Application Blank
Personal Details (write in CAPITAL letters)
First Name:
Middle Name:
Last Name:
Date of Birth Sex: Male Female
(dd/mm/yy):
Place of Birth:
Religion: Hindu / Muslim / Christian / Jain / Budhism / Sikh / Any Other(pls specify)
Nationality:
Marital Status: Unmarried Marrie
d
Please tick(^) the options applicable to you
GEN sc ST OBC Physically Ex-Servicemen Have you ever been interviewed by TPDDL in the last one year?' Yes ' No If
Challenged Yes please provide the details of Deptt/Profile interviewed for:
Cream Non VH* OH** HH**
y Creamy
*VH - Visually Handicapped, **OH- Orthopaedic Handicapped, ***HH - Hearing How Did you come to know about TPDDL
Handicapped
Friend Newspaper Any Employe of TPDDL Advertise Any
(Pls Specify Name) ment Other
Present Address: Permanent Address
Tel No.
Tel No. (Res) E-Mail Id: Fax/Mobile No.:
Family Details:
Name Relationship Date of Birth (dd/mm/yy) Occupation
Academic Details (starting from the most recent):
Regular/ Arrears/B
Examination Year of School/College
Main Subjects % age Division Part ack
Passed Passing /University attended
Time / DL Papers
Details of Previous Employment(starting from the most recent): Total Experience (in Yrs.): * if more than one
position held in an organisation please provide breakup
Organisation Post/Designation From To Major Responsibilities
CURRENT SALARY Present CTC Rs. Lacs Expected CTC (Rs. Lacs) /%jump NOTICE
PERIOD(ifany)
Are you a member of any social or cultural association? □ Yes □ No . If Yes, Please give details.
Do you have any relatives / friends working with TPDDL? Yes □ No
□
If yes, please give the following details:
Division / Relative /Friend (Pls Mention
Name Contact No. Designation
Department the Exact Relationship)
Please give 2 References (references shd not be be relatives; pvd. references which are sure to respond)
Name Division / Department Designation Contact No E.Mail Id
I hereby declare that all the information provided herein above is true to my knowledge and that any misrepresentation by me in this application will disqualify my
candidature.
Date: Signature:
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Your position in present organisation chart (inlcude two levels of reporting above & below):
Time spent in the present role:
No of Employees in the Organisation:
No. & Level of People reporting:
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TATA POWER DELHI DISTRIBUTION LIMITED
Particulars of Last Drawn Emoluments
(This form is to be completed by the candidate in detail)
Name Qualification
Designation yrs yrs
Experience Age
I Salary ` p.m.
Basic salary
Dearness Allowance
Total ` p.m,
II Allowances ` p.m.
(In caseHouse
of Company leased premises indicate the rent
Rent Allowance
borne by you)
Conveyance (If not provided
Co.Car
If Car provided by Company, then
*Fuel limits
*Driver Allowance
*Car Maintenance Allowance
Food Allowance
Total ` p.m.
III Annual Benefits (` p.a.)
Leave Travel
Bonus/Ex-gratia/Performance Pay
Medical
Total ` p.m.
IV Retirement Benefits
Provident Fund ( ) % of ( )
Superannuation Fund ( ) % of ( )
Gratuity ( ) % of ( )
Total ` p.m.
V Any other benefit not covered above:
Total ` p.m.
Staying in
Recognised Hostel
No.s
With Relatives
No.s
Present cost to Company (`per annum) (I to V)
Expected cost to Company (` per annum)
Date: Signature:
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