IVRCL Limited
STANDARD APPLICATION FORM
Post Applied for:. Name in full (Block Letter}.. Date of Birth (dd/mm/yyyy) A!e: P"#$#
Blood roup PAN No. ender: %ale / &emale %arital status : %arried / 'nmarried &ather(s / uardian(s Name: Present Address Permanent Address
P"#$#
Name ) Address of contact Person (in case of *mer!ency)
$elephone No. %o+ile: *,mail :
$elephone No. %o+ile:
$elephone No. %o+ile:
Family / Dependent Details
Name -elationship Date of Birth #ccupation
Languages known (Please underline the mother ton!ue)
Lan!ua!es .no/n -ead 0rite
1peak
Educational Qualifications......includin! technical 2ualification 31tart from 114 / 5)
4ourse 'ni7ersity/ institution 8ear of Passin! 4lass ) Percenta!e 1peciali9ation
Please attach the 5ero6 copies in support of the a+o7e 2ualifications Reference ( &urnish particulars of t/o persons not related to you from /hom /e can seek reference) Description Name
#ccupation Address
-eference #ne
-eference $/o
Phone Num+er %o+ile *,mail
Present Employment
Name ) Address of the 4ompany: Date of :oinin!.
. -eportin! $o: At Present:
No. of 1u+ordinates
Desi!nation on ;oinin!: P-#%#$<#N1 Promotion &rom (Des!.) Promotion $o (Des!.) Date
-*%'N*-A$<#N (<n the present *mployment) Particulars =. Basic
>. D. A? <f any
Per %onth
Per Annum
@. "-A A. 4on7eyance ;o+ Description / -esponsi+ilities B. #thers
1u+ $otal C. 1tatutory Benefits a. P.& +. Bonus
ORG !"# $"O! %& R$
Dra/ a +rief schematic dia!ram indicatin! your position in relation to your department and o7erall or!anisation
c.
ratuity
d.
1u+ $otal D. #thers? if any
1u+ $otal 4ost to the company
%inimum salary Accepta+le (Annual cost to the company) ;oinin! $ime -e2uired:
Pre7ious *mployment details (1tart /ith employment prior to current one)
Name ) Address of the *mployer /4ompany Desi!nation / Position held Period of 1er7ice &rom
DD/%%/8888
$o
DD/%%/8888
;o+ -esponsi+ilities
>
FAre you related to any present or e6,employee of the companyG 8es / No <f yes? specify Name: -elationship : Position:
F"a7e you +een employed in our company earlierG 8es / No <f yes? specify? Di7ision/Department: Position : -eason for lea7in!: Period of employment
Declaration : < certify that the statements made +y me are true? complete and correct. < a!ree that incase the company at any time finds that the information !i7en a+o7e is not true? correct or complete? the company /ill ha7e the ri!ht to terminate my employment /ithout any notice or compensation at any time? not /ithstandin! any other terms of employment.
Date :
Place :
1i!nature of the 4andidate