Apeejay Stya University

Village Silani, Sohna [Distt. Gurgaon]

Haryana - 122 103.

Tel. : 0124-2013718/19/20., Fax : 0124-2013215.

Photograph

E-mail :

Applicant Profile Form

POSITION :- _____ SALARY EXPECTED :- ______

1. Source (Please specify one of the following):

□ Referral
Name of Referrer: / □ Consultant
Name of Consultant:
□ Job Portal/Direct
Name of Job Portal: / □ Campus
Name of Campus:

2.  Full Name (In Capital Letters): Mr./Ms./Mrs.: ______

3.  FATHER’S/HUSBAND’S NAME ______PROFESSION______

4.  (a) Date of Birth: ______(b) Place of Birth: ______

(c) Gender: Male ______Female ______(d) Marital Status:-______

5.  Permanent Address:-______

______

Tel No.: ______Mobile: ______

6. Current Address/Address for Communication:- ______

Tel No.:- ______Mobile:- ______

7.  Email:- ______

8.  (a) Nationality: (b) Voter I.D. Card No.: ______

9.  (a) Passport No.: __ (b) Date of Expiry of Passport: ______(c) PAN No. ______

10.  (a) Driving Licence No.: ______(b) Date of Expiry: ______(c) Issuing Authority: ______

11. Educational /Academic Qualifications (Please give in chronological order beginning from high school):

Level / School /Board/University / Subject / Year of Passing / %Marks
Secondary (Class 10th)
Senior Secondary (Class 10th + 2)
Degree/Diploma
Post Graduation
M.Phil
PhD
Prof. Course/ Certification
Any other

11.1 Title of Ph.D. Thesis and year of submission…………………………………………...... …….

………………………………………………………………….…………………………………………….…………………………

Whether qualified UGC/CSIR/JRF Test ………………………………………..………………………………………………….

(If yes, indicate the year, and attach a photocopy of NET certificate)

Research / Publication:-

Subject / Name of Journal / Year / Any other information

12.Teaching

Work Experience (starting with most recent):

Name of the Organisation / Tenure / Designation / CTC (in Indian Rs.) / Status
From / To / Time of Joining / Time of Leaving / Time of Joining / Time of Leaving / Adhoc/Contract/
Probation /
Confirmed

13. Research

Work Experience (starting with most recent):

Name of the Organisation / Tenure / Designation / CTC / Status
From / To / Time of Joining / Time of Leaving / Time of Joining / Time of Leaving / Adhoc/Contract/ Probation /
Confirmed

14. Skills Set Summary:

Domain/Skills/Technology / Applications / Years of Experience / Certifications

15. Have you applied/been interviewed/employed with AES / APEEJAY SVRAN Group of Companies before?

If yes, please provide the following details: Yes □ No D

Date: □□ □□ □□□□ Place: Position applied for:

Results (if known): Interviewed by:

16. Do you know anyone working at AES / APEEJAY SVRAN Group of Organization / Institution? Yes □ No D

If yes, please provide the following details:

S. No. / Name of Employee’s / Location / Relationship / Designation / Departement
1
2
3
4
5

17. Are you suffering from any disease or illness or ailment or disability etc.? If so give details

Yes ______No _____
If yes, please provide details:

18. Details of Immediate Family Members:

Name / Relationship / Age / Occupation / Mobile No.

19. Languages Known:

Language / Read / Write / Speak

20. Joining Time Required: ______

21. Any further information about yourself that you may like to give us in support of your application.

______

______

______

______

22. Declarations:

I confirm that I have not been convicted by any court in India for any criminal offense and/or sentenced to imprisonment. There is no civil or criminal or any other judicial or quasi judicial proceedings pending against me or initiated by me before any court in India. I have not been issued a warrant or summons for appearance or a warrant for arrest by any court in India.

I certify that the above statements made by me are true, complete and correct. I undertake and agree that in case it is found at any time that any information provided by me in this form is not correct or true or complete or suppressed by me, then my appointment be deemed void ad nitio and the organization/institute shall have the right to withdraw my Letter of Appointment or to terminate my Appointment at any time without any prior notice and compensation. I have no objection for verifying the facts given by me in any manner by the organization/institute at any time.

In case of an emergency, please contact: Mr./Ms./Mrs.: at

(Name) (Mobile/Tel.)

Place:

Date: Signature:

Notes : 1) Kindly attach your recent passport size photograph together with copies of School & College Certificates and experience certificate/reliving letter from your previous Employers.

2)  Also copy of certificates supporting your date of birth should be attached herewith.

3)  Attach copies of Passport, Voter ID Card, Driving License and PAN Card

4)  Testimonials in original should NOT be sent along with the application.

5)  We do NOT undertake to return any document sent with the application.

6)  Appointment (if any) should be solely governed by the terms of letter of appointment.

PLEASE DO NOT WRITE BELOW THIS:

Interviewed by______Place ______Date______

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