APPLICANT PROFILE

FULL NAME

(IN BLOCK LETTER) ______

(First name) (Middle name) (Surname)

DESIGNATION______

DATE OF JOINING______DEPARTMENT______

Please read all instructions carefully and complete all sections of the application completely and accurately.
Attention applicant: It is your responsibility to provide sufficient information on this application to indicate that you meet the minimum qualifications for the job for which you wish to be considered.
(Your application may be ineligible for review if information is omitted or inaccurate)
Affix your
Photograph
Personal Information
Name :
[ in block letter ]
Date of Birth : / ( DD / MM / YY )
Marital Status : / Single / Married
Nationality :
Languages Spoken [ Mother Tongue first ]: / , / , / ,
Contact Address / Permanent Address
Contact No. : / Contact No. :
Email :

Bank Account No :______Name of Bank & Branch______

______

Family Details

Name / Relationship / Education / Occupation / Dependant Yes/No

Academic Background [in chronological order starting from school]

Examination Passed / College/University / Main Subjects /

Dates (DD/MM/YY)

/ Percentage of Marks/CGPA
From / To

Other Professional Courses

Course / Institute /

Dates (DD/MM/YY)

/ Subject / Score / Grade
From / To

Academic Projects [ if any ]

Organization / Area of work / Dates (DD/MM/YY)
From / To

Employment History [chronological order beginning with the current organization]

Organization / Business of the Organization/Turnover/No. of Employees / Designation / Tenure in the Organisation (DD/MM/YY) / *Annual Cost to Company
Start / Finish /

From

/ To / Start / Finish

*Annual Cost to Company must include all components in monthly or annual benefits

Details of Current Salary & Benefits

Monthly / Annual
Components / Amount [INR] / Components /

Amount [INR]

Basic / Medical
HRA / LTA
Conveyance / PF
Other [Please Specify] / Others [Please Specify]
Total / Total

Perks and Benefits [Please specify the approximate valuation]


Briefly describe (graphically) your reporting relationship in the current organization and the nature of your work:

Personal Goals, Achievements, and Interests

Mention your significant achievements

Briefly explain your career objective

What do you enjoy doing in your leisure time?

______

______

______


Government documents ( Photocopy of document to be attached)

Do you have a passport Y/N ______Passport No. : ______


Pan Card No : ______

Driving Licence No ______Voter ID / Aadhar Card No______

Health Record

Have you suffered from any major illnesses in the recent past? Y/N

______

Do you suffer from any chronic health problems? Y/N

If yes, please specify

______

Have you been interviewed by Keiretsu earlier. If yes, when and for what position?

______

Do you have any friends / relatives working with Keiretsu?

______

REFERENCES

Have you ever been convicted for any criminal offence: Yes/ No

Are there any charges pending against you for any criminal offence: Yes/No

Have you ever involve in any financial disputes with any bank in India : Yes / No

Declaration: The above information is true to the best of my knowledge and belief.

Date :______

Place:______Signature: ______

List of documents to be attached with the application form

Sl No / List of Documents / Yes / No
1 / Latest Resume
2. / Appointment Letter (previous company)
3. / Copy of Academic Records – Certificates and Mark sheets – Xth onwards
4. / Last drawn salary certificate / salary slip
5. / Resignation Letter
6. / Relieving Letter from your previous employer or Resignation acceptance letter
7. / Experience Certificate of all past employment
8. / Copy of your PAN Card
9. / Proof of residence : Voter ID Card / Ration Card / Passport/ Aadhar Card / Lease agreement
10. / Proof of Identity : Voter ID Card /Pan Card / Aadhar Card / Passport
11. / Passport sized photograph – formally dressed – 5

Signed by Employee:

Date:

Page 2 of 9

KCS /Sep 14