Surname First name
Position Applied for
PERSONAL DATA FORM Please affix a recent
passport size
photograph
A. PERSONAL PARTICULARS
1.Present Address 2.Permanent Address
Tel No. (Res.).......................... (Off)........................ Tel No. (Res.).......................... (Off)........................
9. How long have you
3. Date of birth: Date: ................Month................. Year................. 4. Age:........................ lived at your present
Date of Aniversary address?
5. Father’s / Husband Name:........................................... 6. Sex: Male/ Female
(Please delete as appropriate) Years/ Months
7.Marital Status: Married / Single/ Widowed/ Separated 8.Ages of children, if any..................
(Please delete as appropriate, write Marriage Anniversary Date)
10. Languages known (Underline Mother Tongue).............................. 11. Nationality......................................
B. FAMILY BACKGROUND
C. EDUCATION (High School Onwards)
Year
From To Degree / Diploma & Specialization College/ University/Institute Class/Grade
D. ADDITIONAL COURSES/ TRAINING
D. A D D I T I O N A L C O U R S E S / T R A I N I N G
From To Company / Organization Qualification/ Subjects/ Grade Full or Part Time
E. NATIONAL ID & BANK
PAN Number AADHAR Number Bank Name Bank Account Number
F. WORK HISTORY
1. Are you currently employed? If YES, state notice required by your present employer If NO, how long have you been unemployed?
YES/NO Weeks/Months Weeks/Months
(Please delete as appropriate) (Please delete as appropriate) (Please delete as appropriate)
2. PREVIOUS EMPLOYMENT Give details of your employment records to date entering your present or last employer first.
(attach separate sheet if space available is insufficient)
From To Organisation, Location, Business Position held, duties/activities Salary/Wage
Carried out and reason for leaving (Starting & Final)
3. Have you ever been dismissed If YES, give details. or
asked to resign?
YES/NO
(Please delete as appropriate)
G. GENERAL INFORMATION
1. If you have been involved in any Court Proceedings, give details.
2. Give particulars of material indebtedness, if any.
3. List prolonged or serious illness, if any.
4. Give approximately: 5.Give details of any physical disability
Your weight:
Your height:
6. Give any other information you think will help your application. For example: strengths, weaknesses, reasons for seeking change,
preference for size and type of companies, etc.
7. Please give details (date and position) of any previous application for employment into this Company or other Group Companies.
8. Give Names and Addresses with Occupation of Two Referees who are not related to you. (It could conclude persons under whom you
have worked or any other persons of professional standing.)
Name:................................................................... Name:................................................................
Occupation:.......................................................... Occupation:..........................................................
Address:............................................................... Address:...............................................................
................................................................ ................................................................
................................................................ ................................................................
Telephone No.:.................................................... Telephone No.:....................................................
H. DECLARATION
I certify that the foregoing information is correct and complete to the best of my knowledge and belief and
nothing has been concealed. If at any time, I am found to have concealed any material information or given any
false details, my appointment shall be liable to summary termination without notice or compensation.
DATE ..................................... PLACE........................................................................ SIGNATURE OF
APPLICANT..........................................
