Application Form — CH/HRM/002

1Position & Photograph

Tell us the role you are applying for and attach a recent passport-size photograph.

Position applying for *

Recent
photograph

Upload photograph

2Personal Details

Name in full, contact details and personal particulars.

Surname *

First name *

Middle name

Present residential address *

Permanent address * ( same as present)

Telephone — Residence

Telephone — Office

Email *

May we telephone you discreetly at your office, if necessary?

Yes No

Date of birth *

Place of birth

Age

Height

Weight

Religion (optional)

Community / Category (optional)

Caste / Sub-caste (if applicable)

Where did you spend the greater part of your childhood?

Hobbies

Languages you speak

Languages you write

Present state of health; details of physical disabilities (if any)

Any operation in the last 5 years? If yes, please give details

Do you own any property? If yes, namely

Any interest in a business? If yes, particulars

Marital & Family Status

Marital status *

Single Married Divorced

Any other dependants on you

3Family Background

For married sisters, please also add a row with details of their husbands.

Where is your ancestral place?

Relation

Name

Age

Education

Occupation / Position

Name of employer

Stays with you

Are you related to any employee or previous employee of our Group of Companies? If yes, give details

4Qualifications

Academic record from high school onwards. Please give addresses of the college / university / institute and names of professors under whom projects or tutorials were conducted.

Examination / Course

Year passed

Duration

School / College / University (with address)

Main subjects

Class / Division (%)

Professor for projects / tutorials

Professional training (including short-term courses)

Membership of professional societies / institutions

Fields of specialisation in which you consider yourself most proficient professionally

5References

Names, addresses and phone numbers of three persons who know you well, other than relatives, to whom we may write for references.

#

Name & address

Phone no.

Occupation

Relationship

1

2

3

6Details of Experience

Including your present appointment, working backwards. List all posts chronologically; different designations with the same employer should be listed separately.

May we refer to your previous employers? (Please provide telephone numbers of the persons you reported to, in the records above.) No reference will be made to your present employer without your permission.

Yes No

7Present Appointment

Name and address of employer

Nature of employer's business

Total turnover of company

Approx. annual turnover of your dept. / divn.

Approximate number of employees

Date of joining

Position held

Date appointed to present position

Remuneration (Rupees per annum)

Salary

Dearness allowance

Other allowance

Bonus

Total

On joining present employer

At present

Present benefits in kind (not shown above)

Details of other allowances (shown above)

Retirement benefits — Superannuation?

Yes No

Please outline your present job responsibilities

To whom are you responsible?

Who is responsible to you?

No. of persons reporting to you

Further information you think should be taken into account in considering your application

Reasons for seeking a new job

Overseas work / business travel

Countries travelled to

Dates / period

Purpose of visit

Organisation structure of present employer: please attach separately when submitting — show all levels in your own department and only the top levels of other departments. If you have been with your present employer for less than one year, please also attach the organisation structure of your last employer.

Mention your strengths and weaknesses

8Final Details & Declaration

Do you hold a valid passport?

Yes No

Passport no.

Passport expiry / date

How soon would you be free to take up a new appointment? *

What annual remuneration do you expect? *

Date *

Signature (type your full name) *

I declare that the information given in this form is true and complete to the best of my knowledge, and I understand that any false statement may disqualify my application or lead to termination of employment.

Application for Employment

1Position & Photograph

2Personal Details

3Family Background

4Qualifications

5References

6Details of Experience

7Present Appointment

8Final Details & Declaration

Review your application