Latest form 16 on joining

Particulars (Rs. Per month) Present Remarks

A Designation
B Emoluments
B1 Basic
B2 Allowance
B3 Allowance
B4 Allowance
B5 Allowance
B6 Allowance
B7 Allowance
B8 Allowance
B9 Allowance
B10
Total B Monthly total on Salary slip
C Reimbursements (if any)
C1
C2
C3
Total C
D Annual perks
D1 Medical
D2 LTA
D3 Bonus/ Exgratia
D4
Total D
E Statutory benefits
E1 PF
E2 Gratuity
E3
Total E
F Any other Benefits
F1
F2
F3
F4
Total Gross B+C+D+E

Cost to Company

Expected CTC :

I hereby confirm that all the facts stated above are true to the best of my knowledge.
I fully understand that any mis-statement/ concealing of facts would disqualify me from this job
resulting in termination of service, with me.

Dated:_____________ (Signature of Applicant)