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Division : Application No :___________
Application for Employment
Position Applied for : ___________________ _______________________________________
PHOTO
Department : __________________________________________________________
How did you know about this Vacancy?
Direct Job Portal Placement Consultant Employee Reference Campus Advertisement Company
Website Walk in ( Drop Down )
PERSONAL DETAILS
Full Name Mr. /Ms. /Mrs. _______________________ _______________________ _______________________
First Middle Surname
Date of Birth: ____________Age: _______PAN No. ___________________________Passport No:__________________
Gender :___________ Nationality: _____________________ Marital Status: _______________________
Mobile No.1 ___________________________ Mob 2: _____________________________
E-mail: _____________________________________________ Blood Group: ______________
Present Residence / Communication Address Permanent Address
Address : Address :
Address : Address :2
Pincode : Pincode :
District : District :
State : State :
Country : Country :
FAMILY DETAILS
Relation with you: Name Date of Age Occupation Income
Birth (Per Annum)
1 Spouse
2 Children (if any)
(a)
(b)
3 Father
4 Mother
5 Brother /
6 Sister
In case of emergency contact
Name Relationship Contract
Education Record
Year of Course No of
Specialization University Type Attempts
Category Certificate Start End Institute Grade/CGPA
/Board
Month month
Is there any gap in your education? Y/N Reason
EMPLOYMENT HISTORY (PLEASE COMPLETE IN DESCENDING ORDER)
Total Work Experience: ___ _________________ Years ____________ Months
Period (MMYY to
Name of the CTC in
Location Designation MMYY) Reason for
Organization Lac/Cr leaving
From To
Is there any gap in your career ? Y/NReason
If yes
Have you ever been interviewed before at Kalpataru Group? ( KPTL /JMC/KL/SSLL)
YES ( ) / NO ( ) If yes, then answer the following.
Date of pervious interview:
Interviewer’s Name:
Department Applied for :
Do you Know or have any relative in our employees in Kalaptaru Group ? (KPTL/KL/JMC/SSL )
YES ( ) / NO ( ) If yes, then give the details.
Name Department Designation
Do you Know or have any relative in Competitor of Kalaptaru Power Transmission Ltd /Kalpataru Group ?
(KPTL/KL/JMC/SSL )
YES ( ) / NO ( ) If yes, then give the details.
Name Name of Company Department Designation
Significant Achievements (inclusive of past organizations)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Any Past prosecutions or current legal proceeding: Yes /No
Indicate your professional and personal: (Mandatory)
Sr. No Strengths (Professional /Personal) Area/s of Improvement ( Professional /Personal )
Languages known:
English Hindi Any Other (1) Any Other (2) Any Other ( 3)
Read Drop Down Drop Down Drop Dawn
Speak
Write
Details of Present Gross Salary ( CTC )
Present Designation : Expected Designation
Fixed CTC ( Annual ) Expected CTC
Variable Pay ( PLP ) ( Annual ) Expected DOJ
Any Other ( 1) Notice Period
Any Other ( 2)
Any Other ( 3)
Any Other ( 4)
Any Other ( 5)
Total ( Fixed + PLP + Other
(1+5))
Organogram of your Current Employment
Name Designation Contact No
Head
Superior
Immediate HOD
My Position
Immediate Subordinate
Subordinate
References (People under whom you have worked and who know you professionally)
(Relative are not allowed)
Sr. Contact Nos Email id
Name of person Organization Position
No
1
Declaration:
I hereby, solemnly declare that I have an unblemished career although and have not violated the code of conduct,
POSH any kind of disciplinary action, a criminal case pending against me in my present or previous company. I do
hereby certify and affirm that all of the information provided in this application form or attached to this application
form is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom. I
understand and acknowledge that, if any said information or attachment is found to be false, fraudulent, forged or
incorrect, the same would be considered fraud and misrepresentation on my part; and my employment may be
terminated by the organization. At any point of time, any information provided by me may be verified or/and
investigated by the organization.
_____________________ __________________________ _____________________________
Date Place Signature of Applicant