Karamtara Group of Companies

RECENT PHOTO (Corporate Office)

Name : ______

Father’s Name : ______

Designation : ______

Address : ______

______

Date of Joining : ______

PERSONAL DATA FORM

FULL NAME ______

DATE OF BIRTH ______WEIGHT ______HEIGHT ______

POSTAL ADDRESS ______

______

PERMANENT ADDRESS ______

______

CONTACT # ______FAMILY DETAILS

NAME AGE / SEX RELATION OCCUPATION

EDUCATION QUALIFICATION (Start with School Leaving Certificate or Equivalent)

YEAR OF % MAJOR QUALIFICATION UNIVERSITY / INSTITUTE PASSING MARKS SUBJECT EXPERIENCE (CHRONOLOGICAL ORDER EXCLUDING LAST POSITION) Attach separate sheet(s), if required

PERIOD DESIGNATION JOB DESIGNATION GROSS REASON FOR RESPONSIBILITY OF SALARY LEAVING ORGANISATION IMMEDIATE DRAWN SUPERIOR AT THE FROM TO LAST POSITION TIME OF HELD JOINING LAST POSITION HELD

REPORTING TO: NAME ______DESIGNATION______

TOTAL GROSS SALARY PER MONTH ______

CASH BENEFITS

BASIC______DA______HRA______LTA______MEDICAL______

CONVEYANCE ______OTHERS ______TOTAL______

NON-CASH BENEFITS

PROVIDENT FUND______S.A.______GRATUITY______OTHERS______TOTAL______

REFERENCE: NAME & ADDRESS OF ATLEAST TWO REFERENCES NOT RELATED TO YOU

1. ______

2. ______

ADDITIONAL INFORMATION

 Languages Known: ______

 Your Hobbies: ______

 Your Interests: ______

 Are you related to any of our employees? If Yes his/her Name: ______

 Membership of any Professional Institution/Association: ______

______

 Any Specialized Training/Training Program attended: ______

 Any Other information/Suggestion: ______EMERGENCY DETAILS

 Blood Group: ______

 Allergic To: ______

 Blood Pressure: ______

 Eye Sight: Left: ______Right: ______

 Any Major Illness:

______

 Contact Person in case of Emergency:

______

 Address: ______

______

 Phone #: ______ATTACHMENTS

Please attach:

1. Photocopies of all relevant certificates / degree mark sheets etc.

2. Proof of Birth

3. Experience Certificate from Previous employer.

4. Relieving letter from Previous employer.

5. Photocopy of Passport

6. PAN No.

No Documents Submitted Will submit on 1 2 3 4 5 6

DECLARATION

I DECLARE THAT THE INFORMATION GIVEN, HEREIN ABOVE, IS TRUE & CORRECT TO THE BEST OF MY KNOWLEDGE & BELIEF & NOTHING MATERIAL HAS BEEN CONCEALED. I UNDERSTAND THAT THE ABOVE INFORMATION IN FOUND FALSE OR INCORRECT, AT ANY TIME DURING THE COURSE OF MY EMPLOYMENT, MY SERVICES WILL BE TERMINATED FORTHWITH WITHOUT ANY NOTICE OR COMPENSATION.

DATE: ______

PLACE: ______SIGNATURE OF APPLICANT