Candidate Declaration Form – GoindiGO.
in
Instructions: Please provide all the information requested in this form. Incomplete Candidate
Declaration Forms (CDFs) will be returned. All supporting documents must accompany this form.
Photocopies must be legible. We have included a checklist to assist you to complete your
application comprehensively.
Passport Size Photograph
PERSONAL DETAILS
Full Name (First/Middle/Last)
Fathers Name
Date of birth
Personal Number:
Nationality
Passport Details Passport Number Date of Issue Date of Expiry
Change of Name if Applicable
Former Name/Maiden Name _____________________________ ________________________________
Date of Name Change ___________________________
Current Address Details
Door No/Street
State
PIN
Landmark
Landline
Is your residence
your own or a rented
place?
If rented, please Name Address City State Pincode Contact
provide details of the
Landlord
Permanent Address Details
Door No/Street
State
PIN
Landmark
Landline
Is your residence
your own or a rented
place?
If rented, please Name Address City State Pincode Contact
provide details of the
Landlord
Note: Please attach legible photocopies of any of the following address proofs, relevant to the entries above –
1. Last Paid Phone Bill. 2. Receipt of Last Rent Paid.
3. Aadhaar . 4. Passport / DL / Voter Id.
EDUCATION DETAILS
Highest Qualification (Course Completed)
Name of the Institute
Name of University
Affiliated with
Duration of Course (Yrs.)
Student ID No./ From……………………
Enrolment No./ (Month and the Year)
Seat No./ To……………………….
(Month and the Year)
Division Class Degree Obtained
Course Type
Subject Major
(Full Time / Correspondence)
Address of Institution
(Only fill in the details asked for to
the right)
City
(Landline) 1 (Landline) 2
Note: Please attach legible copies of the following documents relevant to your entries in the form. (Xerox only)
1. Educational Mark Sheets / Certificates.
a. Highest Education all year mark sheets & degree certificate or provisional certificate.
EMPLOYMENT DETAILS
NOTE: There are two categories in each form. Please provide information under the relevant Employment Category.
(EMP-1) Last Employment
PERMANENT EMPLOYMENT
Name of Company
Where were you employed? ❑ Registered Corporate ❑ Branch Office
Office
Company Address Door No/Street
(Where you were employed ) City State
Pin (Landline)
Period of employment Employee Code
Designation Remuneration
Department Reported to
Supervisor’s Designation (Email Id)
CONTRACTUAL EMPLOYMENT
Company Name
Company Address Door No/Street
City State
Company Contact Person (Email Id)
Designation (Landline)
State your reason for
leaving
Note: Please attach legible photocopies of the following documents relevant to the entries above
1) Appointment Letter 2) Salary Slip 3) Release Letter 4) Service Certificate
ID Verification
PAN Card Number / Passport
number / DL Number
Note: Copy of the ID to be verified.
Authorization/ Declaration and Undertaking
If Employed with [Link], I agree to provide copies of all relevant certificates. I understand that employment with [Link] is
governed by their employment policies as applicable, including satisfactory information from background checks.
I hereby certify that all information provided herein, is true and complete to the best of my knowledge and belief. I authorize
[Link] and its representative to authenticate information I have provided in my resume and this Candidate Declaration Form
(CDF). To conduct enquiries as may be necessary at the company’s discretion, I authorize all who may have information relevant to
this enquiry to disclose it to [Link] and/or its representative. I release all concerned from any liability on account of such
disclosures.
I also declare that the information provided by me in my resume and application for employment at [Link] and its
representative is authentic and I am liable for all inaccuracies and omissions.
I promise to extend total co-operation and provide relevant documents required.
Full Name of the Candidate: Signature of the Candidate
Place:
Date:
