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Employee Application Form

Uploaded by

shubham mohite
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© © All Rights Reserved
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5 views7 pages

Employee Application Form

Uploaded by

shubham mohite
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
You are on page 1/ 7

Employee Application Form Page 1 of 7

Employee Personal Information

Employee ID

Position Applied For


Photo
Date of Joining DD/MM/YYYY

Company Name

Division

Sub-Division

Location

Cost Center

Grade

Designation

Employee General Information

Salutation (Mr./Ms./Mrs./Dr./Ms.
Dr./Other if any)
Complete Name:

Last Name First Name Middle Name

Father’s / Husband’s Name


Mother’s Name
Spouse Name & Employment Details
Gender Mother Tongue
Date of Birth DD/MM/YYYY Birth Place
Blood Group State of Birth
Marital Status Date of Marriage DD/MM/YYYY

1
Employee Application Form Page 2 of 7

Country of Birth Nationality


Religion Cast Category
Primary Emergency Contact Relationship
Personal Contact No.
Personal E-mail ID.
Provident Fund No.
PAN
UAN
Aadhaar Number
Name as per the Aadhaar
Card

Sr. No. Languages Speak (Yes/No) Write (Yes/No) Read (Yes/No)


1
2
3
4

Family / Dependent Details

Relation Last Name First Name Gender Birth Date Age Birth Place Nationality
Father
Mother
Spouse
Brother
Sister
Child-1
Child-2
Child-3

2
Employee Application Form Page 3 of 7

Address Type

Permanent Address

C/o

House No. / Street No.

Address Line -2

City

District

State

Country

Postal Code

Present Address

C/o

House No. / Street No.

Address Line -2

City

District

State

Country

Postal Code

3
Employee Application Form Page 4 of 7

Qualification

Qualification SSC HSC Diploma / Graduation

Degree/Course Name

Institution Name

University Name

From Date

To Date

Specialization
Part Time / Full Time /
Correspondence
Percentage

Degree

Qualification Post-Graduation MBA PhD / Any others

Degree/Course Name

Institution Name

University Name

From Date

To Date

Specialization
Part Time / Full Time /
Correspondence
Percentage

Degree

4
Employee Application Form Page 5 of 7

Previous Employment Details

Employer Current Employer Last Employer 2nd Last Employer

Company Name

City

From Date

To Date

Sector

Department

CTC/Annual

Designation
Full Time / Part time /
Temporary
Reason for
Leaving

Employer 3rd Last Employer 4th Last Employer 5th Last Employer

Company Name

City

From Date

To Date

Sector

Department

CTC/Annual

Designation
Full Time / Part time /
Temporary
Reason for
Leaving

5
Employee Application Form Page 6 of 7

Present Salary Details (Rs.) (Per Annum)

Sr. No. Components Per Month Per Annum


1. Basic Allowance
2. HRA Allowance
3. Conveyance Allowance
4. Special Allowance
5. Medical Allowance
6. Other Allowances
7. LTA
8. Provident Fund
9. Superannuation
10. Gratuity
11. Medical Premium/benefits
12. Total Fixed CTC
13. Performance Incentive/Bonus
Total
Expected CTC (Annual)

Major Achievements

Sr. No. Remarks

6
Employee Application Form Page 7 of 7

Other Information

Are you related to any of our/group companies present employees / directors? (Yes/No):
If yes to whom?
Employee Name / Director Name Employee ID Relationship Designation

Have you ever been involved in court proceedings? Yes / No


If yes, please share details:

Do you suffer from any Physical Disability? (Yes/No):


If Yes, please mention:
Date Learned

Challenge Group

Degree of Challenge

Type of Challenge

Particulars of 2 persons, excluding relatives as references:

Reference 1: Reference 2:
Name: Name:
Occupations: Occupations:
Address: Address:

Contact No. Contact No.

Certified that the above information is true to the best of my knowledge, I understand that any false or
misinformation will automatically lead to disqualification of my candidature / termination of my employment.

Signature:

Date:

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