Confidential Bio–Data

For official use only :

JAYEM Automotives (P) Ltd.,
COIMBATORE – 641 005, India Aptitude
test marks
Technical
test Marks

Phone - +91 422 6585051-52 Interviewed on / by :

- +91 420 2270409 , 3206650 Appointed as :
Fax - +91 422 2271352 For which Dept. :
CTC / Salary Fixed :
careers@jayemauto.com
MD Approval :
www.jayemauto.com
(required only if selected)

Position Applied For : Ref Code:

1. Name in Full (Capital letters) ……………………………………………………………………………

2. Fathers / Husbands Name ……………………………………………………………………………….

3. Present address …………………………………………………………………………………………… Affix recent

………………………………………………………………………………………………………………. Passport size
Colour photograph
……………………………………………………………………………………………………………….
4. Permanent address ………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
5. Telephone Nos. (Residence present)………………………………………..( Residence native )…………………………………………

(Mobile.)……………………………(Office)………………………….email …………………………………………………………….…..

6. Date of Birth: (as per record)………….…….………………Actual date of birth ( if differ from record )…………………………………

7. Place of birth : ………………………………………………… Native………………………………………………………………………….

8. Nationality…………………………………..Religion…………………………………Community…………………………………………….

9. Blood group + RH Factor : ………………………Permanent Account No. (PAN)………………………. …………………………………

10. Marital Status : Single / Married / Separated / Divorced / Widowed ( strike out not applicable and tick the applicable one)
11. Language Proficiency : Read ………………………………………………………………………………………..
(Under Line your Mother Tongue) : Write …………………………………………………………………………………………………..
: Speak ………………………………………………………………………………………………….

12. Do you have your own : ( i ) Two Wheeler :Make ……………………….……………..Regn. No….………..………………………..
(If yes give details ) ( ii ) Four Wheeler :Make ……………………………….…… Regn. No……………………………………..
( iii ) House / lands…………………………………………………………………………………………………..

13. Driving Licence No………………………………………………Valid up to………………………………………………………………….

14. Countries Visited / Traveled / Worked : …………………………………………………………………………………………..
15. Passport No………………………………………………. Valid up to …………………………………………………………..
16. Achievement in Sports / Cultural Activities : …………………………………………………………………………………………………..
17. Leisure Activities : …………………………………………………………………………………………………………………………….….
18. If you have any disablement, or undergone any surgery give details………………………………………………………………….…..
19. If you are already member in PF and ESI please give details PF No…………………………….. ESI No………………………….……
20. Any of your relatives or friends working in JAYEM ? if yes give details :
Name…………………..………………………...………………………Designation………………………………………………..………
Dept. / Unit…………………………………………..……….Relationship…………………………….…………………………………….
21. If you have membership in any Clubs / Unions / Associations / Political parties / any other social welfare association, give details

Name of Club / union / parties etc………………….………..…………..…….…… Membership No…………………………. duration…………………

22. Please provide your family income details : Per month Rs..………………………….. Per annum Rs.………………………………....
23. FAMILY History should include your Parents, Brothers, Sisters, Spouse, Children & Dependents
(attach separate sheet in the following format, if required) need not include your details along with this.
SL.NO Name Age / Relationship Whether staying Qualification Employment Income Details
DOB with you details details if applicable

24. Please furnish your academic record details - Enclose the copies of your certificates including mark sheets

Period Passed out at % of Marks and

Course School / College and University Main Subject
From – To which attempt distinctions, if any
S.S.L.C

H.Sc

Diploma

Degree

25. Details of Post Graduation and all professional records - Enclose certificate copies including mark sheet copies
Year Duration of Qualification Institute / University Passed at % of Marks and
Passed Course which attempt distinctions, if
any

26. Details of Specific training attended related to your profession (attach separate sheet in the following format, if required)
Enclose the training certificate copies
Training Duration and Company Sponsorship or Is the training is useful to your career ?
Training Title
Conducted by attended on own interest if yes, how it was implemented.

26.27. What are your medium term & carrier objectives ?

25.1 in next 3-5 years :

25.2 in next 5-8 years :

25.3 in next 10 years :

27.28. How is the position you are seeking in our organization fit into your career plan ?

28.29. Please set out any further information which you think should be taken into account in considering your application
29.30. Professional experience ( use additional sheets in the following format, if necessary ) / ( For fresh candidates this dose not applicable )

Details / particulars Current job (or) latest job Immediate Previous Job Previous Job (1) Previous Job (2) Previous Job (3)

Period From : ____________ From : ___________ From : ___________ From : __________ From : ____________

To : ____________ To : ____________ To : ____________ To : __________ To : ____________

No. of Years: No. of Years: No. of Years: No. of Years: No. of Years:
Total Service
Months : Months : Months : Months : Months :

COMPANY NAME
Address with Telephone No.,
Fax / email

Nature of Business

Sales Turnover (per annum)

On joining
Designation
Now

On joining
1
Salary
Now
2 On joining
Reporting to

Now

No. of persons On joining

Reporting to you
Now

3
Job Description / Major
responsibilities & Achievements

Reasons for leaving

1
Please write the gross salary alone, the perks benefits and other details to be filled overleaf
2
Please attach an organization structure specifically indicating your reporting relationship in the hierarchy in your current job or latest job. Please mention the reporting person name and designation.
3
Indicate your job description / responsibilities and achievements in a separate sheet.
Please enclose experience certificate copies as proof for previous employment’s
30.31. Details of your current remuneration as on date ( Please enclose the income proofs for the below details )

A. Monthly Salary Amount in Rs. C. Statutory benefits % Amount-Rs.

1 Basic Salary / consolidated Pay 1 Provident Fund
2 Dearness Allowance 2 E.S.I
3 House rent allowance 3 Gratuity
3 Conveyance 4 Superannuation
4 Incentive Others ( Specify )
Other Allowance ( Specify ) 5
5 6
6 7
7 Total per month ( iii ) Rs.
8 Total per annum ( C ) Rs.
9
D. Perks and Perquisites Amount – Rs.
10
Total per month ( i ) Rs. 1 Telephone
Total per annum ( A ) Rs. 2 Vehicle
3 Driver
B. Annual allowance / benefits Amount-Rs.
4 Fuel
1 Bonus 5 Canteen
2 Leave Travel Allowance 6 Cloths
3 Medical reimbursements 7 Educational
4 Incentives Others ( Specify )
Others ( Specify ) 8
5 9
6 10
7 Total per month ( iv ) Rs.
8 Total per annum ( D ) Rs.
9 Any Loans outstanding with your present employer ?
10 Loans Amount availed outstanding
Total per month ( ii ) Rs. 1
Total per annum ( B ) Rs. 2
Present monthly take home 3
I Rs.
salary ( i + ii + iv )
Present annual package /
II Rs Minimum salary expected if selected Amount in Rs.
earnings take home (A + B + D)
Present monthly gross salary
III Rs 1 Monthly Gross
( i + ii + iii + iv )
Present Gross annual package Annual cost to Company ( CTC )
IV Rs 2
/ earnings ( A + B + C + D ) including all benefits
31.32. Please furnish two reference other than your relatives
Name Address
1…………………………………………………………………………………Phone:…………………email…………………………………..

2…………………………………………………………………………………Phone:………………….email……………….…………………
32.33. ( a ) How soon can you join our organization, if you are
selected?………………………………………………………….
( b ) What is your terms with your present employer regarding to your notice period ?……………………………………..
( c ) Do you have signed any agreements with your present employer ?……………………………………………………………………
( d ) Can we refer you present, previous Employers if you are selected ?………………………………………………………………….
33.34. Contact person details in case of an emergency – if selected and joined
Name Address
…………………………………………………………………………………………………………………...……………………
…………………………………………………Phone:……………….Mobile:………………….email…………………………..
34.35. Declaration by the applicant :
I_________________________ _______ S/o / D/o / W/o._________________________hereby declare that the information given
herein is true and correct to the best of my knowledge and I know that it will form the basis of the contract of employment with
JAYEM Automotives (P) Ltd.,. I assure that if I am selected and employed I will abide by rules and regulations of the company
and if at a future date it is found that any of the information furnished by me is false or incorrect in any material aspects, the
Company will have the right to terminate my services without notice or salary in lieu thereof.
I further understand that my appointment with JAYEM service will be subject to medical fitness from a Practitioner and also subject
to satisfactory reference from my present / previous employers & other references given by me

Place……………………………………... Date…………………………..Signature ………………………………………………………….

“Selected Candidates, will have to Sign a confidential Agreement with the Company”