BRIGADE GROUP Please Fix

your Recent
Photograph

PERSONAL DATA FORM

Please fill in all the details in the form. All information will be treated as strictly confidential.

Position applied : Job Code :

A. PERSONAL DATA :

1. Name (Block Letters) :

2. Present Address Permanent Address

3. Contact Details - Landline : Mobile :

Email ID : LinkedIn :

Skype ID:

4. Date Of Birth : Place Of Birth :

5. Marital Status : Single/Married/Widowed (Tick whichever is applicable)

6.

Languages Known Please tick (underline mother tongue) Speak Read Write

7. Educational Qualifications : (Enclose photocopies of certificates)

Name Of School Period Attended Year Of

Grade %
/University From To Passing

10th

12th

UG

PG

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8. Specialized Training (Enclose photocopies of certificates):

Period Attended
Name Of Institution Details Of Training
From To

B. Employment Particulars (Present Employment First)

(Enclose photocopies of previous experience certificates, appointment letter and salary slip of present employer. Please
provide separate sheet if the space provided for employment detail is insufficient)

Duration
Name & Address Salary Drawn Reason For
From To Designation Responsibilities
CTC / annum Leaving
(MM/YY)

a)

b)

c)

d)

e)

f)

g)

C. Salary Details :

Monthly Gross (Per Month)

Net Salary (Per Month)

Total CTC (Per Annum):

Additional Non-Monetary Perks

Notice Period :

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D. General Information :

Have you any relations/acquaintances in the service of the brigade group/Competition, if so :

Name : Name :

Designation : Designation :

Relationship : Relationship :

E. Have you attended any interview earlier in our company / group company, if so please furnish the details :

F. Reasons for desiring to join our organisation:

A)

B)

C)

G. How did you come to know about this vacancy? - Advertisement / Career web page/ Job Portal/ Others (Please specify)

H. Reference : (Please give the name of two persons preferably superiors from your previous organisation and one should be
from HR Department)

i) Name :

Designation :

Name of the Organisation :

Address :

Contact No. : Email ID :

How long has he/she known you ? .................................... years.

ii) Name :

Designation :

Name of the Organisation :

Address :

Contact No. : Email ID :

How long has he/she known you ? .................................... years.

I hereby certify that the above information is true to the best of my knowledge. i understand that incorrect, false
information given in this form will render me liable for immediate termination of employment without any notice pay or
compensation.

Place :

Date : (Signature Of Applicant)

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