NMDC
NMDC
India
Hyderabad
Bangalore
Chennai
1 PERSONAL INFORMATION:
If Married
Day Month Year
Gender Religion Nationality Blood Group
Telephone :
Home Business Cell Number
Email Address:
1
I II III
Present Address:
2
4 LANGUAGE PROFICIENCY
Speaking Reading Writing
Language Weak Fair Good Weak Fair Good Weak Fair Good Remarks
English
Arabic
Urdu/Hindi
Other
5 COMPUTER LITERACY
A. Familiarity with MS Office. Please tick the appropriate box.
1. 2. 3. 4. 5. 6. 7.
I
Main Responsibilities & Duties
Name of Organization:
3
Nature of Business:
4
Postal Address:
Telephone No.:
Job Title:
Date of Employment:
From To
Salary:
May we contact
this employer (If No,
Please give reason):
II
Main Responsibilities & Duties
Name of Organization:
Nature of Business:
Postal Address:
Telephone No.:
Job Title:
Date of Employment:
From To
Salary:
5
May we contact
this employer (If No,
Please give reason):
II
I Main Responsibilities & Duties
Name of Organization:
Nature of Business:
Postal Address:
Telephone No.:
Job Title:
Date of Employment:
From To
Salary:
May we contact
this employer (If No,
Please give reason):
Gross House
Salary Basic Rent: Conveyance:
Utilities:
Leave fare: Medical: Bonus:
6
Other:
10 EXPECTED SALARY:
11 PROFESSIONAL REFERENCES
If you have answered YES, then please give names of two different employers:
I II
Name :
Designation :
Business Address:
Telephone (Office) :
Relationship:
11 PERSONAL REFERENCE
7
Please give names of two referees that have known you personally for at least one year and are neither related to you nor are
employees of our organization.
I II
Name:
Designation:
Business Address:
Telephone (Office) :
Relationship:
12 ADDITIONAL INFORMATION
V Yes No If yes, then please gives details of your previous position and reason(s) for leaving position:
Reason(s) for
leaving
D: Do you have any relatives, friends or close acquaintances in our organization? If, Yes, please give details:
Yes No
8
E: Were you ever subject to major surgery or serious illness? If yes, explain: Height: ft inches, cm
Weight: kg
Yes No
When did you make your last medical checkup? (Please give detail)
F: Have you even been convicted of a criminal offence? If yes, Please give details:
Yes No
G: Please provide personality detail in 4-5 sentences, starting from your strengths and weaknesses.
9
Undertaking
I the undersigned hereby acknowledge that all the information given herewith by me in this form is correct and true to best of my
knowledge. I fully understand that the acceptance of this application does not mean acceptance of employment. I also understand
that a false statement may disqualify me for employment in this organization. It may , in case I am employed, further result in
dismissal or termination of my termination without notice or compensation, if it is ever revealed at any time during my employment
that any of the information given by me in this application is false or contradictory. I as well understand that the acceptance of my
employment will be subject to my successfully passing the required physical examination, as company desired, and signing of the
employment contract after screening and authentication of my bona-fide credentials.
Reference Check
Letter for employee reference check issued
Professional Personal
I II I II
Date:
Initials:
Response:
Remarks:
10
Document Type Date Initials Response Remarks
Educational Certificate / Degree
Professional Certificate / Degree
Experience Certificates
Copy of NIC
Copy of Passport
Copy of Driving License
Copy of Contract (Last Employer)
References & Recommendation Letter
Comments
Checked by
Approved
by
11