Indo-German Chamber COMMON APPLICATION FORM Post Applied For
of Commerce
PERSONAL DATA
First Name : Mr./Ms./Mrs./Dr./Dr.Ms._____________________Middle Name :_____________ Surname: _________
Father’s/Husband’s Name : ______________________________________________
Permanent Address : ___________________________________________________
____________________________________________________________________
____________________________________________________________________
Present Address (If different from above) : _________________________________
____________________________________________________________________
Contact Telephone Numbers : Resi._____________ Office___________ Ext.______
Mobile : ______________________ Email : ________________________________
Date of Birth Place of Birth & State Nationality Religion
Marital Status : Single Married
Divorced Widowed
EDUCATION (SSC / HSC Onwards)
Degree / Diploma From To Institute / Location Branch of Study Total % Class
Certificate /
University Marks Obtained
Course Name
Mention any special merits or failures in your education career : ______________________________________________
__________________________________________________________________________________________________
PROFESSIONAL TRAINING
Course From To Institute / Organisation Details of Training
EMPLOYMENT HISTORY Please do not mention your present employment in this column.
Duration Employer’s Industry Designation Role & Reasons for leaving
Name & Nature of
From To Yrs/Mths Address work
PRESENT EMPLOYMENT
(Last job for those currently not employed)
From________ to ____________ Joining Designation ________________________Present Designation____________________
Responsibilities in brief ______________________________________________________
__________________________________________________________________________ Reporting structure
__________________________________________________________________________
__________________________________________________________________________
Your
__________________________________________________________________________ position
Significant Contribution on the Job
Current / last salary and Perquisites (Please give the exact break-up) Total
Monthly Payment Basic HRA Conv. Medical
Annual Payments LTA Exgratia
Perquisites House Car
Retirement Benefits PF Gratuity SA
Total
Reason for Leaving _________________________________________________________________________________
Are you covered by any Service Agreement : Yes No
If Yes, give details: _________________________________________________________________________________
EXTRA CURRICULAR ACTIVITIES
Mention any two interests and the proficiency achieved in them _________
_________________________________________________________
Are/were you personally connected with any type of business at present /past
Yes No
If Yes, give details : _______________________________________
_________________________________________________________
FAMILY BACKGROUND
Give occupational background of the earning members of your family like Father, Brother & others:
1.
2.
3.
4.
REFERENCE
Name Status Address & Telephone Nos.
1.
2.
3.
Your career goals:
______________________________________________________________________________________________
Expected Salary ___________________________ Can join by (date) ______________________________________
I agree that my employment is subject to the verification of the statements made by me in this form.
Signature _____________________________________ Date _________________________________________