Application Form - Campus Hiring
Application Form - Campus Hiring
Application Form - Campus Hiring
Name
Date of Interview
Location of Interview
Qualification Discipline
Name of Institute
Personal Information
First Name
Middle Name
PHOTOGRAPH
TO BE AFFIXED
Last Name
Marital Status
Facebook ID Twitter ID
Present Address
Permanent Address
Family Details
Father
Mother
Sibling (1)
Sibling (2)
Sibling (3)
Qualification and Other Details
Matriculation (10th)
Other Courses /
Certification
Have you earlier attended test / interviews held by Reliance Industries Ltd.? Yes No
Are any of your relative(s) currently employed with Reliance Group? Yes No
3
Help us know you better
1. Where do you see your professional career in the next 2-3 years?
Disclaimer - I hereby declare that the foregoing statements are true to the best of my knowledge. If at a future date, it is found that any of the information 4
herein is false or incorrect, the company will have the right to terminate my service without any notice or salary in lieu thereof
1. Medical History:
Reliance BP Mobility Limited
Medical Examination
Have you ever suffered from any of the following (Answer Yes or No. if yes, give details)?
Y N Y N
Tuberculosis disorder
Dermatitis or any skin disease
Epilepsy, Fits, fainting or Hepatitis-B
dizziness
Lung disease (e.g. bronchitis, pleurisy, pneumonia etc.)
Any allergy
Malaria / Typhoid fever in last 6 months
Any major operation or injury Venereal or Sexually Transmitted Disease
Nervous / Mental disease of any kind
Any chronic ear or hearing problem (e.g. sinusitis, rhinitis, otitis
etc.)
2I declare that the above statements are true and complete to the best of my knowledge and belief and I agree that the
results of this medical examination in general terms may be revealed to the company if required. I also fully understand
that in case I am declared medically unfit due to any reason, I shall not be entitled for the employment in the company.
However, the decision taken by the company's doctor/s about my medical fitness will be final and binding to me.
Date (dd/mm/yyyy)
Signature of Prospective Employee