<p> Karamtara Group of Companies</p><p>RECENT PHOTO (Corporate Office)</p><p>Name : ______</p><p>Father’s Name : ______</p><p>Designation : ______</p><p>Address : ______</p><p>______</p><p>Date of Joining : ______</p><p>PERSONAL DATA FORM</p><p>FULL NAME ______</p><p>DATE OF BIRTH ______WEIGHT ______HEIGHT ______</p><p>POSTAL ADDRESS ______</p><p>______</p><p>PERMANENT ADDRESS ______</p><p>______</p><p>CONTACT # ______FAMILY DETAILS</p><p>NAME AGE / SEX RELATION OCCUPATION</p><p>EDUCATION QUALIFICATION (Start with School Leaving Certificate or Equivalent)</p><p>YEAR OF % MAJOR QUALIFICATION UNIVERSITY / INSTITUTE PASSING MARKS SUBJECT EXPERIENCE (CHRONOLOGICAL ORDER EXCLUDING LAST POSITION) Attach separate sheet(s), if required</p><p>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</p><p>REPORTING TO: NAME ______DESIGNATION______</p><p>TOTAL GROSS SALARY PER MONTH ______</p><p>CASH BENEFITS</p><p>BASIC______DA______HRA______LTA______MEDICAL______</p><p>CONVEYANCE ______OTHERS ______TOTAL______</p><p>NON-CASH BENEFITS</p><p>PROVIDENT FUND______S.A.______GRATUITY______OTHERS______TOTAL______</p><p>REFERENCE: NAME & ADDRESS OF ATLEAST TWO REFERENCES NOT RELATED TO YOU</p><p>1. ______</p><p>2. ______</p><p>ADDITIONAL INFORMATION</p><p> Languages Known: ______</p><p> Your Hobbies: ______</p><p> Your Interests: ______</p><p> Are you related to any of our employees? If Yes his/her Name: ______</p><p> Membership of any Professional Institution/Association: ______</p><p>______</p><p> Any Specialized Training/Training Program attended: ______</p><p> Any Other information/Suggestion: ______EMERGENCY DETAILS</p><p> Blood Group: ______</p><p> Allergic To: ______</p><p> Blood Pressure: ______</p><p> Eye Sight: Left: ______Right: ______</p><p> Any Major Illness: </p><p>______</p><p> Contact Person in case of Emergency: </p><p>______</p><p> Address: ______</p><p>______</p><p> Phone #: ______ATTACHMENTS</p><p>Please attach:</p><p>1. Photocopies of all relevant certificates / degree mark sheets etc.</p><p>2. Proof of Birth</p><p>3. Experience Certificate from Previous employer.</p><p>4. Relieving letter from Previous employer.</p><p>5. Photocopy of Passport</p><p>6. PAN No.</p><p>No Documents Submitted Will submit on 1 2 3 4 5 6</p><p>DECLARATION</p><p>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.</p><p>DATE: ______</p><p>PLACE: ______SIGNATURE OF APPLICANT</p>