Tega Industries - Green Form

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Application for the post of

Personal Details
Full Name
E-mail ID
Contact number
Alternative Contact number
Date of birth
Nationality
Guardian's Name
Marital Status Select One
Unmarried Married Widow Widower
If Married
Name of Spouse Age Occupation If employed, name of the organization & address

Number of children
Name of Children Sex DOB

Family Background
Parent's Name Age Occupation If employed, name of organization, current designation & address

Brothers & Sisters


Name Age Marital Status If employed, name of organization, current designation & address

Your Current Address

Your Permanent Address

Educational Details
Academic Qualification
Course Stream University/College name & Location Period Class & Percentage
From To

Professional Qualification
Course Stream University/College name & Location Period Class & Percentage
From To

Whether Computer Literate Yes No

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Languages Known Read Write Speak
English
Hindi
Bengali
Gujarati
Spannish
Zulu

Hobbies & Extra Curricular Activities

Experience (In reverse chronological order, ie. Present appointment first)

Tenure (Yr & Month) Employer’s Name No of employees Gross Monthly Salary
Phone No. & Nature of responsible to you Designation
From To Business and their designation Starting Leaving

(*) Include Basic, DA, House Rent and Transport

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Details Of Present Appointment

Name & Address of the Employer

Nature of Employer’s business


Total number of employees
Annual Sales Turnover
Designation : On Joining Effective from
Effective from

Outline your job responsibilities and reporting relationship (i.e. To whom you are responsible and who are responsible to
you) through (a) a suitable chart and (b) list out in detail various activities you are required to perform in your present
appointment (if required, separate sheet may be used).
Chart

Present Remuneration Details


A
Rs/Month Base+DA HRA Conveyance Allowance Others [Excluding B] Total
Joining
Present

B Benefits & Perquisites


Medical LTA Bonus (Yearly) Provident Fund Club Membership Others

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Self Assessment : Please state why do you consider yourself suitable for the position applied for. Please attach extra sheet
if required.

Reference : Please list at least two professional (Your reporting Head from your earlier organization) & two personal
references. Name of those whom you do not wish to be approached now may be marked with an asterisk (*)

Name Designation Organization Phone No. & Address


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General
Are you prepared to work anywhere in India or abroad Yes No

If NO, please state the places where you would not like to work and why?

If the job entails a fair degree of traveling would you be prepared to undertake it? Yes No
Is any of your relative/friend/acquaintance working in this organization? Yes No
If YES, please state his name and designation
What is your current notice period
What salary & benefits do you expect to receive ?
Have you applied to this company before? Yes No
If so, mention position and date

Declaration
The above information are true to the best of my knowledge and any false information furnished herein will automatically
debar me from further consideration of my candidature.

Date Signature of the Applicant

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