Shrmer HR & Staffing Solutions Pvt Ltd
SB - 31, 2nd Floor, High Street Cum Highland Corporate Center, Kapurbawadi, Thane, 400607
Application Form
(Please fill in Capital Letters)
Name : ______________________________________________________________
Last Name First Name Middle Name Passport Size
Photograph
Current Residence Address: ______________________________________________
_____________________________________________________________________
____________________________________________________________Pin Code:______________
Mobile No: ______________________________Landline No:_____________________________
Emergency Mobile No:_______________ Personal email:____________________________
Permanent Residence Address:______________________________________________________
__________________________________________________________________________________
____________________________________________________________Pin Code:______________
Date of Birth : _____/____/ __________ Gender : Male / Female
Marital Status: Married / Single / Divorcee Blood Group:______________
Educational Qualification Year of % Board / University
Passing Marks
SSC
HSC
Degree / Diploma / ITI / Other
(Please Specify)
Post Graduation (Please Specify)
Work Experience
(Start with Current Employment)
Employer Name & Form Date To Date Designation Last
Location Drawn
CTC
PAN Number : Aadhar Number:
Family Details
Name Relationship Age Occupation
Declaration
I hereby declare that the information provided in this application form is true and correct to the
best of my knowledge and belief. In case any information given in this application form is found
to be false or incorrect or inconsistent, I am fully aware that such false or incorrect or
inconsistent information may lead to termination of my employment without any notice.
______________________ ________________ __________
Signature & Name Place Date