(Company Name and Logo to be added) Confidential

EMPLOYMENT FORM

DATE:

POST APPLIED FOR______
REF.1)DIRECT______
2) REFERRED BY______
3) OTHERS______/ RECENT PASSPORT SIZE
PHOTOGRAPH
(Photo not to be pasted unless asked for)

NAME______FATHERNAME______

BIRTH DATE______AGE______

BLOOD GROUP______

______

PRESENT
ADDRESS______
______
______PIN______
É ______/ PERMNENT
______
______
______PIN______
É ______

PERSONAL IDENTIFICATION MARKS:

1)______

2)______

IN CASE OF EMERGENCY PERSON TO BE CONTACTED
NAME ______
RELATIONSHIP______
ADDRESS______
______
É ______CELL NO______
FAMILY INFORMATION: MARITAL STATUS-MARRIED/UNMARRIED:DEPENDANT______
SNO / NAME / OCCUPATION / RELATIONSHIP / AGE
ACADEMIC RECORD
YEARS / DEGREE/DIPLOMA CERTIFICATE / UNIVERSITY / %MARKS
FROM / TO
LANGUAGE / SPEAK / WRITE / READ / MOTHER TONGUE
FRESHER : YES/ NO
EXPERIENCE :
PERVIOUS EMPLOYMENT HISTORY(START WITH FIRST JOB)
(1) COMPANY NAME & ADDRESS
JOINING DATE
DESIGNATION SALARY
JOB DESCRIPTION
REASON FOR LEAVING & DATE
(2)COMPANY NAME & ADDRESS
JOINING DATE
DESIGNATION SALARY
JOB DESCRIPTION
REASON FOR LEAVING & DATE
(3)COMPANY NAME & ADDRES
JOINING DATE
DESIGNATION SALARY
JOB DESCRIPTION
REASON FOR LEAVING & DATE
YOUR STRENGTH
1)______
2)______
3)______/ YOUR WEAKNESSES
1)______
2)______
3)______
PRESENT SALARY
1) BASIC
2) HRA
3) DA
4) CONVEYANCE
5) LUNCH
6) OTHERS
7) TOTAL / EXPECTED GROSS SALARY
NOTE:
APPLICATION WILL NOT BE CONSIDERED UNLESS DEFINITE FIRGURE IS MENTIONED
NOTICE PERIOD BEFORE JOINING :______
WHETHER YOU INTERVIEWED BY US BEFORE YES/NO
FOR POST WHEN
IMPORTANT NUMBERS
1) WHETHER MEMBER OF PROVIDENT FUND(PRESENT) YES/NO
2) WHETHER MEMBER OF ESI SCHEME(PRESENT) YES/NO
DECLARATION
I.  I HEREBY DECLARE THAT ALL THE ABOVE INFORMATION PROVIDED BY ME TO THE BEST OF MY KNOWLEDGE AND BELIEF.ACCURATE & I ACCEPT THAT IF IT IS FOUND THAT I HAVE SUPRESSED ANY MATERIAL INFORMATION INTENTONACY OR OTHERWISE. THEN MY EMPLOYMENT IS LIABLE FOR SUMMARY TERMINATION.
II.  FURTHER UNDERTAKE THAT IAM BOUND TO FURNISH TO THE COMPANY AND CHANGE IN MY PERSONAL , PROFESSIONAL, SOCIAL OR GENERAL STATUS AT ANY TIME IN FUTURE, AND THAT IF I FALL TO DO SO, I SHALL HAVE VOILATED THE BASIC UNDERSTANDING OF THIS EMPLOYMENT.
SIGNATURE DATE PLACE
FOR OFFICE USE ONLY(REMARKS)
SIGNATURE