Application Form
I have Attached Application Form
SYBMBOL |
CO. NAME |
REF. NO
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Application Form
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Full Name _______________ ________________ ________________
(In Block Letters) First Name Middle Name Surname
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PERSONAL DETAILS
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1. Date of Birth:
(DD) (MM) (YEAR)
2. Age: _____ Years ______ Months
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3. Gender: Male Female
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4. Marital Status: Single Married Divorced
5. Family Background:
Relationship |
Age |
Profession / Occupation |
Qualification |
Income (p.a.) |
Remarks |
Father |
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Mother |
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Husband / Wife |
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Brother / Sister |
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Brother / Sister |
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Child – 1 |
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Child – 2 |
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Other |
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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:
Degree / Diploma Courses |
Name of Institute & Location |
Board / University |
Duration |
Division / Percentage |
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Commenced From (Month – Year) |
Ended on (Month – Year) |
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12.Any Gaps / Failure / Drop Out during School or College years:
Course |
Duration |
Reason |
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Year |
Subject |
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13. Are you undergoing any Professional Course / Training: Yes / No
Name of Course: _______________________ Year of Completion: _________________
Next Examination: ______________________ Leave Required (Days)_______________
14. Computer Proficiency:
Application (s) |
Good |
Basic |
Not Aware |
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15. Language Speak Read Write
16. Work Experience: Total Years: ___________________
(Please Start with Current Company)
Company’s Name & Location |
Date |
Designation |
Annual Salary (CTC) |
Reason for leaving |
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From |
To |
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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 |
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PF (Employer’s Contribution) |
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Medical |
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LTA |
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Bonus |
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Other Benefits (Specify) |
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Deduction (PF, Prof. Tax, Etc.) |
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Salary in Hand |
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Total Gross Salary (Per Month) |
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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 |
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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 |
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Name |
Designation |
Department |
Relationship |
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26. Two references: (other than your relatives) We will make such enquiries as it deems appropriate:
Name: |
Name: |
Address: |
Address: |
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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