BGR ENERGY SYSTEMS LIMITED
APPLICATION FOR EMPLOYMENT
(Please fill in your own handwriting)
Type of work desired Name in fill (in capitals) Father's / Husband's Name Address of Communication
If selected, joining time required
Reference
Permanent Address Res: Off:
Phone No. PP: Mobile:
Email: Have you ever sought employment with this company? If so when? Give Details.
Age Day Citizenship
Date of Birth Month Sex Male
PERSONAL DETAILS Place of Birth Year Height Female Weight
Mother Tongue
Passport No
Blood Group
Are you suffering from any disability or contagious illness? If yes, give details
MARITAL STATUS (Pl.tick relevant block) If married,
Single Date of Marriage Is your wife / husband employed? If yes, employer name Details of children Sons (No.(s) Daughters (No.(s) Relationship
Married
YES
NO
Age (years) Age (years) Age Profession
Details of parents and family members: Name
Family Background Brothers Sisters (No.(s) (No.(s) Age(years) Age(years)
Qualifying Exam
Year of Passing
EDUCATIONAL / PROFESSIONAL QUALIFICATION Name of the School / Meidum of Class / Division College or Institution Instruction % of Marks Obtained
Subject of Study
Languages Known 1. 2. 3.
Speak
Read
Write
4. Membership of Professional Organisation / Association, if any, Name of the Organisaiton
Membership No.
Extra Curricular Activities
Period of Service From To No of Yrs
WORK EXPERIENCE (START WITH PRESENT EMPLOYMENT) Designation, Name Brief Description of Total Salary and Address of the job, functions and Last Start Organsation responsibiltites Drawn
(Pls attach separate sheet if reqd)
Reason for Leaving
Record below industries, equipment, or operation which you are familiar and / or specialised (Please attach separate sheet if necessary)
Specify area in which you consider yourself most proficient? (Please attach separate sheet if necessary)
Reference: (Give names of employer and others who know you well) Name Address & Phone Number Occupation
How long you are known to him
Have you ever been a member of any trade union / political party / Organisation? If so please furnish the details
Have you ever been convicted by a Court of Law for an offence? If so, please furnish details.
Speifcy acquaintances connected with the company and its group companies S.No 1. 2. 3. Name Relationship, if any
SALARY DETAILS
Item Monthly Benefits: (A) Basic DA HRA Conveyance Present * Remuneration Recommended Remarks (For Office use) Remarks (For Office use) HR Department Ref. By : Designation CTC per month :
Monthly Salary ANNUAL BENEFITS: (B)
(Calculated per month)
G.M. / V.P
President / Director MONTHLY CTC (A+B) EXPECTED MONTHLY CTC * Please enclose latest salary slip PF Account No. I declare that the information / particulars herein above furnished by me are true and correct to the best of my Knowledge and belief and it conceals no material fact. I further declasre that any errors or suppression of facts in respect of matters stated above shall make me liable for dismissal from service
Date :
Place:
Signature:
APPRAISAL OF THE CANDIDATE
HR Department Personality Head of the Department Genl Mgr / Vice President President / Director
Communication Skill
Job Knowledge
Rating A-Excellent D - Average B-Good E - Below Average
A B C D E A
C - Satisfactory Specific Achievements
General Observations, Comments and / or Remarks
Adverse Remarks / Unusual behaviour, if any
Relevance of past experience to the job
HR Department Whether the candidate satisfies job requirements in full. Yes No Yes
Head of the Department
Genl Mgr / Vice President
President / Director
No
Yes
No
Yes
No
Overall Rating A-Excellent D - Average B-Good E - Below Average
A B C D E A B C D E A B C D E A B C D E
C - Satisfactory Recommendation
Location Reporting to Probation / Training Period Proposed Designation Proposed Salary Name Signature Approval
MANAGING DIRECTOR
CHAIRMAN & MANAGING DIRECTOR
