Company Application Form - Kaypee PDF
Company Application Form - Kaypee PDF
LTD
Please Fix your
KAYPEE ELECTRONICS AND ASSOCIATES PVT LTD Recent Photograph
100% EOU, # 302, 303 Sompura ind area, 1st stage,
Nidavanda Village, Sompura Hobali, Nelamangala Taluk,
Bangalore-562111.
,
Ph: 91-80-46608080
APPLICATION FOR EMPLOYMENT (please specify the post being applied for)
A. Personal Data :
1. NAME (BLOCK LETTERS) :
2. PRESENT ADDRESS :
3. PERMANENT ADDRESS :
LANDLINE : MOBILE :
EMAIL :
6. MARITAL STATUS : SINGLE / MARRIED / W IDOWED (STRIKE OFF WHICHEVER IS NOT APPLICABLE)
9. FATHER'S / SPOUSE'S /
GUARDIAN'S NAME :
NAME: RELATIONSHIP:
ADDRESS: PHONE:
11. Physical Data :
Have you had any major operations/illnesses within the past three years ? If so, give details:
12. a) Whether in possession of Passport/Visa ? If so, Passport/Visa No. and date of validity.
14. Any criminal / civil cases pending against you? If yes please give details (attach additional sheet)
a)
b)
c)
d)
e)
C2.
Brief summary of the responsibilities handled in the last two organisations:
D. General Information :
a) Name : b) Name :
Designation : Designation :
Relationship : Relationship :
a)
b)
c)
22. Are you covered under E.S.I. Act and if so Insurance No.
E. Reference :
(Please give the name of two persons who know you but are not related to you, preferably superiors from your previous
organisation)
7. Name :
Designation :
Address :
8. Name :
Designation :
Address :
I hereby certify that the above information is true to the best of my knowledge. I understand that incorrect, false
information given in this form will render me liable for immediate termination of employment.
Place :
(Signature of Applicant)
Date :