K L J GROUP
UNIT:-
REGD. OFFICE: KLJ HOUSE, 8A, SHIVAJI MARG, (NAJAFGARH ROAD) NEW DELHI-110 015, INDIA
TEL: (91-11) 25459706-07-08 FAX: (91-11) 25459709, 25436264 E-MAIL: [email protected], [email protected]
APPLICATION FOR EMPLOYMENT
AFFIX
POSITION PASSPORT SIZE
INSTRUCTIONS PHOTOGRAPH
1 The Application should be filled in applicants own writing WITH
2 Submission of this form involves no commitment on the part of the company SIGNATURE
3 All the details furnished will be treated strictly as confidential.
4 Please attach Xerox copies of all certificates & testimonials.
5 Separate sheets may be attached, wherever necessary.
6 Tick whichever is applicable.
1. NAME : IN FULL
(IN BLOCK LETTERS) SURNAME NAME
2. ADDRESS : (LOCAL) (PERMANENT)
PIN. PIN.
PHONE: (R) (O) PHONE:
E-MAIL: E-MAIL:
3. DATE OF BIRTH : MOTHER TONGUE:
PLACE OF BIRTH : RELIGION:
(Please attach copy of School leaving certificate) DOMICILE:
ELECTION ID CARD NO.: NATIONALITY:
PASSPORT NO.: DRIVING LICENCE NO. &
AADHAR CARD NO.: NATURE OF LICENCE:
PAN CARD NO.: PRESENT MEMBERSHIP OF ESI:
PRESENT MEMBERSHIP OF EPF:
4. FATHER'S NAME : SPOUSE NAME:
OCCUPATION : OCCUPATION:
5. MARITAL STATUS : SINGLE MARRIED WIDOWED DIVORCED
6. DETAILS OF OTHER FAMILY MEMBERS (Dependent on you)
S.NO. NAME AGE OCCUPATION RELATIONSHIP EARNING PER MONTH
(1)
(2)
(3)
(4)
(5)
(6)
7. Are you related/known to any one in KLJ Group YES NO
If Yes : Name : Relationship:
Office Address:
8. Have you been interviewed by KLJ Group YES NO
If Yes : State the position for, by whom and when you were interviewed
9. LANGUAGE : PROFICIENCY READ
(List most fluent first) SPEAK
WRITE
10. EXTRA CURRICULAR ACTIVITIES
11. HOBBIES
12. PARTICIPATION IN POLITICAL ACTIVITIES
13. PERSON KNOWN IN POLITICAL FIELD
14. PHYSICAL DATA
1. State of Health Excellent/Good/Fair/Poor Height Cms
2. Any physical handicaps/Operations YES NO Weight Kgs
If yes, give details Eye Sight:
Normal
With Glass
15. CONTRACT OF EMPLOYMENT
(1) Have you signed any contract/bond with your present employer? YES NO
(2) Are you willing to sign a contract/bond with KLJ Group YES NO
16. LEGAL PROCEEDINGS (If Any)
Have you ever been arrested/prosecuted for any communal offence? YES NO
If yes, please give details and result of prosecution in a separate sheet.
17. TWO REFERENCES (OTHER THAN RELATIVE & PREVIOUS EMPLOYER)
(1) NAME
PHONE :
ADDRESS MOBILE:
E-MAIL:
(2) NAME
PHONE :
ADDRESS MOBILE:
E-MAIL:
18. PERSON TO BE CONTACTED IN EMERGENCY :
NAME PHONE:
ADDRESS MOBILE:
E-MAIL:
19. EDUCATIONAL & PROFESSIONAL QUALIFICATION (Including courses passed in Computer).
DEGREE/DIPLOMA NAME & ADDRESS YEAR CLASS MAIN
CERTIFICATE OF UNIVERSITY/ FROM TO & SUBJECTS
COLLEGE/SCHOOL % OF MARKS
20. PRACTICAL TRAINING/APPRENTICE
DEGREE/DIPLOMA NAME & ADDRESS YEAR CLASS MAIN
CERTIFICATE OF UNIVERSITY/ FROM TO & SUBJECTS
COLLEGE/SCHOOL % OF MARKS
21. OTHER QUALIFICATIONS (For Clerical Cadre)
(1) SPEED IN SHORTHAND :
(2) SPEED IN TYPING :
(3) KNOWLEDGE OF COMPUTER OPERATIONS :
22. EMPLOYMENT HISTORY (In Chronological order) (start with the present one)
DURATION NAME & ADDRESS POSITION SALARY REASON FOR
FROM TO OF EMPLOYER HELD DRAWN (GROSS) LEAVING
STARTING LEAVING
23. MEMBERSHIP OF PROFESSIONAL BODIES
24. SALARY & PERKS IN THE PRESENT EMPLOYMENT (PER MONTH)
BASIC D.A. HRA CONV. BONUS OTHER OTHER TOTAL MONTHLY
ALLOW. BENEFIT ALLOW. GROSS TAKEHOME
(1) What is the minimum gross salary acceptable to you? /month
(2) State when you will be able to join on duty, if selected?
DECLARATION
I do hereby declare that the following statements
and answers on this application form have been given by me after fully understanding the questions and
the same are true, full and complete in every particular and that I have not withheld any information. Also
I do hereby agree and declare that if the company offers me employment, the statements/answers and
this declaration shall be basis of the contract of employment between me and
M/s and that if any of these statements or answers are
found to be untrue and/or incomplete or if any information is found to has been withheld by me, I hereby
accept the Company's right to terminate my services.
PLACE :
DATE : SIGNATURE OF THE APPLICANT
FOR USE BY K.L.J. OFFICE
INTERVIEW RATING Tick whichever is applicable
[A=Above average, B=Average, C=Below average]
A B C A B C
1. Appearance 6. Ability to present ideas
2. Expression 7. Voice & Speech
3. Job Knowledge 8. Poise & Hearing
4. Academic Knowledge 9. Leadership
5. Experience 10. Growth Potentiality
Remarks
Date Interviewed by Signature
REMARKS BY FINAL AUTHORITY :
Date Signature
REMARKS OF HRD/PERSONNEL DEPARTMENT
Date HRD/PERSONNEL DEPARTMENT
