APPLICATION FORM Photograph

APPLICATION FOR THE POST OF: …………………………………………………………………

LOCATION: ……………………………………….
PERSONAL PROFILE:
NAME (in BLOCK Letters): ………………………………………………………………………………………….
ADDRESS FOR COMMUNICATION:

Mobile: E- mail: Date of Birth:

Marital Status: Single / Married

FAMILY DETAILS:
S. No Name of Your Family Members Age Relationship Occupation

ACADEMICS: (From most recent up to class 10), please provide details starting with the highest qualification)
PERIOD COLLEGE/ % OF
DEGREE SPECIALISATION CLASS
FROM TO UNIVERSITY/SCHOOL MARKS

Have you had any arrears during any period (10/12/UG/PG) of your academics? Yes / No?
If yes when was it cleared?………………………………………………………………………………………
Have you had any gaps during any period (10/12/UG/PG) of your academics? Yes / No?

If yes, reason ……………………………………………………………………………………………………

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SPECIALIZED TRAINING / ON-THE-JOB / IN-PLANT TRAINING / INDUSTRIAL VISIT:
(Only for entry level positions) Please do not mention routine courses.
Certification /Seminar / Description Institution Location Duration
Course / Internship / In Plant
Training / Industrial Visit

EMPLOYMENT DETAILS: (Please begin with current job)

Last
PERIOD EMPLOYER NAME Drawn
(Start with current / Designation Reason for CTC
immediate last employment)
FROM TO (attach proof)
Leaving / seeking (Per
(mm-yy) (mm-yy) change annum)

Total Years of Experience : (YY-MM)

Please draw the relevant part of your Organization Chart to specify the reporting relationship between you, your superiors and
subordinates on page 5

Have you had any gaps during any period of your employment? Yes / No?

If yes, reason …………………………………………………………………………………………………….

LANGUAGES PROFICIENCY: Please indicate proficiency level (Excellent, Good, Fair)
Language Proficiency (Tick) Read Write Speak
Excellen
Good Fair Excellent Good Fair Excellent Good Fair
t

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ACADEMIC and PROFESSIONAL ACHIEVEMENTS: (Prizes / Scholarship / Award
won)

CAREER OBJECTIVES:
a. What made you to take up your present profession and what would you define as your career
objective/s?

b. What kind of professional values do you appreciate?

HOBBIES:

MISCELLANEOUS:
Do you have any relative / friend working with our group company/UPL/CMC/LDS/LTS/TCT/TMH?
Yes No
If yes, kindly state name, designation and company :
Present notice period (days) : ___________________________
Are you willing to work in any location in India & Abroad? – Yes / No
Are you ready to shift the family? Yes No,

Family shifting time required in days : ___________________________

Time / Days required joining in case selected : ___________________________

AADHAR Number : Applied / Available / Not Available / Expired

If AADHAR Card is available : AADHAR No. : _________________________

REFERENCES:
Name Address & Phone Nos. of two professional references other than relatives or friends who have
knowledge of your work performance / studies.
1) Reference Name : 2) Reference Name :
Designation: Designation
Department : Department :
No. of years known : No. of years known :
Company name and address: Company name and address:

Email id : Email id :

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 Phone No : Phone No :
Is the above mentioned reference from current Is the above mentioned reference from current
company? Yes / No company? Yes / No
1. Do you or any of your immediate family have health condition that requires medical attention / treatment? If
any, give details.

2. Have you ever been convicted by a Court of Law or is any Criminal / Civil suit pending against you in the
court?

3. Have you ever been employed by TCL earlier? If yes, department, period and designation?

4. Have you ever applied, been interviewed in any of the member Group concerns
(UPL/CMC/LDS/LTS/TMH/TCT) of our organization? If yes, give details.

5. How did you come to know about this vacancy? Newspaper / referral / website /job portal / consultancy /
others?

6. Do you belong to any political party / have any contacts with any political party leaders?
If yes, give details

7. Do you belong to any contractor employee working in TCL/CMC/UPL/TMH/LTS/TCT?

8. Do you belong to any Labor Union or hold any membership in Union post in your current / previous
organization?

9. Is there any case pending against you in any University or any other educational authority / institution /
local Govt. authorities at the time of filling up this candidate application form?

10. If the answer to the above mentioned questions is “Yes” give pull particulars of the case / arrest /
detention / fine / punishment / sentence and / or the nature of case pending in Court / University /
Educational authority etc. at the time of filling up this Application form (Attach additional sheet if required)

11. Do you have any other offer from other companies for the similar position which you applied in TCL?

Declaration to be signed by Applicant:

I declare that the information I have provided in this application form is to the best of my
knowledge and belief, correct and complete. I understand that any false or willfully suppressed
information will render my application null and void; and if appointed, I agree that my appointment
shall be terminated.

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Signature of Applicant: Date:

ORGANIZATIONAL CHART
Please give your present company’s organization chart showing your position, reporting authority, persons
reporting to you.

Please mention brief description of present responsibilities in your current organization: (Technical Experience)
and also give details of areas / equipment you consider yourself a specialist / field of interest.

DETAILS OF COMPENSATION:
Present:
Salary + Monetary Non-Monetary Benefits /
Particulars
Perquisites (Rs.) / Incentives Perquisites
Per Annum

Expected:
Salary + Monetary Non-Monetary Benefits /
Particulars
Perquisites (Rs.) / Incentives Perquisites

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 Per Annum
(Kindly enclose the photocopy of last drawn pay slip of present employer & previous employer for a minimum period of 3 months).
Also provide details of any incentives / variable pay received during the year.

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