1

EMPLOYMENT To be filled in by the

applicant clearly and
APPLICATION completely

EWAC ALLOYS
LIMITED

A
D
POST V
APPLIED T
FOR R
E
F

First Name Surname M

i
d
d
l
Please affix your
NAME e
recent Photograph
n
a
m
e

PERS PRESENT HOME /

ONAL MAILING ADDRESS /
ADDRESS FOR
DATA COMMUNICATION

T
E
L
N
O
.
(
CITY w
i
t
h
S
T
D
)
M
O
B
I
L
E
N
PIN CODE O
EMAIL & LANDLINE
PERMANENT HOME
ADDRESS CITY
PIN CODE
CASTE
OPEN,GEN/SC ST
CATEGORY
BIRTH
AGE (Yrs) DATE SEX
NATIONALITY RELIGION MARITAL STATUS
STATE OF
BIRTH PLACE DOMICILE NO. OF CHILDREN
PERIOD
OF STAY
NATIVE STATE IN STATE
2

WHERE
RESIDING
NOW ( YRs
)
TYPE OF
ACCOMMODATION
(Please tick)

OWN Rental Monthly Rental /

Shared Employer’s Charges
PG Paid for
Accommodation
W
LANGAGUES r
KNOWN i
( Start with t
Mother Tounge) e
Languages Speak Read

DETAILS OF
OCCUPATION (IF
FATHER'S NAME Age RETIRED, STATE
LAST
OCCUPATION)

DETAILS OF FAMILY
MEMBERS
(Please give full details of
family members including
parents, spouse, children
and
anyother dependents)
R
e
l
a
t
i
Name Age Occupation
o
n
s
h
i
p
3

ED
UC
AT
IO
N
DE
TA
IL
S
EXAM FULL / Durat SCHOOL / NAME OF GRADE YEAR DEGREE /
INATI SUBJECTs PART ion of COLLEGE UNIVER-SIT % OF DIPLOMA
ON TIME Cour INST. Y MARKS PASSIN CERTIFICA
PASS se G TE
ED AWARDED
YRS MTHS
SSC
or
Equi
valen
t
Scho
ol
Leavi
ng
Certif
icate
Inter
medi
ate
or
12th
Stan
dard
/ HSC
DIPL
OMA

DEG
REE

Post
Grad.
Degr
ee /
Diplo
ma
Certif
icate

MEMBERSHIP OF
PROFESSIONAL
INSTITUTION​
D
U
R
A
4

TI
O
N
O
F
M
E
M
B
E
R
S
H
I
P
TYPE OF MEMBERSHIP
NAME OF INSTITUTE AND POSITION HELD PERIOD FROM T
5

Whet
her
Name of the Duratio Institute / Certif
Training Year
Training Course n Orgazination icate
Awar
ded

NAME &
DATE OF
THE
Papers
SEMINAR/J
Published
TITLE OURNAL IN
/
WHICH
Presented
PRESENTE
D/
PUBLISHED

EXTRA
CURRICUL INSTIT
AR UTION
ACTIVITY /
POSITI PRIZ
(e.g. ASSOC
ACTIVITY YEAR ON ES
sports,soc IATION
HELD WON
ial & SOCIE
Literary TY /
activities CLUB
etc.)

PHYS
ICAL
IDENTI
WEIGH POWER OF DISA
HEALTH FICATI
HEIGHT (cms) T GLASSES, BILIT
DATA ON
(Kg) If any Y
MARKS
IF
ANY

NATUR
MOST RECENT
NO. OF E OF
SERIOUS FROM TO
DAYS ILLNES
ILLNESS
S

Do you or your
spouse suffer from
any of the following
conditions /
Diseases ?
1) Diabetes 2)
Cardiac 3)
Asthma 4) High
B.P. 5) Other
Major illness/major
operation &
duration
6

Have you ever been

involved in any
CRIMINAL criminal
RECORD proceedings /
convicted of any
offence ?
If yes, Please give
details

WORK
EXPER
IENCE
In
unbroken
chronologi
cal order
starting
from your
present
employme
nt and
ending
with first
employme
nt
(please
account
for all the
periods of
time not
covered
by e
ducation /
training)
LAST NATURE OF DUTIES
EMPLOYE POSIT
R'S NAME ION
GROSS
& HELD
DURATION EMOLUMEN
ADDRESS /
(Rs. PER MON
(Please DESI
give Full GNAT
address) ION
AT THE TIME O
From JOINING

NAME
&
DESI
GNAT
ION
TO OF LAST DRAWN
IMME
DIATE
SUPE
RVIS
OR

No. of Yrs.
LAST
POSIT
ION
HELD AT THE TIME O
/ JOINING
DESI
GNAT
From ION

NAME
TO & LAST DRAWN
DESI
7

GNAT
ION
OF
IMME
DIATE
SUPE
RVIS
OR

No. of Yrs.
LAST
POSIT
ION
HELD AT THE TIME O
/ JOINING
DESI
GNAT
From ION

NAME
&
DESI
GNAT
ION
TO OF LAST DRAWN
IMME
DIATE
SUPE
RVIS
OR

No. of Yrs .
LAST
POSIT
ION
HELD AT THE TIME O
/ JOINING
DESI
GNAT
From ION

NAME
&
DESI
GNAT
ION
TO OF LAST DRAWN
IMME
DIATE
SUPE
RVIS
OR

No. of Yrs .
LAST
POSIT
ION
HELD AT THE TIME O
/ JOINING
DESI
GNAT
From ION

NAME
&
DESI
GNAT
ION
TO LAST DRAWN
OF
IMME
DIATE
SUPE
RVIS
8

OR

No. of Yrs .
LAST
POSIT
ION
HELD AT THE TIME O
/ JOINING
DESI
GNAT
From ION

NAME
&
DESI
GNAT
ION
TO OF LAST DRAWN
IMME
DIATE
SUPE
RVIS
OR

No. of Yrs .
LAST
POSIT
ION
HELD AT THE TIME O
/ JOINING
DESI
GNAT
From ION

NAME
&
DESI
GNAT
ION
TO OF LAST DRAWN
IMME
DIATE
SUPE
RVIS
OR
No. of Yrs .

PARTICU
S.NO.
LARS EMOLUMENTS
MONTHLY (Per
YEARLY
Month)
(Rs.)
Proposed
Present Expected
(to be filled b
(Rs. Per Month.) (Rs. p.m.)
L&T)
1

MONTHLY
EMOLUM BASIC
ENTS

2 DEARNESS ALLOWANCE OR EQUIVALENT

3 HRA
CONVEYANCE ALLOWANCE
4
DO YOU OWN A CAR OR ANY VEHICLE?
5 CITY COMPENSATORY ALLOWANCE
6 SALES COMMISSION / INCENTIVE
7 EDUCATIONAL ALLOWANCE
8 ANY OTHER (Please specify)
9 SUB TOTAL (A) 0 0
ANNUAL
10 BONUS ( %) ON Rs. 0 0
BENEFITS
 9

11 LEAVE TRAVEL ASSISTANCE 0 0

12 ANY OTHER (Please specify) 0 0
13 SUB TOTAL (B) 0 0
RETIR
EMENT PROVIDENT FUND ( %)
14 0 0
BENEF CONTRIBUTION BY EMPLOYER
ITS
15 SUPERANNUATION 0 0
16 GRATUITY 0 0
17 SUB TOTAL (C) 0 0

18 0 0

Medical
Reimburs
19 1) HOSPITALISATION 0 0
ement
Limit
2) DOMICILLIARY 0 0
3) ANY OTHER(Specify) 0 0

Proposed
Particulars Present (to be filled in by
HR Dept

OTHER PERQUISITES

DETAILS OF CURRENT EMOLUMENTS

Draw ing the brief organisation structure of the Company where you are presently employed indicating two levels above yo
and one level below your position. (Please also indicate the total number of persons under you).
10

SIGNIFICANT ACHIEVEMENTS :
mention some of the major contributions made by you in your present and previous jobs :

EXPLAIN WHY YOU CONSIDER YOURSELF SUITABLE FOR THE POSITION

GEN
ERA
L
DAT Have you ever been interviewed by any of the L&T
A Group of Companies YES / NO
If Yes, give details Date/Year Position Company

RELATIVES / ACQUAINTANCE IN L&T GROUP

OF COMPANIES
NAME RELATIONSHIP POSITION COMPANY
11

Are you engaged in any Personal

Who referred you to us ? Business ?
If yes, indicate nature of
business

DO YOU HAVE ANY CONTRACT / BOND WITH If selected, when

YOUR PRESENT EMPLOYER can you join ?
If Yes, Please give details

Name & addresses of Two references. (Not

Relatives)

DECLARATION UNDER SECTION 314 OF

COMPANIES ACT, AS AMENDED IN 1974
( Strike out whichever is not applicable )

I hereby declare that I am not connected with

any of the Directors of the Company as his
partner or his relative as defined under Section
6 of the Companies Act, 1956.

OR
I hereby declare that I am a partner or relative of

Mr…………………………………. A Director of the

Company as
…………………………………………….

I
decla
re
that
the
infor
matio
n
given
above
is
true
to the
best
of my
knowl
edge.
I am
aware
that
any
false
or
incorr
ect
infor
12

matio
n by
me
may
result
in
termi
natio
n of
my
servic
es
with
the
Comp
any. I
have
no
objec
tion
to
your
inquir
ing
from
any
of my
previ
ous
empl
oyers
on
any
matte
rs
pertai
ning
to
me, if
I join
your
Comp
any

Place
:

Date :
Appli
cant's
Signa
ture
13

ANNEXURE TO EMPLOYMENT APPLICATION FORM

Date of
Name ​:
Birth :
Contact
Email :
No.
Post Graduate
Branch
Degree
Full / Part
Date of Joining
Time
Institution University
Mar Mon
ks/ th & Subjects not cleared in first
Max No. of papers
GPA Year attempt
Marksheet Marks / % of Marks not cleared in
Obt of
GPA first attempt
aine Exa
d m
1​st​ Semester /
1​st​ Trimester
2​nd​ Semester /
2​nd​ Trimester
3​rd​ Semester /
3​rd​ Trimester
4​th​ Semester /
4​th ​ Trimester
5​th​ Trimester /
6​th​ Trimester /
Aggregate Marks/
CGPA/ % (All
Semesters)

Engineering Degree Branch

Date of Joining Full / Part Time
Institution University
Ma
rks/ Subjects not cleared in first
GP Max No. of papers not attempt
Month & Year
Marksheet A Marks / % of Marks cleared in first
of Exam
Obt GPA attempt
ain
ed
1​st​ Semester/ Yr
2​nd​ Semester/ Yr
3​rd​ Semester/ Yr
4​th​ Semester/ Yr
5​th​ Semester/ Yr
6​th​ Semester/ Yr
7​th​ Semester/ Yr
8​th​ Semester/ Yr
Aggregate Marks/
CGPA/ % (All
Semesters)

Diploma in Engg /
Branch
Others (B.Sc, etc.)
Date of Joining Full / Part Time
University /
Institution
Board
Ma
rks/ Subjects not cleared in first
GP Max No. of papers not attempt
Month & Year
Marksheet A Marks / % of Marks cleared in first
of Exam
Obt GPA attempt
ain
ed
1​st​ Semester/ Yr
2​nd​ Semester/ Yr
3​rd​ Semester/ Yr
4​th​ Semester/ Yr
5​th​ Semester/ Yr
6​th​ Semester/ Yr
7​th​ Semester/ Yr
14

8​th​ Semester/ Yr
Aggregate Marks/
CGPA/ % (All
Semesters)