CAL/IMS/HR/F112 Rev 03 (01/06/2018)
Craftsman Automation Limited
Interview Form
(To be filled in by the candidate)
Space to
1. Post Applied for : Affix
Photograph
2. Name in Full Block Letters:
3. Father / Husband Name :
4. Address for Communication
Permanent Address : Present Address :
Father / Husband Mobile No: Mother / Wife Mobile No :
5. Contact details : a) Mobile No Self: b) Email:
6. Date of Birth : 7. Age: 8. Blood Group:
9. Educational Qualification :
Exam Month & Year of
School / College / Institution Studied % of marks / Class
Passed Passing
10. Present & Previous Experience Employer details:
Duration (Date , Month & Total year Last Reason
Company Name & Year)
S. No of position for
Place
Experience held leaving
From To
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CAL/IMS/HR/F112 Rev 03 (01/06/2018)
11. (a) UAN No : (b). ESI No:
12. Bank A/C No, Name & IFSC Code:
13. PAN No. : 14.Aadhaar No
15. Family Details :
Father’s Name : Mother’s Name :
No. of Younger Brothers : No. of Elder Brothers :
No. of Younger Sisters : No. of Elder Sisters :
Marital Status : Married Unmarried
(Put Tick Mark)
If Married
a. Your Spouse is : Working Housewife
b. No of Children :
c. Nominee’s Name : Relationship:
16. a) Anybody known to you in this
Organization (CAL) Mention name & Mobile No :
b) Outside reference (Name with Phone No) :
17. Extra-Curricular Activities :
18. Have you ever involved in any Civil / Criminal Offence? If so, give details :
19. Health History:
a) Rate Your Fitness: Healthy / Normal / Sick
b) Any Surgery done: Yes / No
If Yes – Please specify
I hereby Certify that, the facts stated in this application are true my best of knowledge. I understand
that any misinterpretation or suppression of material or information, will render me liable to be dismissed
by the company. I Have no objection to your enquiry from any of my previous employers on any matters
pertaining to me.
Date: Signature of Candidate
Place:
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