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    CAREER: APPLY ONLINE
     Required feilds are indicated with asterisk(*)
 
Post Applied For
1. Name* Mr / Mrs
Name
Middle Name
Last Name
2. Permanent Address*
3. Present Address

(where communication can be sent)

4. E-mail Id
     

 5. Have you ever applied for any post with this company, and if so, when &with what result? Yes No
Contact Details
Landline Number *    ISD     No.
Mobile Number   
6. Date Of Birth *        7 .Whether the applicant has defective

    sight, hearing speech or other

    handicap? ( if he wears glasses,

    should state the no. of each.)
Place Of Birth *
Age *
Caste *
Domicile *
Height,cm *
Weight, kg *
 8  Have you ever suffered from any serious illness? If so, please give details.
 Yes     No
 9. Are you prepared to sign a service Agreement for three  years?
 Yes     No  
 10.(a) Applicant's Mother Tongue *
11. Whether Married Or      Single  
     (b) Language *
Can Read
Can Write
Can Speak
  
12. If married no. of      children, if any, with      their  age
13. Number and details of       other dependents
 14. Number of applicant’s brother & their occupations:
Sr No.
Name
Occupation
Remarks
a)
b)
c)
 15. Full name of applicant’s father and his occupation.(if dead ,last occupation before death)
 16. Give names of relatives or friends, if any, who are serving in this company.
 17. Are      you a  member   of a) Employees Provident Fund? (If yes, mention the full number)
  Yes     No      
b) Employees State Insurance? (If yes, mention the full number)
  Yes     No      
 18. If appointed, the notice period applicant would require before joining
  
 19. Expected minimum monthly gross cash emoluments including salary, D A and other allowance in Rs.(excluding annual & long term benefits)
 20. Particulars of applicant’s previous and present employment ,if any: (oldest to be written first)

Sr.
No.

 Name Of Employer & Place Designation Of the Applicant

Exact nature of work &
Responsibilities
(Add additional sheets if required)

Period OfService

 Total numbers of years Emoluments (Rupees p.m) Reason for leaving Name and designation of next superior

From

 To

Basic
pay

 D A Other allowances Total
a)
b)
c)
d)

21. Whichof the above position held by you was most interesting and why?

22. Particulars of (a) any special training taken
          (b) visit overseas and (c) participation in          seminars.
23. Why do you feel are the right candiate for the post applied?
24. (a) Particulars of each examination passed (starting with secondary school leaving): *
Name and place of Examining Authority and also School or Collage Examination or Degree or Diploma Marks Secured Decipline Year of passing the Examination/obtaining Degree or diploma
% Class
    (b) From SSC onwards did you ever fail? If yes, give          details (To mention ATKT also)  Yes          No
    (c) Particulars of academic distinctions, prizes or          research papers published.
    (d) Particulars of extra curricular activities & hobbies.
25. Two references who are not related to the applicant.  (preferably , at least one of them is a permanent resident of Bhavnagar
Sr. No. Name Occupation Address
a)
b)
 26. Attach CV* (MS Word file only) *
 
 

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