1

Recent
Photograph (in
Godrej & Boyce Mfg. Co. Ltd. professional
APPLICATION FORM attire)

POST APPLIED FOR IN MANAGEMENT CATEGORY (K, V,A,J,O,P,T,E &S) : _______________________________

FULL NAME: Mr. / Ms. __________________________________________________________________

(Surname) (First Name ) ( Middle Name)

ADDRESS FOR COMMUNICATION (Local) PERMANENT ADDRESS ( Native Place)

Mobile No.:
E-mail ID Phone:

DATE OF BIRTH: ___ / ___ / _______ PLACE OF BIRTH: _______________NATIONALITY: _____________

DO YOU BELONG TO: SC ______ ST _____ OBC _____ OTHERS ______

Have you been vaccinated for COVID-19? Yes No

If yes, please mention the no. of doses: 1st Dose 2nd Dose Booster Dose

Name & Date of latest dose of vaccination: __________________________________________________________

LANGUAGES KNOWN: (Communication Skills)

Languages Speak Read Write

EDUCATIONAL QUALIFICATION:

Qualification Full-time / Duration of Course Month & Name & Location of Class /Grade &
(Starting from Part-time or From To Year of School/College/University/Board Percentage
SSC) Corresponden MM/YY MM/YY Passing (City & State) of marks
With ce.
specialization
if any.

Was there any break in your studies? No / Yes (If yes, please mention the reason for the same)

_____________________________________________________________________________________________________
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KNOWLEDGE OF COMPUTERS: _____________________________________________________________________
Contd. (2)

WORK EXPERIENCE: (- Including practical training, if any. Please write in chronological order ending with present
employment)

Period
Annual Reasons
From To Experience Name & Location of Designation and
Cost to for
(DD/ (DD/MM/ (In months) Employer / Self Employment Nature of Work
Company Leaving
MM/YY) YY)

BREAKUP OF THE PRESENT / LAST SALARY, BENEFITS & PERQUISITES:

Components Rs. (p.m.) Components Rs. (p.m.)

Monthly Benefits Annual Benefits

Basic Salary Leave Travel Allowance (LTA)

House Rent Allowance Mediclaim / Hospitalization Insurance
(Coverage Amount Rs.)
Medical Expense Reimbursement Any Other
Education Allowance
Lunch / Canteen TOTAL (B):
Conveyance Allowance
Telephone Expense Reimbursement Terminal Benefits
Other Allowances: a) Provident Fund
b) Gratuity
c) Superannuation
d) Any Other
TOTAL (A): TOTAL (C):
Cost to Company (p.a.): (A + B + C) X 12  Rs. ________________ /- PAN Card No.: ______________________
AADHAR Card No.:
Is your AADHAR CARD linked to PAN CARD? Yes No

REFERENCES: (Name of the relatives / acquaintances in any of the Godrej establishments)

Name Division/Plant, Department & Location Relationship with

(Specify State & District) the applicant

Contd… (3)
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SOURCE OF RECRUITMENT (DETAILS OF YOUR INTRODUCTION TO US):

Self / Placement Consultant / Advertisement (Newspaper / Godrej Website / Any other Job Portal) / Campus Interview /
Employee Reference / Job Fair / Walk-in / Employee’s Son / Daughter / Ex-Trainee (Summer / Project / In-Plant) / Temp. Staff.
Please mention the exact detail here: ____________________________________________________ (For example, if you are
referred by a Placement Consultant, please mention the name of the Firm / Agency).

Please explain in brief why you consider yourself suitable for the position applied for?
a) ____________________________________________________________________________________

b) ____________________________________________________________________________________

c) ____________________________________________________________________________________

Which functional area do you prefer? ________________________________________________________

(List in order of preference. E.g., Sales, Service, Production, Quality Control, Design, Maintenance etc)

Are you planning for higher studies? If yes, please specify _______________________________________

Weekly off day(s) in your present employment: _______________________________________________

Have you been previously tested / interviewed by us? If yes, state when & for what post? Yes / No
_________________________________________________________________________
Are you covered under any Bond? ______________________________________________________________

How soon would you be able to take up the new appointment, if selected? _______________________

DECLARATION

I declare that the foregoing information is correct and complete to the best of my knowledge and belief, and nothing has been concealed.
I accept that the statement made by me, and the information supplied by me shall form the basis of my employment / traineeship with
the Company. If at any point in time in future, I am found to have concealed any material information or given false details against any
of the above particulars, my appointment / traineeship shall be liable to summary termination without notice or payment in lieu of
notice.

Date: ___/ ___/ ________ _________________________

Place: ________________ (Signature of the Applicant)

Note:

1. If appointed, you are liable to be posted and/or transferred to any of the Company’s Establishments
within the Territories of India.
2. All appointments are subject to the candidate being declared medically fit by the Company’s Medical
Officer or a Medical Practitioner of Company’s choice. The Management’s decision in this regard is final.

(For office use only)

GI Raw ________ GI Stanine _________ MC Raw _______ MC Stanine ________ Written English: _________

1-2-3 Raw ____________________ 1-2-3 Stanine ___________________________ 16 PF _____________________

Date of Test: ___________________ Mode of Test: _______________________ Testing Platform: ______________

Conducted by: __________________________________________________ Signature: ____________________

Special approval (if any) by Head - HR _______________________________________________________________