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New Employee Application Form

1. The document is an employment application form for an applicant seeking a position at an educational institution. 2. It requests personal details such as name, address, education history, employment record, languages known, and salary expectations. 3. The form also asks the applicant to provide references and is to be reviewed by a selection committee who will assess the applicant's job skills, English ability, attitude, personality and other qualities.

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Sadaqat Mulla
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
765 views

New Employee Application Form

1. The document is an employment application form for an applicant seeking a position at an educational institution. 2. It requests personal details such as name, address, education history, employment record, languages known, and salary expectations. 3. The form also asks the applicant to provide references and is to be reviewed by a selection committee who will assess the applicant's job skills, English ability, attitude, personality and other qualities.

Uploaded by

Sadaqat Mulla
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PES&Ts

SHAIKH GROUP OF INSTITUTIONS


SHAIKH CAMPUS,NEHRU NAGAR, BELGAUM 590 010
Tel : 0831 2473253 / 2470486 Fax : 2473127
Email :[email protected] Web : www.pestbgm.org
EMPLOYMENT APPLICATION FORM
Application for the post of ..
Name of Institution: .
PERSONAL DATA
Full name :
(Block Letters)

Fathers/Husbands
Name

Please affix
colour passport
size photograph
here

Phone NoCell No
.

Address for
communication :
(with Tel.No./e-mail)

.
Phone NoCell ..
E-mail .
.

Permanent Address :
(with Tel.No./e-mail)

Date of Birth
../../.
DD MM YY

Blood Group Phone NoCell ..


Place of Birth
Nationality
Marital Status
Details of children
No
Sex
Age
Married
1
Unmarried
2
Widow(er)
3
EDUCATION : (Give details starting from matriculation )

Exam
Passed

Year of
Passing

School/College
University attended

Main
Subject

Medium

% of
Marks

Class

.
.

..
......

.
.

..

..
......

.
.

..
......

.
.

..
......

.
.

.
.

.
.

How do you rate your English language ability ?


Fair

Poor

Excellent
Good
Fair
Spoken
Are you computer literate? If yes give, details :

Poor

Written

Excellent

Good

FAMILY BACKGROUND
Qualification

LANGUEGES KNOWN ( Put


Occupation

Monthly
Income

Language

Understand

Speak

)
Read

Write

Father

English

Mother

Hindi

Husband

Kannada

Brother

Marathi

Sister (s)

Urdu

Father

Other

Date of
Joining

Leaving

DD/MM/YY

DD/MM/YY

//...

//...

//...

//...

//...

//...

//...

//...

EMPLOYMENT RECORD
Name & Address of
Post
Main Duties &
Organisation
Responsibilities
...

Gross
Salary
p.m

Reason for
Leaving

..

...

..

...

..

...

..

..
Gross Salary = All Inclusive
Mention two significant contributions / improvements
accomplished by you in your previous assignments:

Breakup of Last Salary Drawn


p.m
Basic p.m
DA..
p.m
HRA p.m
Medical p.m
Conv p.m
LTA. p.m
Bonus... p.m
Other p.m
Total

p.m

OTHER INFORMATION:
Mention Hobbies / Games / Sports you are interested in:

Are you in to any consulting / private practice?


If yes, give details and professional address :

YES

NO

.
Are / were you personally connected with any type of business/political activity at present / past ?
NO

YES

If yes, give details :


...
REFERENCE (Reference of people who will give details of professional track records)

(Do not give reference relatives and PES&T associates)


No

Name

Company / Firm

Designation

Contact No

E-mail ID

Sign & Date

E-mail ID

Sign & Date

For freshers - Academic reference from college / university , last attended


No

Name

Institution

Designation

Would you like to be considered for any other job ?

Contact No

YES

NO

If yes, mention for which other posts you would like to be considered - .
How did you come to know about this vacancy? Tarun Bharat
Indian Express
Vijay Times
Deccan Herald
Vijay Karnataka
Other .
Personal Reference . .
Would you like to refer to your previous/present employers and your
references at this stage, if necessary ?

YES

Gross Minimum Salary expected : Rs______________________/month


Joining time required : ____________ days after receipt of appointment

NO

If you are not sure about fixed


figure, please indicate a range
(e.g. Rs. 5000 5500)

letter
I certify that the statements made here are true, complete and correct to the best of my knowledge and belief. I
understand that any that any false statement or information withheld here may provide grounds for the
withdrawal of offer of my appointments or dismissal if an appointment has been effected
Date : /../..

Signature of Candidate.

MANDATORY NOTINGS ( For use of selection committee Chairman / members)

Job Knowledge / Skills:

..

English Language:

Spoken:

Abilities:

Written:

Computer Skills :

..

..

Attitude:

..

Personality:

..

Career Goals:

..

Learnability:

..

Comments:

Form Checked by
Signature with date of selection committee Members:

Name:
Signature with date
on
& confirmed that all certificates 1) ..
./.
have been collected for personal
file.
2) .
/..
/.
Sign of I/C Recruitment

3)

.../...

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