Candidate Application Form

Please follow the Instructions given below :

Update the details accurately as this information will be used for future reference. Responses to all fields are mandatory
Send your updated resume along with the Candidate Application Form
1 NAME
(First Name) (Middle Name) (Surname)
2 DATE OF BIRTH
dd mm yyyy
3 PAN CARD No.

4 PF/UAN No.
5 a) PERMANENT ADDRESS

CITY: PINCODE :
b) COMMUNICATION ADDRESS

CITY: PINCODE:

6 CONTACT DETAILS RESIDENCE : MOBILE :

7 LANGUAGES KNOWN

8 EDUCATIONAL QUALIFICATIONS:
(Please mention the details from Post Graduation to SSC.)
Exam Passed Year of passing University/ Name of Institute Specialization Regular/Distance/ %age / Marks
Board Part time

Are there any gaps in education? (Yes/No):

If yes, please specify reason for gap:

9 ANY OTHER QUALIFICATIONS:

Exam Passed Year of passing University/Board Name of Institute Main Subject / % age / Marks
Specialization
10 EXPERIENCE IF ANY: (Starting with the Present Employer)

Company No. Organizational Information From Date To Date Designation Grade Location
(Starting with the Present
Employer)

Name:

On Rolls Yes / No
Name:

2
On Rolls Yes / No
Relieving letter available Yes / No
Name:

3
On Rolls Yes / No
Relieving letter available Yes / No
Name:

4
On Rolls Yes / No
Relieving letter available Yes / No
Are there any gaps in work experience? (Yes/No):
If yes, please specify reason for gap:

11 Salary details (documents will have to be shared for all details mentioned here)
a. Present Fixed CTC:

b. Any other bonuses/incentives/variable:

12 Expected CTC:

13 Last 2 annual appraisal ratings:

14 Last promotion (mention year):

 15 Have you appeared for any interview / written test in SBI General in the last 1 year? Yes / No
If Yes, when and for what department, role & location:

16 Have you received an offer from SBI Generalin the last 1 year?? Yes / No
If Yes, when and for what department, role & location:

17 Do you have any relatives working with SBI General? Yes/No

If yes; name and relation with the employee:

18 Resume shared through: (tick the right one)

 Direct Application/Walk-in
 SBI General Career page
 Newspaper Ad / Job Fair
 Jobsite portal
 Employee referral
Name of referrer:
 Consultant
Name of consultant:

19 What is your Notice period:

20 Are you willing to serve anywhere in India? Yes / No

If no, preferred states:

21 Have you been subjected to any disciplinary proceedings by your previous employer (s) at any time?
Yes / No
If Yes, when and why?

22 Are there any pending case(s) against you or is any legal action proposed to be initiated against you?
Yes / No
If Yes, when and why?

23 Did you work as an Agent of SBI General Insurance Company?

Yes / No
If Yes, please mention the period

24 Please give names of two references you would like to refer to SBI General Insurance for an opportunity with us. (Optional)
a. Name: Phone number: Department:
b. Name: Phone number: Department:

I hereby declare that all statements made hereinabove are true, complete and correct and are not false or misleading. I understand that in the event of any information so furnished being
found false or incorrect or misleading, the Company shall be at liberty to dismiss me from its services (if selected) besides proceeding against me for giving false and incorrect statements,
under the appropriate law.
Candidate Application form is only a part of selection process and SBI General reserves the right to postpone or cancel the process at its own discretion without assigning any reason.