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Kerala State Electronics Development Corporation Limited Trivandrum Verification Report

This document contains a verification report form seeking personal and employment details. The 3-page form requests information such as the applicant's name, addresses, contact details, age, date of birth, religion, caste, marital status, family members, identification marks, relatives employed at Keltron, previous employment history, academic records, references, and a declaration of truth. The purpose is to collect all relevant details to verify the candidate's background and eligibility for employment.

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I.k. Neena
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34 views2 pages

Kerala State Electronics Development Corporation Limited Trivandrum Verification Report

This document contains a verification report form seeking personal and employment details. The 3-page form requests information such as the applicant's name, addresses, contact details, age, date of birth, religion, caste, marital status, family members, identification marks, relatives employed at Keltron, previous employment history, academic records, references, and a declaration of truth. The purpose is to collect all relevant details to verify the candidate's background and eligibility for employment.

Uploaded by

I.k. Neena
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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Advt. Code No.

KERALA STATE ELECTRONICS DEVELOPMENT CORPORATION LIMITED TRIVANDRUM VERIFICATION REPORT


(To be filled up in own handriting with ball point pen in BLUE colour) 1. Name (in block letters) : :

2. a) Present Address (in block letters)

Affix a recent Passport size Photo b) Phone No. (Landline & Mobile) with STD code : c) E - mail id 3. a) Permanent Address (in block letters) : :

b) Residential telephone (with STD code) 4. a) Age b) Date of Birth 5. a) Religion b) Caste c) Category 6. 7. Sex Physical Characteristics If Physically Challenged, furnish details 8. 9. Marital Status Family details Name

: : : : : : : : : : : Age Occupation (if employed give designation & full address) Present / Permanent Address General/ SC/ST/OBC (Male/Female) Normal/Physically challenged

Sl. Relationship No. i ii Father Mother

iii

(Brother(s)/Sister(s))

iv

Wife/Husband

Children

10.

Identification Marks i ii Name : : : Specify relatives, if any employed in Keltron Group of Companies Specify relationship with Directors of the Corporation Post Applied for Employment Exchange Registration Number and Date, if any Previous employment history : Name & Address of previous employer From Period Designation To Nature of work Emoluments Reasons with grade for leaving if any : :

11.

Designation Name

Relationship : 12. 13. 14. 15. Sl. No. Relationship :

16.

Academic Record (including course attended) Date of entry Date of leaving Examination Passed Subject / Branch Class/ Rank % of Marks Year of Passing

Name of Institutions with address

17. 18.

If selected approximate time required to join duty (i)

: (ii)

Name and address of two reference (with phone no./e - mail id, if available)

DECLARATION I declare that the above furnished details are true and correct to the best of my knowledge and belief. I am aware that in the event of my furnishing any false information, the Management reserves its right to terminate my service without notice or pay in lieu thereof.

Place : Date :

SIGNATURE OF CANDIDATE

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