PERSONAL DETAILS
Name of Applicant
Surname
Middle
First
Date of Birth (dd/mm/yy)
Place of Birth
Sex
Nationality
Father’s Name
Passport No.
Home Phone
Office Phone
Mobile
RESIDENTIAL ADDRESS
Permanent Address
City
State
Pin
Phone No.
Residing Since( Mandatory)
Nature Of Location:
Rented/Owned/Others
Current Address
City
State
Pin
Phone No.
Residing Since(Mandatory)
Nature of Location
Rented/Owned/Others
EDUCATION RECORD
EDUCATION RECORD (Kindly start with the latest/ highest qualification; please attach
photocopies of the documents ) All fields are mandatory
Applicant’s Name(As mentioned
on the graduation/degree
certificate)
Type of Degree/Diploma
obtained.
State “F” for fulltime and “P” for
part-time to be added within
brackets
Name & location of
School/College/Institute
Name & location of University its
affiliated
Dates Attended
From
Date:
To
Date:
Degree / Diploma
(Completed /Pursuing)
Year Of
Passing:
(MM/YYY
Y)
Student ID
Roll Number/Registration
Number/Exam Seat
number/Enrollment Number
Note: Many academic institutions maintain student files by either "Registration", "Student ID", "Roll"
or "Enrollment Numbers etc. You are requested to provide such number in the listed Student ID Field, it’s
mandatory.
EDUCATION RECORD
EDUCATION RECORD (Kindly start with the latest/ highest qualification; please attach
photocopies of the documents ) All fields are mandatory
Applicant’s Name(As mentioned
on the graduation/degree
certificate)
Type of Degree/Diploma
obtained.
State “F” for fulltime and “P” for
part-time to be added within
brackets
Name & location of
School/College/Institute
Name & location of University its
affiliated
Dates Attended
From
Date:
To
Date:
Degree / Diploma
(Completed /Pursuing)
Year Of
Passing:
(MM/YYY
Y)
Student ID
Roll Number/Registration
Number/Exam Seat
number/Enrollment Number
Note: Many academic institutions maintain student files by either "Registration", "Student ID", "Roll"
or "Enrollment Numbers etc. You are requested to provide such number in the listed Student ID Field, it’s
mandatory.
EMPLOYMENT RECORD
Employer 1
Employee ID
Full Name
(Mandatory)
Address/Branch
City
From (mm/yy)
To (mm/yy)
(If currently employed,
please mention your
last working day)
Phone Number
State
Country
Postal Code
Reason for Leaving:
Designation
Final Salary (Annual)
Supervisor Name & Title
HR Manager Name
Supervisor ‘s Phone Number(Mandatory)
HR Manager Phone Number(Mandatory)
Direct #:
Direct #:
Extn #:
Extn #:
Mobile #:
Mobile #:
EMPLOYMENT RECORD
Employer 2
Employee
ID
Full Name
Address/Branch
City
From (mm/yy)
To (mm/yy)
Phone Number
State
Country
Postal Code
Job Title
Reason of Leaving
Designation
Final Salary (Annual)
Supervisor Name & Title
HR Manager Name
Supervisor ‘s Phone Number
HR Manager Phone Number
EMPLOYMENT RECORD
Employer 3
Employee
ID
Full Name
Address/Branch
City
From (mm/yy)
Phone Number
State
Country
Postal Code
Job Title
Reason of Leaving
Designation
Final Salary (Annual)
Supervisor Name & Title
HR Manager Name
Supervisor ‘s Phone Number
HR Manager Phone Number
To (mm/yy)
REFERENCE DETAILS - 1
Full name of the Reference
Telephone no
Organization
Relationship with the candidate
REFERENCE DETAILS - 2
Full name of the Reference
Telephone no
Organization
Relationship with the candidate
Information Release Form
To Whom It May Concern:
Please print
I
Last name
First name
Middle name
I hereby authorise KPMG or their representatives to verify information presented on my
employment application/resume and to procure an investigative report or consumer report for
that purpose.
I hereby grant authority for the bearer of this letter to access or be provided with full details
of my previous employment record held by any company or business for whom I
previously worked. This information should include the dates of employment; the
nature of the position held, [details of my salary upon departure] and an appraisal of
my performance, capabilities and character. In addition, please provide any other
pertinent information requested by the individual presenting this authority. I hereby
release from liability all persons or entities requesting or supplying such information.
of my qualification/degree (copy of my certificates attached)
information in respect to my character from the records maintained by local
authorities
Signature:
Date: dd / mm / yyyy
Have you ever been known by another name?
YES
NO
Checklist
A Address Proof’s for Current and Permanent address
2 Photograph
E Education Certificates
E Employment Reliving Letters
Employee Code