ASHOKA APPLICATION FORM ae YOUR Position Applied For PHOTOGRAPH [Department HERE (Location: TSN aol) Last Name First Name Midaie Name (Surname) (Sell) (Father/Husband) ID No. issued by Comptent Government Office (Please specity) PAN details : (Please attach a photocopy) Present Address. city Zp Permanent Address city Zip Phone No. eMail ID Mobile No. : Religion Date of Birth Blood Group Height Sex: Weight Passport Details USA) Relationship Name Qualification Date if Employed provide| Designation Bein | Service details Father Mother ‘Spouse pratense Children’ Brothers Sister/s EDUCATION (IN REVERSE CHRONOLOGICAL ORDER) Grade/ Degree/ Diploma Exam. | School/ University | Yearofpassing | Grace’ Main SubjectsERE We alae) Training Institut AWARDS / SCHOLARSHIPS RECEIVED aela sss .=cna=e Experience 1: Organization ‘Address Designation Duration (From To) Reason for leaving Last Drawn Salary: & Experience 2: Detail ‘Organization ‘Address Designation Duration (From To) Reason for leaving Last Drawn Salary: © Experience 3 : Detail (Organization Address Designation. Duration (From To) Reason forleaving Last Drawn Salary: Experience 4: Detail ‘Organization Address Designation Duration (From To) Reason for leaving Last Drawn Salary:® Experience 5 : Detail ‘Organization ‘Adcress Designation Duration (From To) Reason forleaving Last Drawn Salary: ® Te the given Space Is not Sufficient, Please Flin Extra Sheserase rah reales ‘Organization Nature of business (Address No. of employees = ‘Annual Turnoverin © Position on joinit Date of joining Reporting to Present Position ‘Draw Organization Structure (ark yar oon) Key Job Responsibilities| Ceased GMa aes sack ela Basic Yearly Allownces (any) Monthly Alowances a Fixed Bonus Rotirals (PF, Gratuy ac) Varaible Incentives Monthly Perks Yearly Reimoursemenis| ‘Other (Monthly) (Other (Yearly) Total (A) © Total (8) © CTO (A+B) © Expected CTC € Professional Achievements Membership of professional Organizations / groups Papers / Articles Published Patents / Licenses Ragistered ‘Other Details Hobbies & Interests ‘Awards Received Languages Known Self Evaluation Please elaborate how your skills and experience meet the requirements of the job applied.aaa Reference 1 Reference 2 Name & Title Name & Title Nature of contact Nature of contact Address Address Contact No. Contact No. eMail ID eMail ID Declaration : Ihereby solemnly affirm and declare that the aforesaid information given is correct to the best of my knowiedge and belief and nothing has been concealed. If any of the above information is found to be false during the course of my employment at later date, | will be liable to be dismissed. Date PI Signature of Applicant POURSICCN Emon utsahal=sv a cont ‘Company Grade Basic Designation HRA Conveyance Depariment Medical tire Date of Joining CEA System Incentive Salary CTC/Gross © Recreation UTA Reporting to Books & Periodicals Employee PF interviewed By Special Allowance (Others =n ‘Sub Total Employer PF Salary CTCIGross © Deductions: PF Pr ESIC Net Salary & accept above terms & conditions Signature of Applicant Sign. DGM (HR & Admin.)