For HR use only
Please affix a S ___________________
passport size
photograph here H___________________
T ___________________
F ___________________
ASSOCIATE APPLICATION FORM
Designation Applied for: __________________________________________ Date: _DD_ / _MM_ / _YYYY_
Name (in full): Mr./Ms.____________________________________________________________________________
(Surname) (First name) (Middle name)
Date of Birth: _DD_ / _MM_ / _YYYY_ Age: ________ Marital Status: __________________________
Telephone (Res): _____________________ Mobile: ___________________ / _____________________
Email: __________________________________________________________________________________________
Address: ________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
LANGUAGES KNOW: (please tick) Mother Tongue: __________________________
English Hindi Marathi Other(1): _________ Other(2): _________
Spoken
Read
Written
EDUCATIONAL QUALIFICATION
Qualification Name of Institute/Board Place Year of Passing Percentage /
Grade
1. X
2. X+2 / Diploma
3.
4.
5.
Additional Qualification: ___________________________________________________________________________
Computer Skills: _________________________________________________________________________________
WORK EXPERIENCE: (Start with your current job)
Sr.
Name of the Organisation Designation Reporting to Annual CTC (in Reason for
No.
(Designation) Rs.) change
1.
From: _MM_/ YYYY_ To: _MM_/YYYY_
2.
From: _MM_/ YYYY_ To: _MM_/YYYY_
3.
From: _MM_/ YYYY_ To: _MM_/YYYY_
4.
From: _MM_/ YYYY_ To: _MM_/YYYY_
5.
From: _MM_/ YYYY_ To: _MM_/YYYY_
Total Work Experience (in years): ______________ Total Industry Experience (in years): _____________________
Achievements: __________________________________________________________________________________
_______________________________________________________________________________________________
Present / Last: Annual CTC (in Rs.): _________________ Monthly Take Home (in Rs.): ______________________
Expected: Annual CTC (in Rs.): _________________ Monthly Take Home (in Rs.): ______________________
Notice Period required to join (in days): ______________________________________________________________
Have you applied to us earlier? (If yes, given details):
_______________________________________________________________________________________________
For HR use only
Have you worked as consultant before?
Name: ____________________________________ Designation: ______________________________________
Have you suffered any major illness? (If yes, given details):
_______________________________________________________________________________________________
What do you dislike the most in your current / previous organisation?
_______________________________________________________________________________________________
Were you asked to resign or terminate your services at any time? (If yes, give details):
_______________________________________________________________________________________________
What are your career goals?
_______________________________________________________________________________________________
Hobbies
_______________________________________________________________________________________________
Any Legal case or criminal case filed against you?
_______________________________________________________________________________________________
FAMILY BACKGROUND:
Name Age Education Occupation
Father
Mother
Wife/ Husband
Children 1.
2.
Sister(s) 1.
2.
Brother(s) 1.
2.
REFERENCES:
Please provide contact details of at least 3 references whom you have directly reported to in the last 10 years.
Particulars 1 2 3
Name
Contact No.
Designation
(at the time you reported
to him / her)
Name of the organisation
(at the time you reported
to him / her)
Period (From – to) MM / YYYY MM / YYYY MM / YYYY
(you reported to him / her) To To To
MM / YYYY MM / YYYY MM / YYYY
Comments
(for internal use only)
DECLARATION:
I hereby declare that the information provided by me is true and subject to verification. I understand that any
incorrect / false information in the application form will render me unconditionally liable for termination of my
employment.
Date: _DD_ / _MM_ / _YYYY_ Place: __________________ Signature: _______________________
