Application Form

I have Attached Application Form

 

 

 

SYBMBOL

CO. NAME

REF. NO

 

 

 

 

 

Application Form

 

 

 

 

 

	Kindly paste your recent Passport Size Photograph

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Name              _______________           ________________                ________________

 

 

 

(In Block Letters)      First Name                       Middle Name                           Surname

 

 

 

 

 

 

 

 

 

 

 

(To be Filled by HR Department Only) Interview for the Post of: ____________________________________   Source of Application: (Databank / Advt / Ref.)  _________________                      Division: __________________ Department: ____________________                                                       Location: (HO / Factory / Field)­­­­­­­­­­­­­­­­­­________________________

 

 

                                                             

 

                    

 

PERSONAL DETAILS

 

 

 

1.      Date of Birth:                                   

 

                                                                         (DD)                (MM)                      (YEAR)     

 

 

 

2.      Age:                                                   _____ Years ______ Months

 

 

 

3.      Gender:                                                  Male                   Female

 

 

 

 

 

4.      Marital Status:                                        Single                Married                          Divorced

 

 

 

 

 

5.      Family Background:

 

 

 

 

 

 

6.      Religion: ___________________                            Caste: ____________________          

 

 

 

 

 

7.      Present Address:                                         7.   Permanent Address      

 

 

 

__________________________________         ___________________________________

 

 

 

__________________________________         ___________________________________                       

 

 

 

__________________________________         ___________________________________                       

 

 

 

__________________________________         ___________________________________                       

 

              

 

Phone No.: ________________________         Phone No.: _________________________

 

 

 

Mobile:  ­­­­­­­­­­­­­­­­­­­   ________________________           Mobile:       _________________________  ­­­­­­­­­­­­­­­­­­­­­­­­­­

 

8.      E-mail ID: ____________________________________________________________

 

9.  Do you have Passport?  (Yes / No / Applied for)  If yes, Number _______________

 

 

 

Date of Issues ______________________ Date of Expiry ________________________

 

 

 

10.  Health: Have you or any of your family members suffered from any major illness / accident during the last five years? Yes / No      

 

      If “yes” give details:

 

              

 

               __________________________________________________________________

 

 

 

11.  Academic Details: 

 

 

 

 

 

      12.Any Gaps / Failure / Drop Out during School or College years:

 

 

 

 

 

 

 

 

 

 

13. Are you undergoing any Professional Course / Training:   Yes / No

 

 

 

Name of Course: _______________________        Year of Completion:             _________________

 

 

 

Next Examination: ______________________       Leave Required (Days)_______________

 

 

14.  Computer Proficiency:

 

 

 

 

 

 

 

 

15.  Language                                          Speak                                     Read                           Write

 

 

 

Mother Tongue: ___________             

 

              

 

Others:   _________________

 

 

 

               __________________

 

 

 

                  __________________

 

 

 

 

 

16.  Work Experience:                     Total Years:  ___________________

 

 

 

(Please Start with Current Company)

 

 

 

 

 

 

 

 

 

 

 

 

17.  Describe your current Job Profile in brief:  ________________________________

 

 

 

______________________________________________________________________

 

 

 

       ______________________________________________________________________

 

   

 

       Whom do you report to? (Designation) _______________________________________

 

         

 

       Who reports to you? (Designation)  __________________________________________

 

 

 

                                     

 

18.  Present Salary Details (Per Month):

 

 

Salary per Month
PF (Employer’s Contribution)
Medical
LTA
Bonus
Other Benefits (Specify)
Deduction (PF, Prof. Tax, Etc.)
Salary in Hand
Total Gross Salary (Per Month)

 

 

     Note:  Please attach photocopy of your last salary slip / appointment letter.   

 

 

 

19.  Expected Salary (Gross Per Month): _______________________

 

 

 

20.  If selected, Notice Period Required: ________________________

 

                               

 

                              Other Details:

 

 

 

21.  Have you been abroad?  YES / NO.          If “YES” give details

 

 

 

Place	Duration	Purpose

 

 

 

22.   Extra-curricular Activities and Hobbies: ___________________________________

 

_____________________________________________________________________

 

 

 

23.  Are you a member of any professional body?  YES / NO. 

 

      If “YES”, give details:

 

 

 

 

24.  Have you ever been interviewed in Elixir? Yes / No.

 

 

 

 If yes, When _________________, which position ______________________

 

 

25.  Do you know anyone in this organization? YES / NO. 

 

 

 

If yes, please give details
Name	Designation	Department	Relationship

 

 

 

 

 

26.  Two references: (other than your relatives) We will make such enquiries as it deems appropriate:

 

 

 

 

 

Name:	Name:
Address:	Address:
Ph. No.	Ph. No.
(M)	(M)

 

 

 

 

 

I hereby declare that the above information is true to the best of my knowledge and I shall be solely responsible for any false information furnished by me.

 

 

 

 

 

 

 

 

 

 

 

_______________________                                     _________________________         

 

 

 

  (Date)                                                                            (Signature of Applicant)

 

Click Here To Download Application Form

 

I have Attached