Biocon Group Recruitment Application Form - 2010
Biocon Group Recruitment Application Form - 2010
PERSONAL DETAILS: Name (In Block Letters) Date of Birth Place of Birth Single : : : Married Marital Status Nationality Gender
Yes
No
Do you have a
Yes
No
Present Address:
Permanent Address:
City/District: State: Country: Pin Code: Email id: Contact No. (Landline): Have you applied to us before? Languages Known Yes No Speak
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Family Particulars Relationship Spouse Child -1 Child -2 Father Mother Others Reference: Give two prominent references (Other than relatives) Name: Occupation: Designation: Email ID: Contact No: Name: Occupation: Designation: Email ID: Contact No: Name Date of Birth Qualification Occupation
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Are you related to any employees of this company? If yes, give the following details: Name Relationship
Yes
No
Position
Department
Unit
Person to be informed in case of Emergency Name Relationship Contact No Education: Name and Address of the Institution / Board / University Secondary School Exams Passed Period (From / To) MM/YY Class/ Div Subject studied Address
Higher Secondary
Graduation
Post Graduation
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Technical Professional
Others (Specify)
Experience and Employment particulars: (List the present /the most recent Employer first)
Period
(From / To) MM/YY
Reason(s) of leaving
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Note: In the event of the company finding out that the information given by you is untrue, it shall have the right to terminate your service without any notice and payments. The company can further take appropriate civil and/or criminal actions through the courts in Bangalore if deemed necessary. I certify that all the above information given by me is true, complete and correct to the best of my knowledge. Place: Date: Signature of Applicant
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