HUSKY INJECTION MOLDING SYSTEMS, LTD.

REGISTRATION FORM
Application for Employment (Should filled by candidate only)
Affix a recent
Instruction to fill in the Form:
passport size
Please fill in the form in BLOCK LETTTERS only
All the Fields must be filled completely photograph
Please tick the appropriate box as applicable
Please attach a copy of your CV/Resume along with the form
Please attach supportive documents for the details furnished

Position Applied for

Location/HQ & State Ready to Relocate? Yes/No
Total number of Years of Relevant Experience
Present Salary Expected Salary
How did you get the
Recruitment Company Online Job
information about this Referance Others
Ad Website Portals
Opening?

PERSONAL DETAILS
Title Mr Ms Mrs
Name in full
Surname
Date of Birth (DD/MM/YYYY) & Age
Father’s/Husband’s/Guardian’s Name
Religion and Nationality
Marital Status Single Married Divorced
Permanent Correspondence

Address (With Zip Code)

Landline (with STD Code) Mobile No’s

Telephone No’s (For both permanent and I) I)
Correspondence addresses) ii) ii)
I)
Active Email Id’s
ii)

AD HAAR CARD Number/ PASSPORT Number

PAN Number
Details of Valid Driving License (Applicable
for Sales Staff)
EPF Membership ESIC IP Number Others, if any
Statutory Information

Have you ever been employed at Husky

Injection Modlding System Ltd. before Yes No Details, if yes

Applicants signature _________________________

Date: _________________________

Address: 500 Queen St S, Bolton, ON L7E 5S5, Canada