recrutement form no 2 for freshers

7/29/2019 Recrutement Form No 2 for Freshers

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.. ~ .. f& I FORM NO.:2 ]~ ~-- (/J~it, I PHONENo.:-28609011 (4L1NESI.FAX:-28609734. . {0 PLOT NO. 134AlB, FIRSTFLOOR,GOVT. INDUSTRIALESTATE, KANDIVLI (WEST), MUMBAI - 400 067.. -: EMPLOYMENTFORM :-

1) To be filled in by Applicant's own handwrit ing.2) Tick (...;) appropriate box as applicable.POST APPLIED FOR :-

AFFIX RECENTPHOTOGRAPH

1. PERSONAL HISTORY :-a) NAME :- Mr. IMs. :- (Surname) (First Name) (Father's/Husband'sName)b) PermanentAddress:-

c) Contact Address :-

(1\Dhone No. (Resi.) :- (C&!I) Othere) Date of birth :-f) Marituaf Status:- Married ( )

AGE :- (Next Birthday) :-Other (Specify) ( )ingle ( )

2. FAMILYDETAILS:-

2....

Relationship Name Age Qualification OccupationFather hMother

Brother's

Sister's

- Husband MlifeChildren


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-2- ~ORM NO.:213. HEALTHINFORMATION:-a) Howwould you rate your present Health?b) In your rate your present state of health would you consideryourself incapaciated for any Job I activities?

c) Do you wear glasses? If yes, for reading only or always?d) Height :-e) Weight :-

4. HOMETOWN :-

: Poor ( ): Yes ( )

Fair () Good ( )No ( )

: Yes ( ) No ( )

5. NATIONALlTY:-6. RELIGION :- .7. PROVIDENT FUND MEMBERSHIP

8. FAMILYPENSION FUND :-

8 9. E.S.I. .-10. LANGUAGES:- MOTHER TOUNGUE:

OTHER:11 QUALIFICAT~~NS :-

e12 SHORT TERM &PART-TIME SPECIALISED COURSES I TRAININGPROGRAMES ATTENDED.

OJ-.

: Yes ( ) : Number :-.No ( ): Yes ( ) : Number :-.No ( )

: Yes ( ) : Number :-.iJo ( )

Examination Passed I Year of Class of IPrincipal Sub. School/CollegE UniversiDegree or Diploma Obtained Passing Degree IDiploma I . Studied Institute

i\

-Institution Place'" Year Period of Description of Cource Certificate AwardedAttendence

I


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- -3- I FORM NO..:~ I'13. LEAGALACTION (if any) :-Have you ever been prosecuted in a Criminal Court ?Ifso, give details and results of the preosucution ?

14. REFERENCES :-Give two references (other than relatives). Please ensure that they have known you well personally&professionally. We shall writing to each one of them for a reference.

81. 1i~einformation given by me in this form is true to the best of my knowledge and belief.2. Ifany informationis found false, Imyselfshall be heldres )onsiblefor any legal and other consequences.Myservices are also liable to be terminated without.notic!!.

Date :-Place :-

Signature-: FOR OFFICE USE ONLY :-

1. Interviewed on :-

Remarks :-2. Interviewed by :-

a) Name: -b) Designation:-c) Signature :-

3. Selection Approved/Rejected by :-4. Salary Offered :-5. Designation :-6. Dept. I Place of Work :-

-------

Period for which capacity in whiChName Designation Address he/she knows you he/she knows you

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recrutement form no 2 for freshers

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