PERSONAL DATA FORM

Position applied for

Candidate Details
(The information furnished on this form will be used for important records of the Company. All fields are mandatory. Request you to
complete the form using BLOCK Letters. Date format shall be: DDMMYYYY.)

Name

Father’s Name

Mobile Number
Place
Highest Qualification For
Candidate
Email ID
photograph
Date of Birth Place of Birth

Gender Blood Group

Height (In Foot) Weight (In Kgs.)

Domicile State Religion Nationality

Marital Status (Please tick the correct one) Single□ Married □ Separated □ Widowed □
Adhaar No

PAN

Passport No

Physical disability, if any

Identification Marks

Last major illness / surgery , if any

House/Flat No.

Area

City
Permanent Address
State

Country

PIN Code

House/Flat No.

Area

City
Mailing Address
State

Country

PIN Code

Have you applied to us before?

Do you have any legal obligation/s to your current employer?

Have you been involved in any court proceedings?

FHR 5.1 Page 1 of 4

 PERSONAL DATA FORM

Family Details
(Please mention the details of your Parents & immediate Family)
S.No Name of Member Relation Age/ DOB Occupation Dependent
(Y/N)

Academic Details
(Please mention the details in the below Table)

Post
DETAILS / LEVEL 10th 12th Diploma Graduation Others
Graduation

Start Date (YYYY MM

End Date (YYYY MM)

Certificate / Degree

Specialization

Name of Institute /
School / College

City

State

Country

FT / PT / C*
Total aggregate %
marks
* FT- Full Time, PT – Part Time, C – Correspondence

Please mention the Gaps in Education if any:-

Hobbies :

Language Proficiency
(Please write the Language in the above most column and tick the Type mentioned below)
Type /
Language

Read

Write

Speak

FHR 5.1 Page 2 of 4

 PERSONAL DATA FORM

Employment Details
(Please start with the Current Employer. If the table provided below is not sufficient kindly add rows below)
Employment Total
Duration Last Designation Emoluments Reasons for
Organization Name (DDMMYYYY ) Leaving
From To Joining Leaving

TOTAL EXPERIENCE

Organisation Chart for Current Employer

(3 Level above & below- relevant to your department /Organization)

You are Reporting to (Name & Designation) -

Major area of Experience -
Describe your current Roles & Responsibilities -

Present Salary Details

(Please mention the details of your current salary)
Components Monthly Annually Other Benefits, If any
Basic, HRA etc. Annual Amount (Rs./
Reimbursements, If any Lac/Annum)
PF
ESI
LTA
Bonus
Gratuity
Super Annuation
Any Other

Gross TOTAL CTC

What is your Expected CTC

If, selected, when can you join

FHR 5.1 Page 3 of 4

 PERSONAL DATA FORM

Emergency Contact Details

(People whom can be contacted in case of any emergency)

Name Relationship Contact Number

Three (3) References

(Other than your relatives, who may be acquainted with your work)

Name Designation Organisation Contact Number

Do you Know anyone, working at Talbros Presently

If, Yes, please list them in below table

Name Designation Relation Contact Number

Are you referred through any consultant:-

If Yes, Please Name the Consultant

Other Professional Details

(If, You have any Professional Association with any Society or have received any Honour /Awards please list them below)
Memberships Honours /Awards Publications (Book/ Social Engagements
Newspaper)

Extra Curriculum Details

(Pleas mention the details in below table, if any)

Declaration
I certify that the foregoing information is correct and complete to the best of my knowledge and belief. I am not
aware of any circumstances which might impair my fitness for employment. I also do hereby authorize TALBROS to
do a Background Verification on me. 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.

Place:-

Date:-
Signature of the Candidate

FHR 5.1 Page 4 of 4