PERSONAL INFORMATION
Name :
Email :
Present Address :
Telephone No / Mobile No :
Permanent Address :
Telephone No / Mobile No :
Age :
Date of Birth (dd/mm/yyyy) :
Place of Birth :
Marital Status :
Single
Married
Blood Group :
FAMILY PARTICULARS
Name Age Education Employment
Father :
Mother :
Wife / Husband :
Brother :
  :
Sister :
  :
Children :
  :
EDUCATIONAL QUALIFICATION ( Please give reasons for break if remarks column )
Examination
Passed		 School / College / Instutute Major Subject From To Class /
Division
%		 Remarks
Month & Year
Hobbies and interests
Any major achievements in your Academic / Professional career
DETAILS OF TRAINING UNDER GONE
Nature of training Name of the Organization / faculty Duration Remarks
From To
LANGUAGES KNOWN
Languages Write Read Speak Understand
DETAILS OF RELATIVES EMPLOYED IN GROUP COMPANIES
Name Relationship Position Division / group
WORK HISTORY ( Plese indicate break in service if any )
Name of the employer Designation Month & Year Last Salary
drawn		 Reason for Leaving
From To
DETAILS OF PRESENT / LAST DRAWN EMOLUMENTS (Per month)
Salary At the time of joining At the time of Leaving Expected
Basic
D.A.
H.R.A.
Con. Allowance
Per. Allowance
Others
Sub Total (A)
LTA
Medical Reimbursement
E.S.I. (Management Contribution)
P.F. (Management Contribution)
Bonus
Sub Total (B)
CTC ( A + B )
REFERENCE ( three persons other than relatives & who are professionally known to you )
Name Designation Full Address & Phone No.
Recommended by
Are you a member of ESI ? IF so, ESI number and dispensary
Are you a member of Employees Profident Fund ? is So, P.F. number
Time required to join duty