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Personal Data Form

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0% found this document useful (0 votes)
12 views4 pages

Personal Data Form

Uploaded by

rjd12992
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Tata Hitachi Construction Machinery Co. Pvt.

Ltd.
Jubilee Building, 45 Museum Road, Bangalore – 560 025
BANGALORE: JAMSHEDPUR: DHARWAD: KHARAGPUR

PERSONAL DATA FORM

Position applied for ------------------------------------------------------------------------------------------

Full Name
(in block
letters) First Name Middle Name Surname
Present address:
And telephone No.
Permanent Address
And telephone No.
Date of birth: Father’s Name:
Marital Status: Nationality: Self Spouse
Spouse’s Name: State of domicile:

Details of employment of Spouse: No. of sons (age): No. of daughters (age) :

Languages known: Speak Read Write


(Underline mother tongue)

Board / University Institution Qualification Year % Specialization Course Type


Regular /Part-time
Marks /Correspondence

,
Name and address Position From To Gross Reasons for
of the organization Held Monthly Leaving
Salary

Details of Major Assignments handled in the


last 3 jobs Key Results Achieved
NB: Please highlight your position in the report hierarchy

Salary: Housing Assistance: Long term benefits: Non Monetary:

Performance Accommodation:
Bonus: (Own/Rented)

Particulars of any relatives who Willingness to be transferred to any


are employees or Place in the Company’s Service:
Directors of THCM:

Particulars of previous Employers whom you would not


Interviews with Telcon, if any : like us to contact:

Time required to join :


Details of any Service contract / Bond:

Your Bank Account No. (for travel Bank Name:


reimbursement) :
Hobbies / Interests :
Membership and Office Held in any Professional body:

Other facts (Including any special skills or activities) relevant to this section which have not been covered
earlier :

Career Goal :

Particulars of three persons excluding relatives, as references :

Name and occupation Complete Postal Address

I hereby certify that the particulars given above are true and correct to the best of my knowledge and belief

I agree that if any of this information is found to be false / incorrect, the Company is free to terminate any service
contract /and / or cancel my selection / appointment.

Date :

Signature of the applicant


Place :

Note: You may elaborate on any point on additional pages of the same size

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