应聘登记表(英文版)

 CONFIDENTIAL XXXXXXXXXXXXXXXXXXXXXXXXX EMPLOYMENT APPLICATION / PERSONAL PROFILE Post Applied for :……………………………………………… Affix Photo Name :…………………………… Emp.No :……………….. Designation :……………………………. Dept :……………………… I. Personal: 1. Date of Birth: ………………… Place of Birth: ………………………………… 2. Religion: ……………………… Caste / Community:…………………………… 3. Nationality:…………………… Sex: …………………Blood Group:…………. 4. Address for Communication Phone No. Permanent Address Phone No. 5. Languages Known (Please tick appropriate column) Read Write Speak i. (Mother Tongue)……………………………….. ii…………………………………………………… iii…………………………………………………… iv…………………………………………………… v……………………………………………………. 6. Presently your house : Own House Rented House 7. Do you own, in you’re your name / spouse name House site House Landed properties No

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8. In case of emergency contact Name…………………..Relationship……………………Tel No……………………… 9. Your Bank Account: PAN No:…………………………………. Bank Name………………….Branch……………………..Account No…………………… 10. Do you know driving: Two Wheeler Four Wheeler None If yes, driving Licence No…………………………….Valid up to…………………… 11. Do you own: Two Wheeler Four Wheeler None 12. Do you have a Passport: If yes, Passport No……………………………………Valid upto…………………………. II. Health History: 1. Your blood group : ………………………………………………………………………….. 2. Any Known allergies :……………………………………………………………………….. 3. Do your wear Spectacles : Yes No If yes, What power : right eye Left eye 4. Do you suffer from Respiratory Disorder Heart Disease Blood Pressure Diabetes Asthma Tuberculosis Others – Specify: ……………………………………………… 5. Have you suffered any aliments in the past? Give details. Malaria Jaundice Hernia Piles Liver ailments Back Pain Others…………………………………… 6. Have you had any accident in the past? ……………………………………………………………………………………………… 7. Have you undergone any surgery earlier? ………………………………………………………………………………………………. 8. Are you in the habit of smoking? Yes No If yes , how many cigarettes a day………………………..nos. 9. Do you have the habit of chewing? Tobacco Pan No 天浩人才网 www.tianhaohr.com（有梦，有未来）天浩人才网 www.tianhaohr.com 10. Do you consume liquor? Yes No Daily Weekly Twice a month Once in a month Special Occasions Occasionally 11. Do you exercise? Jogging Running Gym Walking Others (Specify)………….. III. Family Background: 12. Whether married? Yes No If yes, furnish date of marriage :………………………………………………………….. FAMILY BACKGROUND Name Date of Birth Qualification Occupation Dependance Yes / No Spouse Children IV. Educational History: (Starting from 10th Std.) Name of the Exam Special % of From To Institution Passed Subjects marks Training Attended: …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… ……………………………………………………………………………………………………………

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V.Employment History Name &Address of From To Dept / Function / Employer Month /Year Designation Duties I. Previous Experience: Additional Information On your Present / Latest Employment: Gross Salary Reason for Leaving Appointment Dt Reporting to Your Reportees Annual Sales turnover Strength in No’s. (Per mensom) Basic DA H.R.A Conveyance Other allowance Specify… Total per month Total per annum(A) (Per annum) LTA Educational Bonus Medical Other allowance Specify… Total per annum (B) Other Benefits (per annum) EPF Gratuity Superannuation Others Total per annum(C) Gross per annum (A+B+C) Other Information: 13. Have you applied to /interviewed by us in the past? Yes No If yes, please state position applied for……………………….. Interviewed on………………….. 14. Please outline your present job responsibilities: 15. Salary Expected: 16.How soon would you been able to join us? 17.Do you have any relatives employed in this company? If yes, give details: 18. How did you get to know about the vacancy? 天浩人才网 www.tianhaohr.com（有梦，有未来）天浩人才网 www.tianhaohr.com 19. Have you ever been convicted under any court of law? If yes, furnish details: 20. Is there any Civil / Criminal proceedings pending against you in any court of law? References (No relative please) 1. 2. Name and Address of person to be contacted in case of Emergency: 1. 2. Your extra curricular activities, if any please specify Playing Games ( Specify)……………………………………………………………………….. Cinema TV Reading Books Listening to Music Stamp Collections Social service Others……………………….. Declaration: I hereby affirm that the foregoing statement and answer to questions are true to the best of my knowledge and belief and without consequential omissions of any kind whatsoever and understand that any wrong statements and suppression of facts will if I am employed, subject me to immediate dismissal. Date: Place: Signature OFFICE USE Where to Date of Interview Remarks Call for Interview & by whom