Chevron Lubricants India Limited
APPLICATION FOR EMPLOYMENT
To be completed in the applicants own handwriting
Gold Crest, 1st Floor,
54 & 55, North Usman Road,
T. Nagar
Chennai 600 017
Telephone : (044) - 2815 8450
Fax
: (044) - 2815 7636
APPLICATION FOR EMPLOYMENT
Position Applied For
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Name ________________________ ___________________________________
First
Middle
Last (Surname)
Permanent Address _____________________________________________
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Contact Address _________________________________________________
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Mobile No / Phone (Residence) ______________________
Place of Birth _________________________
Sex
(M)
(F)
Nationality ____________________________
Date of Birth __________________________
Marital Status: Single/ Married/Divorced/Widowed.
No. of children__________
Educational Background
Year
Institute
Qualification Awarded / Name of Institution
Began
Finished
High School
College/
University
Other
Additional
Details
Languages
Language
Speak
Write
Read
% Marks
Work History
Name of the
Employer and
Location
From
To
Position
Occupied
Supervisor s
Name and Tel. No.
Reason for
Leaving
Additional Details
Give details here of work done during your present employment:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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Mention any special skills, experience or accomplishments, regardless of whether
they are relevant to the job you are applying for:
_________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Personal References
Name
Address
Passport No.___________
Phone No.
Position
Place/ Date of Issue _________________________
Expiration Date: ___________
Current Employer_____________________________________________________
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Previous Employer____________________________________________________
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Do you have an Indian Driving Licence? Car / Two wheeler
Yes
No
Do you have any physical handicaps or suffer from any illness? If so, please provide
details:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
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May we contact your previous employer for a reference?
Yes
No
May we contact your current employer for a reference?
Yes
No
I hereby state that the particulars given above are true to the best of my knowledge
and belief and I understand that any false statement may lead to the withdrawal of
any offer of employment or if employed, to dismissal for cause.
Date _______________________
Applicants Signature_________________________________
FOR OFFICE USE ONLY