HR Application Form
Content
Post Applied for
:
Candidature referred by : APPLICATION FORM FOR EMPLOYMENT Name:
(Last Name) (First Name) (Middle Name)
Date of Birth: Place of Birth: Nationality: Marital Status: Any major illness in the past two years: PRESENT ADDRESS
Age: Home Town: Domicile: Passport size Photograph
PERMANENT ADDRESS
Pin:
State:
Pin:
State:
Tel. No. with STD code: Mobile: E-mail address:
Tel. No. with STD code: Mobile: E-mail address:
Blood Group: Whether Ex-Servicemen (Pl. Tick): Whether Physically Handicapped (Pl. Tick): Religion: Caste/Sub-caste (if any): Category (Pl. Tick): Extracurricular Activities: GEN SC ST BC ET OBC Yes Yes No No
DETAILS OF FAMILY MEMBERS
Relationship Spouse Child 1 Child 2 Brother Sister Father Mother
Name
Date of Birth
Educational Qualification
Occupation with name of Employer
OTHER INFORMATION Have you ever been interviewed at BBL in the past? If yes, Please mention the following: Position for which you were interviewed Date on which you were interviewed Languages known: (Pleas Tick ( P ) as appropriate) (starting with Mother Tongue) LANGUAGE READ WRITE SPEAK YES NO
Are you related to any of our employee(s)? If yes, give the name & designation of the employee(s) Are you prepared to serve anywhere in India?
YES
NO
YES
NO
EDUCATION DETAILS
Examination
Certificate/ Part / Degree / Full Time Diploma
Institution & Address
Month & Year of Passing
Division/ Grade
% of Marks
Main Subjects
SSC
HSC
Diploma
Graduation
Post Graduation
Any Other
Academic Achievements - Scholarships, Awards, Paper published. 1 2 3 PROFESSIONAL TRAINING COURSES Course Title From To Nature of Training Organized by
EMPLOYMENT RECORD Please mention all employment details so far sequentially starting with the current employment and upto the first employment. Name & address of the employer Nature of Business No. of Emp. Date (DD/MM/YY) From To Position held
Turn over
Job responsibility
TOTAL EXPERIENCE:
(Years & Months)
PRESENT COMPENSATION DETAILS Please include all the components of your Compensation which forms a part of your CTC. MONTHLY
Amount in Rs.
ANNUAL BENEFITS
Amount in Rs.
Basic Dearness Allowance Special Allowance House Rent Allowance Children Education Allowance Conveyance Allowance Others (Please specify)
Annual Bonus Leave Travel Assistance Medical Performance Pay
Total : P. A. (B) RETIRALS Provident Fund Gratuity Super Annuation
Total : P. A. (C) OTHERS (Please specify)
Total : P. M. (A) CTC PA = (Ax12)+(B)+(C)+(D) = Rs.
Total : P. A. (D)
EXPECTED CTC P.A.: Rs. NOTICE PERIOD:
Have you signed any bond with your current employer?
YES
NO
If yes, give details.(Amount in Rs.)
Period in years.
CURRENT ORGANIZATION STRUCTURE
BOSS's SUPERIOR
Name Desg.
BOSS
Name Desg.
YOUR SELF
Name Desg.
Name Desg.
Name Desg.
EMPLOYEES REPORTING TO YOU
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Please state your career objective and action plan to achieve the same?
What are the specific reasons of changing the current job?
What are your Strengths and Areas of Improvement? STRENGTHS 1 2 3
Have you ever been criminally convicted by any court?
AREAS OF IMPROVEMENT 1 2 3 YES NO
REFERENCES Please give the names of three persons from your previous organisations under whom you have worked directly: Name Occupation
Address
Telephone No with STD / Mobile No Email ID DECLARATION I confirm that above information is correct to the best of my knowledge & belief. In the event of any misrepresentation of information from my side will make me liable for discontinuation / termination of my employment by the company. Place : Date: Signature of the Applicant
NB: Employment is subject to passing of Pre Employment Medical Checkup as prescribed by Organisation.
Electric Mansion, 6th Floor, Appasaheb Marathe Marg, Prabhadevi, Mumbai - 400 025 Tel.: +91 22 2430 6237, fax: +91 22 2437 0624, www.bharatbijlee.com
Job responsibility
Special CTC / p. Achievements a.
:
Candidature referred by : APPLICATION FORM FOR EMPLOYMENT Name:
(Last Name) (First Name) (Middle Name)
Date of Birth: Place of Birth: Nationality: Marital Status: Any major illness in the past two years: PRESENT ADDRESS
Age: Home Town: Domicile: Passport size Photograph
PERMANENT ADDRESS
Pin:
State:
Pin:
State:
Tel. No. with STD code: Mobile: E-mail address:
Tel. No. with STD code: Mobile: E-mail address:
Blood Group: Whether Ex-Servicemen (Pl. Tick): Whether Physically Handicapped (Pl. Tick): Religion: Caste/Sub-caste (if any): Category (Pl. Tick): Extracurricular Activities: GEN SC ST BC ET OBC Yes Yes No No
DETAILS OF FAMILY MEMBERS
Relationship Spouse Child 1 Child 2 Brother Sister Father Mother
Name
Date of Birth
Educational Qualification
Occupation with name of Employer
OTHER INFORMATION Have you ever been interviewed at BBL in the past? If yes, Please mention the following: Position for which you were interviewed Date on which you were interviewed Languages known: (Pleas Tick ( P ) as appropriate) (starting with Mother Tongue) LANGUAGE READ WRITE SPEAK YES NO
Are you related to any of our employee(s)? If yes, give the name & designation of the employee(s) Are you prepared to serve anywhere in India?
YES
NO
YES
NO
EDUCATION DETAILS
Examination
Certificate/ Part / Degree / Full Time Diploma
Institution & Address
Month & Year of Passing
Division/ Grade
% of Marks
Main Subjects
SSC
HSC
Diploma
Graduation
Post Graduation
Any Other
Academic Achievements - Scholarships, Awards, Paper published. 1 2 3 PROFESSIONAL TRAINING COURSES Course Title From To Nature of Training Organized by
EMPLOYMENT RECORD Please mention all employment details so far sequentially starting with the current employment and upto the first employment. Name & address of the employer Nature of Business No. of Emp. Date (DD/MM/YY) From To Position held
Turn over
Job responsibility
TOTAL EXPERIENCE:
(Years & Months)
PRESENT COMPENSATION DETAILS Please include all the components of your Compensation which forms a part of your CTC. MONTHLY
Amount in Rs.
ANNUAL BENEFITS
Amount in Rs.
Basic Dearness Allowance Special Allowance House Rent Allowance Children Education Allowance Conveyance Allowance Others (Please specify)
Annual Bonus Leave Travel Assistance Medical Performance Pay
Total : P. A. (B) RETIRALS Provident Fund Gratuity Super Annuation
Total : P. A. (C) OTHERS (Please specify)
Total : P. M. (A) CTC PA = (Ax12)+(B)+(C)+(D) = Rs.
Total : P. A. (D)
EXPECTED CTC P.A.: Rs. NOTICE PERIOD:
Have you signed any bond with your current employer?
YES
NO
If yes, give details.(Amount in Rs.)
Period in years.
CURRENT ORGANIZATION STRUCTURE
BOSS's SUPERIOR
Name Desg.
BOSS
Name Desg.
YOUR SELF
Name Desg.
Name Desg.
Name Desg.
EMPLOYEES REPORTING TO YOU
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Name Desg.
Please state your career objective and action plan to achieve the same?
What are the specific reasons of changing the current job?
What are your Strengths and Areas of Improvement? STRENGTHS 1 2 3
Have you ever been criminally convicted by any court?
AREAS OF IMPROVEMENT 1 2 3 YES NO
REFERENCES Please give the names of three persons from your previous organisations under whom you have worked directly: Name Occupation
Address
Telephone No with STD / Mobile No Email ID DECLARATION I confirm that above information is correct to the best of my knowledge & belief. In the event of any misrepresentation of information from my side will make me liable for discontinuation / termination of my employment by the company. Place : Date: Signature of the Applicant
NB: Employment is subject to passing of Pre Employment Medical Checkup as prescribed by Organisation.
Electric Mansion, 6th Floor, Appasaheb Marathe Marg, Prabhadevi, Mumbai - 400 025 Tel.: +91 22 2430 6237, fax: +91 22 2437 0624, www.bharatbijlee.com
Job responsibility
Special CTC / p. Achievements a.
