COMPANY NAME AND ADDRESS

To be filled in by the application in his/her own handwriting in CAPITAL LETTERS

Post Applied Functional Area Locations :

PERSONAL DATA
PHOTOGRAPH
Name : ( Please affix a recent passport
Father's Name / Husband;s Name size photograph)

Place Of Birth District Native State

Day Month Year Gender Marital Status Date Of Marriage Religion Nationality
Date
Of
Birth Age (Yrs) M/F

Languages R W S Languages R W S Languages R W S

Languages Known 1 3 5

2 4 6
Note : Underline the Mother tongue : (R-Read / W - Write / S - Speak )

Height : Cms Weight : Kgs Identification marks :

Physical Disability Blood Group

FAMILY MEMBERS : (If married then parents,spouse and children and if not married then parents,brothers and sisters)

Name D.O.B. Age Relationship Qualification Occupation Whether Residing with you

ADDRESS :
PRESENT (For Communication) PERMANENT :

State : Ph. (With STD Code) State : Ph. (With STD Code)
Pin Code : Mobile : Pin Code : Mobile :
E-Mail : E-Mail :

NAME OF THE CONTACT PERSON,ADDRESS AND RELATIONSHIP IN CASE OF EMERGENCY :

State :

Pin Code : Ph. No. (With STD Code ):

E-Mail : Mobile :
EDUCATIONAL QUALIFICATIONS :

Durations Class & %

Qualifications Main Subjects F/P/C University/Institution / Board Year of Passing
From To Marks

SSC

HSC

Note : F: Full Time P:Part Time C:Correspondence / Distance Education

WORK EXPERIENCE (In Unbroken Chronological Order ) Attach additional sheets,if required :
Name of the Duration Position Held Annual CTC
Employer / Nature of Business Reasons for Leaving
Address / Tele. No. From To At Joining At Leaving At Joining At Leaving

Start from the

Present
Employment
1

Start from the

Present
Employment
2

Start from the

Present
Employment
3

TOTAL YEARS OF
EXPERIENCE (
)

Please specify the reason,if there is a gap during the above tenure : …………………………………………………………

PRESENT EMPLOYMENT
Nature of Business / Industry :
No. of Employees :
Annual Turnover :
Your Team Size :
Website :

ACHIEVEMENTS :

KEY JOB RESPONSIBILITIES & SIGNIFICANT ACHIEVEMENTS :

DETAILS OF PRESENT EMOLUMENTS
A. Monthly Salary Amount (Rs.) P.M. B. Annual Benefits Amount (Rs.) P.A.
1. Basic Pay 1. Bonus / Exgratia
2. Dearness Allowance 2. Medical Reimbursement
3. House Rent Allowance 3. LTA
4. Grade Allowance
5. Conveyance Allowance
6. Special Pay / Allowance Others (Please Specify)
7. Educational Allowance a ) Performance based incentive
8. Personal Pay b)
Others (Please Specify) c)
a) d)
b)
Total
c)
d) D. Other Benefits
Total (Perquisties)
1. Medical Insurance
C. Retrial Benefits
As percentage of Basic 2. Group Insurance Amount / Value (Rs.)
1. P.F
2. Gratuity
TOTAL CTC PER ANNUM
3. Superannuation
4. Any Other
TRAINING PROGRAMMES UNDERGONE :

Programmes Duration ( Days ) Year Institute / Organization Place

MEMBERSHIP IN PROFESSIONAL INSTITUTIONS / BODIES :

Name of the Institution / Body Type of Membership / Position held,if any Membership No.

SELF EVALUTIONS :

What according to you, are your

a ) Strength and areas for improvements : b ) Ambition and career Plans :

AWARDS / HONOURS / SCHOLARSHIPS,RECEIVED :

HOBBIES AND INTERESTS (including Extra Curricular Activities , if any ) :

PASSPORT DETAILS :
Profession as
Passport No. Name as in Passport Date of Issue Place of Issue Valid Upto Countries Travelled
mentioned

PAN CARD DETAILS

ANY ADDITIONAL INFORMATION :
Additional Information that you wish to mention which will help us in considering your application :

Locational Constraints , if any :

Have you ever been interviewed by us ? YES NO

Have you ever been employed by us ? If yes, Period From : To :

Is any of your relative working with OCAP ? YES NO

Name :
(If Yes )
Designation :
Network Details :
Placement Agency
Who Refered you to us ?
News Paper
Any Other
Have you ever been involved in any criminal proceedings : If yes,please provide details :

SALARY EXPECTATIONS :
Salary Expected Rs. CTC Notice Period with the Present Any Contract or Bond with the Present
Time Required to join
(P.A) Employer Employer

REFERENCES :
Please give the name and address of two persons ,one of which must apply to your trade or profession ,who can be
referred to for your suitability for the position.References should not be either related to you or be any of your
close personal family / friends . (preferably previous reporting authority or person two levels above you)

Name : Name :
Occupation : Occupation :
Address : Address :

Sate : Phone No : Sate : Phone No :

Pin Code : Mobile No : Pin Code : Mobile No :

DECLARATION :

I hereby declare that the particulars given by me herein are,to the best of my knowledge and belief,true and correct and nothing has been concealed.If I am at any
time found to have concealed any material information or given any false details,my appointment shall be liable for termination without notice or compensation.

Place : Date : Signature of Applicant

CHECK LIST :
All the columns filled in
Passport Size Photograph pasted
Signature & Date
Note : PLEASE DO NOT ATTACH ANY ORIGINAL CERTIFICATES OR TERTIMONIALS.
Please do not leave any column blank and ensure the form is completed in all respects.
Please do not use Photocopy of Application Form,use only the printed from and soft copy is acceptable.
Please attach additional sheets,if required for the previous experience.
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