MODEL APPLICATION FOR APPOINTMENT

MODEL APPLICATION FOR APPOINTMENT

1.	NAME WITH SURNAME	:
2.	FATHER’S /HUSBAND’S NAME	:
3.	ADDRESS:          PERMANENT	:	TEMPORARY
4.	(A)    DATE OF BIRTH (WITH PROOF) (B)    MALE/FEMALE	: :
5.	APPLYING FOR WHICH POST	:
6.	QUALIFICATION	:

EXAMINATION PASSED	SCHOOL/COLLEGE	BAORD/UNIVERSITY	YEAR	% OF MARKS OBTAINED

7.      EXPERIENCE:-

PERIOD		NAME & ADDRESS OF EMPLOYER	DESIGNATION	SALARY	REASON OF LEAVING
FROM	TO

8.	MATRIAL STATUS	:
9.	FATHER’S/HUSBAND’S OCCUPTATION	:

10.	WHETHER ANY RELATIVE WORKING IN THIS COMPANY/ORGANISATION (IF ANY, GIVE ITS NAME AND DESIGNATION)	:
11.	ARE YOU MEMBER OF E.S.I. (IF YES, GIVE ITS NUMBER)	:
12.	ARE YOU MEMBER OF PROVIDENT FUND (IF YES, GIVE ITS NUMBER)	:
13.	EXPECTED SALARY	:
14.	IF ANY CASE IS PENDING AGAINST YOU IN COURT OR YOU HAVE FILED ANY CASE IN COURT, IF YES, PLEASE GIVE ITS DETAILS.	:
15.	GIVE TWO PERSONEL REFERENCES WITH NAME, ADDRESS, AND OCCUPATION.	:

I hereby certify that the above information given by me is true to best of my knowledge and belief. If any information found incorrect or hidden, I agree that my services can be terminated from the Company.

PLACE:

SIGNATURE OF THE APPLICANT

DATE: