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Sri A.M.M. Murugappa Chettiar Research Centre

This document contains an application form for employment at the SRI A.M.M. Murugappa Chettiar Research Centre. The application requests personal details such as name, address, education history, employment record, languages known, and contact information for references. It also asks the applicant to declare that all information provided is truthful and acknowledges that concealed or false information could result in termination.

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Mohan Raj
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46 views

Sri A.M.M. Murugappa Chettiar Research Centre

This document contains an application form for employment at the SRI A.M.M. Murugappa Chettiar Research Centre. The application requests personal details such as name, address, education history, employment record, languages known, and contact information for references. It also asks the applicant to declare that all information provided is truthful and acknowledges that concealed or false information could result in termination.

Uploaded by

Mohan Raj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SRI A.M.M.

MURUGAPPA CHETTIAR RESEARCH CENTRE

Affix
recently
taken
passport
size photo

APPLICATION FOR EMPLOYMENT


(Please Avoid Sending Application through e-mail)
Name
Position Applied for
A. PERSONAL PARTICULARS:
1. Address for communication

2. Permanent Address:

Tel. Off.
3. Date of Birth
Status___________
5. Fathers Name & Occupation

Resi:
4. Marital

6. Family Details (Details of spouse & children)


Name

Relationship

Occupation

Age

7. Person to be contacted in emergency:


Name : __________________
Address
______________________________________________________________
______________________________________Tel_____________________
8. Blood group : _________________________
9. Details of any serious illness / permanent disability
____________________________________________________________
1

_____________________________________________________________
B. 1. Educational Qualifications
S.No.
Name of
Year
University /
From
To
Institution / School

Course

Specialisation

%
Marks/
Divin.

2. Details of Awards / Honours and Scholarships received:


C. EMPLOYMENT RECORD
1. PRESENT / LATEST EMPLOYMENT
Name and address

Nature of employers business

__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
: __________________________________

Designation

: On joining

Date of joining the organization

: _________________________________

At present______

Date appointed to present position: _________________________________


Date of leaving (if applicable)
: _________________________________
2. PRESENT JOB RESPONSIBILITIES:
3. ORGANISATION CHART
(Indicate your reporting relationship)

4. DETAILS OF REMUNERATION
Monthly Salary
1. Basic pay / consolidated pay

Amount (Rs.) p.m.

2. Dearness Allowance
3. House Rent Allowance
4. Special pay / Allowance
5. Conveyance Allowance/ Re-imbursement
6. Medical allowance/ reimbursement
7. LTA
8. Incentive
9. Others
TOTAL
5. EXPECTED MONTHLY SALARY
6. PREVIOUS EMPLOYMENT RECORD
Date
Name of the
Designation
Organisation
From To

Job
Responsibilities

Last drawn
salary per
month

6. DETAILS OF TRAINING UNDERGONE / PROJECTS UNDERTAKEN


Organisation
Period
Area / Details of training / research projects

7. DETAILS OF PAPERS PUBLISHED

8. MEMBERSHIP OF PROFESSIONAL INSTITUTIONS / ASSOCIATIONS

9. GENERAL INFORMATION
1. Languages known (underline mother

Speak

Read

Write

tongue)

2. Hobbies and interests (including extra curricular activities, if any)

3. Are you related to any one in the Sri A.M.M.Murugappa Chettiar Research
Centre? (If yes, please provide the following details)
Name
Designation
Organisation
Relationship

4. Have you ever been involved in any criminal proceedings?


5. Have you ever applied to our Organisation? (If so give details)
6. When can you join, if selected?
_________________________
_________________________
7. Reference
Give below the names and address of three persons, one of which must apply
to your profession, who can be referred to for your suitability for the position.
References should not be either related to you or be any of your close
personal friends.
Sl.No.
Name of the Referee
Occupation
Address & Phone
Number
1.

2.
3.
I hereby declare that the particulars given by me herein are, to the best of my
knowledge and belief, true and correct and nothing has been concealed. If I
am at any time found to have concealed any material information or given any
false details, my appointment shall be liable to be termination without notice or
compensation.

Place : ________________

___________________

Date _________________

Signature of Applicant

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