AFFIX SIGNED

PHOTOGRAPH HERE
IIT-JEE | NEET | BOARDS | NTSE | OLYMPIADS
Parishram (PASSPORT SIZE)
A unit of VSA Education Pvt. Ltd.

APPLICATION FOR EMPLOYMENT

All fields are mandatory. Please complete in your own hand writing. Use CAPITAL LETTERS only.

01. Post Applied For : Faculty Office Management Marketing

02. Application Through : HR / Reference / Walk-in / Consultant

03. First Name Middle Name Surname

04. Present Address : Mobile No.:

City :
State : Pincode :

05. Permanent Address : Mobile No.:

City :
State : Pincode :

06. Name of Father/Spouse : 07. Occupation :

08. Place of Birth : Date of Birth : DD/MM/ YYYY

09. Nationality : 10. Email Address :

11. Religion : 12. Gender : Male Female

13. Marital Single Married Widowed Divorced

Status :

14. Height 15. Weight Kg.

16. Blood Group :

If yes, please mention:

17. Do you have any Physical Disability? No Yes

If yes, Position for which

18. Have you been Interviewed No Yes Interviewed:
at PARISHRAM in the past?
When:

19. Do you know anyone in this organisation ? No Yes If yes, Name & Designation:

1.
Are they related to you? No Yes 2.

3.

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 20. Course Name/ Score University/ Years Attended Specialization
Diploma/ Certificate (%) College / School
( MOST RECENT From To
FIRST)

DOB Age Dependent Occupation

21. Relation Full Name (DD/MM/YYYY) (In Years) (Yes/ No)

Mother | |

Father | |

Spouse | |

Child 1 | |

Child 2 | |

Child 3 | |

22. Current Employment Fresher

From Name And Address of Employer

Current Designation Notice Period Full Name & Designation of Immediate Superior

Reason For Leaving: Current CTC:

Monthly in Hand: Expected CTC: Total Years of Work Experience (in Years):

Self Employed:
Kindly fill details

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 23. Previous Positions (Most Recent First). Please account for any gaps where you have not been in
employment (other then those due to personal illness, injury or disability)
Tick here if you are a fresher

From To Organisation Designation Annual Reason Supervisor name

Name Salary in Rs for Leaving & Contact No.

24. Please give names and address of two persons to whom we can refer (Persons mentioned should hold
responsible positions and should not be your relatives)

Full Name Contact No Designation & Years of How are you related
Name of organization Acquaintance with this person

1.

2.

DECLARATION :

(a) I hereby declare that the above mentioned statements and answers in this application form have been given by me after
fully understanding the questions and the same are true, full and complete in all manner and to the best of my
knowledge.

(b) I do hereby agree and declare that If the company offers me employment, these statements, answers and declaration will
be the basis of the contract of employment between the company and me and that if any of these statements or answers
are found to be untrue, and / or incomplete or if any information is found to have been willfully withheld by me, I hereby
agree that the company has the right to terminate my services without any compensation, on the basis of the contract of
employment being ab-initio void.

Date :

Place :

Applicant’s Signature

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Parishram