CONFIDENTIAL
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EMPLOYMENT APPLICATION PERSONAL PROFILE
Post Applied for ………………………………………………
Name …………………………… EmpNo ………………
Designation …………………………… Dept ………………………
Affix Photo
I Personal
1 Date of Birth ………………… Place of Birth …………………………………
2 Religion ……………………… Caste Community……………………………
3 Nationality…………………… Sex …………………Blood Group…………
4 Address for Communication
Phone No
Permanent Address
Phone No
5 Languages Known (Please tick appropriate column) Read Write Speak
i (Mother Tongue)………………………………
ii……………………………………………………
iii……………………………………………………
iv……………………………………………………
v……………………………………………………
6 Presently your house Own House Rented House
7 Do you own in you’re your name spouse name
House site House Landed properties No
8 In case of emergency contact
Name…………………Relationship……………………Tel No………………………
9 Your Bank Account PAN No…………………………………
Bank Name…………………Branch……………………Account No……………………
10 Do you know driving Two Wheeler Four Wheeler None
If yes driving Licence No……………………………Valid up to……………………
11 Do you own Two Wheeler Four Wheeler None
12 Do you have a Passport
If yes Passport No……………………………………Valid upto…………………………
II Health History
1 Your blood group …………………………………………………………………………
2 Any Known allergies ………………………………………………………………………
3 Do your wear Spectacles Yes No
If yes What power right eye Left eye
4 Do you suffer from Respiratory Disorder Heart Disease
Blood Pressure Diabetes Asthma
Tuberculosis Others – Specify ………………………………………………
5 Have you suffered any aliments in the past Give details
Malaria Jaundice Hernia Piles
Liver ailments Back Pain Others……………………………………
6 Have you had any accident in the past
………………………………………………………………………………………………
7 Have you undergone any surgery earlier
………………………………………………………………………………………………
8 Are you in the habit of smoking Yes No
If yes how many cigarettes a day………………………nos
9 Do you have the habit of chewing Tobacco Pan No
10 Do you consume liquor Yes No
Daily Weekly Twice a month
Once in a month Special Occasions Occasionally
11 Do you exercise Jogging Running Gym
Walking Others (Specify)…………
III Family Background
12 Whether married Yes No
If yes furnish date of marriage …………………………………………………………
FAMILY BACKGROUND
Name
Date of Birth
Qualification
Occupation
Dependance
Yes No
Spouse
Children
IV Educational History (Starting from 10th Std)
Name of the
Institution
From
To
Exam
Passed
Special
Subjects
of
marks
Training Attended
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
VEmployment History
Name &Address of
Employer
From To
Month Year
Dept
Designation
Function
Duties
Gross
Salary
Reason for
Leaving
I Previous Experience
Additional Information On your Present Latest Employment
Appointment Dt
Reporting to
Your Reportees
Annual Sales turnover
Strength in No’s
(Per mensom)
Basic
DA
HRA
Conveyance
Other allowance
Specify…
Total per month
Total per annum(A)
(Per annum)
LTA
Educational
Bonus
Medical
Other allowance
Specify…
Total per annum (B)
Other Benefits
(per annum)
EPF
Gratuity
Superannuation
Others
Total per annum(C)
Gross per annum
(A+B+C)
Other Information
13 Have you applied to interviewed by us in the past Yes No
If yes please state position applied for……………………… Interviewed on…………………
14 Please outline your present job responsibilities
15 Salary Expected
16How soon would you been able to join us
17Do you have any relatives employed in this company If yes give details
18 How did you get to know about the vacancy
19 Have you ever been convicted under any court of law If yes furnish details
20 Is there any Civil Criminal proceedings pending against you in any court of law
References (No relative please)
1
2
Name and Address of person to be contacted in case of Emergency
1
2
Your extra curricular activities if any please specify
Playing Games ( Specify)………………………………………………………………………
Cinema TV Reading Books Listening to Music
Stamp Collections Social service Others………………………
Declaration I hereby affirm that the foregoing statement and answer to questions are true to the best of my knowledge and belief and without consequential omissions of any kind whatsoever and understand that any wrong statements and suppression of facts will if I am employed subject me to immediate dismissal
Date
Place Signature
OFFICE USE
Where to Date of Interview Remarks
Call for Interview & by whom
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《香当网》用户分享的内容，不代表《香当网》观点或立场，请自行判断内容的真实性和可靠性！
该内容是文档的文本内容，更好的格式请下载文档
XXXXXXXXXXXXXXXXXXXXXXXXX
EMPLOYMENT APPLICATION PERSONAL PROFILE
Post Applied for ………………………………………………
Name …………………………… EmpNo ………………
Designation …………………………… Dept ………………………
Affix Photo
I Personal
1 Date of Birth ………………… Place of Birth …………………………………
2 Religion ……………………… Caste Community……………………………
3 Nationality…………………… Sex …………………Blood Group…………
4 Address for Communication
Phone No
Permanent Address
Phone No
5 Languages Known (Please tick appropriate column) Read Write Speak
i (Mother Tongue)………………………………
ii……………………………………………………
iii……………………………………………………
iv……………………………………………………
v……………………………………………………
6 Presently your house Own House Rented House
7 Do you own in you’re your name spouse name
House site House Landed properties No
8 In case of emergency contact
Name…………………Relationship……………………Tel No………………………
9 Your Bank Account PAN No…………………………………
Bank Name…………………Branch……………………Account No……………………
10 Do you know driving Two Wheeler Four Wheeler None
If yes driving Licence No……………………………Valid up to……………………
11 Do you own Two Wheeler Four Wheeler None
12 Do you have a Passport
If yes Passport No……………………………………Valid upto…………………………
II Health History
1 Your blood group …………………………………………………………………………
2 Any Known allergies ………………………………………………………………………
3 Do your wear Spectacles Yes No
If yes What power right eye Left eye
4 Do you suffer from Respiratory Disorder Heart Disease
Blood Pressure Diabetes Asthma
Tuberculosis Others – Specify ………………………………………………
5 Have you suffered any aliments in the past Give details
Malaria Jaundice Hernia Piles
Liver ailments Back Pain Others……………………………………
6 Have you had any accident in the past
………………………………………………………………………………………………
7 Have you undergone any surgery earlier
………………………………………………………………………………………………
8 Are you in the habit of smoking Yes No
If yes how many cigarettes a day………………………nos
9 Do you have the habit of chewing Tobacco Pan No
10 Do you consume liquor Yes No
Daily Weekly Twice a month
Once in a month Special Occasions Occasionally
11 Do you exercise Jogging Running Gym
Walking Others (Specify)…………
III Family Background
12 Whether married Yes No
If yes furnish date of marriage …………………………………………………………
FAMILY BACKGROUND
Name
Date of Birth
Qualification
Occupation
Dependance
Yes No
Spouse
Children
IV Educational History (Starting from 10th Std)
Name of the
Institution
From
To
Exam
Passed
Special
Subjects
of
marks
Training Attended
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
VEmployment History
Name &Address of
Employer
From To
Month Year
Dept
Designation
Function
Duties
Gross
Salary
Reason for
Leaving
I Previous Experience
Additional Information On your Present Latest Employment
Appointment Dt
Reporting to
Your Reportees
Annual Sales turnover
Strength in No’s
(Per mensom)
Basic
DA
HRA
Conveyance
Other allowance
Specify…
Total per month
Total per annum(A)
(Per annum)
LTA
Educational
Bonus
Medical
Other allowance
Specify…
Total per annum (B)
Other Benefits
(per annum)
EPF
Gratuity
Superannuation
Others
Total per annum(C)
Gross per annum
(A+B+C)
Other Information
13 Have you applied to interviewed by us in the past Yes No
If yes please state position applied for……………………… Interviewed on…………………
14 Please outline your present job responsibilities
15 Salary Expected
16How soon would you been able to join us
17Do you have any relatives employed in this company If yes give details
18 How did you get to know about the vacancy
19 Have you ever been convicted under any court of law If yes furnish details
20 Is there any Civil Criminal proceedings pending against you in any court of law
References (No relative please)
1
2
Name and Address of person to be contacted in case of Emergency
1
2
Your extra curricular activities if any please specify
Playing Games ( Specify)………………………………………………………………………
Cinema TV Reading Books Listening to Music
Stamp Collections Social service Others………………………
Declaration I hereby affirm that the foregoing statement and answer to questions are true to the best of my knowledge and belief and without consequential omissions of any kind whatsoever and understand that any wrong statements and suppression of facts will if I am employed subject me to immediate dismissal
Date
Place Signature
OFFICE USE
Where to Date of Interview Remarks
Call for Interview & by whom
文档香网(httpswwwxiangdangnet)户传
《香当网》用户分享的内容，不代表《香当网》观点或立场，请自行判断内容的真实性和可靠性！
该内容是文档的文本内容，更好的格式请下载文档
