Please affix your

Passport Size
Photograph 3 Nos.
(Size 35 mm.x 5mm.)

CONFIDENTIAL

PERSONAL INFORMATION FORM

Company Name: _____________________

Name of the Applicant:

__________________

Position applied for:

___________________

(To be filled in by HR)

INTRODUCTORY NOTE

This form is designed with the objective of documenting professional and personal information of the
candidate for our permanent records and as inputs for closely understanding of his/her background that
is intended to aid the selection procedure.

Page 1 of 10
 (Please fill the form in black/blue ink)

Date: ____________________ Ref.by:

Name in block letters:

SURNAME FIRST NAME
MIDDLE NAME

Father’s / Spouse’s Name in (block letters):

Contact Details:

Personal email. id :

Employee’s Contact No.: Land Line +91-

Mobile No. +91-

Date Of Birth Birth Place:

(DD/MM/YYY)
State:

Address Details

Present Address Permanent Address

Flat / House No. Flat / House No.
Building Building
Street Street
City City
State State
Pin code Pin code
Telephone Telephone

Physiological Information:

Page 2 of 10
Blood Group Identification
Mark
Height Weight
Disease or Disorder (if Allergic to
any)

Family Details:

Marital Status : Married / Unmarried Date of Marriage (if married) :

(DD/ MM/ YYYY) :

Family Member Details :

Sr Name of the Dependent Date of Relationshi Occupation

. Birth p
N
o.

4
5

Qualification (SSC and later):

Degree /
Diploma / Specialisati Name of Month / % of Duratio Part
Certificati on Institute Year Marks n Time/
on of Full Time
Passing

Page 3 of 10
Professional Membership:

Association Type and Status of Membership

Languages known: (Please tick against languages)

Language Speak Read Write Mother

Tongue

Computer Skills :

Proficiency (please tick

appropriate)
Skill Beginner Intermediate Proficiency Years of Use
MS – Word
MS – Excel
Ms – Power
Point
E- mail &
Internet
Any other
softwares or
skills relevant
to the role
requirements

Vehicle Details :

Vehicle Type 1 Vehicle Type 2

Vehicle Registration Vehicle Registration

No. No.

Name and addresses of two references to whom we may write for references.
(Relatives will not be considered for this purpose)

Page 4 of 10
Reference - 1 Reference - 2

Name : Name :

Other contact details of the above Other contact details of the above
person: person

Contact No. : Contact No. :

Details of Organisation : Details of Organisation :

Designation : Designation :

How the above person is linked with How the above person is linked with
you : you:

Page 5 of 10
If you have any relatives and / or friends employed in our company, please
give us details :

If you had applied in the past for employment at any of our offices or
factories, please give details :

Please draw a brief Organisation chart of your department/division indicating your reporting
relationship.

Organisation chart

Present Job Responsibilities:

Page 6 of 10
Career Choice :
What is your personal aim in life and what has influenced you to adopt this career
path?
What are choices before you?

Important Information:
Please set out any further information which you think should be taken into account.

Page 7 of 10
Page 8 of 10
Employment History

Please give details of experience, with current and previous employers in reverse
chronological order.

Year Name of Nature Your Descriptio Reporting Salary

Mont employer of Designati n of to (Name and
h (Specify busines on and assignme & Benefit
From Division/ s and Grade nts Designati s (per
To Dept. approx on) annum)
and location turnove
of posting) r of Co.
/ Div.
Starting: Joining:

Leaving: Leaving:

Starting: Joining:

Leaving: Leaving:

Starting: Joining:

Leaving: Leaving:

Starting: Joining:

Leaving: Leaving:

Starting: Joining:

Leaving: Leaving:

Starting: Joining:

Leaving: Leaving:

Page 9 of 10
Current Salary Details : _______________________________________________________________

Basic & DA : _______________________________________________________________________

Total Monthly Allowance : ____________________________________________________________

Variable Pay or Incentive per annum :____________________________________________________

Retirement Benefits per annum : ________________________________________________________

Total CTC per annum : ______________________________________________________________

How soon would you be free to take a new appointment? _______________________________________

Your salary expectation – Fixed CTC per annum : _____________________________________________

Total CTC expected per annum :___________________________________________________________

Date : _______________________ Signature : _______________________

Page 10 of 10