~ ARISTO

ARISTO PHARMACEUTICALS PRIVATE LIMITED

APPLICATION FOR EMPLOYMENT

AFFIX
YOUR RECENT
Post applied for _ _ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ __ PHOTOGRAPH
Location __________________________ HERE

PERSONAL DATA I (Please fill in Block Letters)

Trtle First Name Middle Name Surname
DrJMrJMrs Miss
DD D 10
✔

PAN No ! Passport
No:
III III II Issue
Date
I I II I I I I
Aadhaar No. I I
Local Address

City
PIN

Email

Permanent Address

c·
PIN Mobile
Email

Date Monthl Year I IYears I M F Others

1 _ _.__
Date of Birth: .____ 1 ______.__2006
_ ___, Age : 17 Sex: D D D Blood Group !.________.
Religion _ _ _ _ _ __ Nationality _ __ _ __ Village/Dist./State _ _ __ _ __ __ __ _ _ __

Category: SC D ST D OBC D SBC D SEBC D VJ/DT D NT D OPEN I GENERAL D

Single Married Widowed Divorced Male IFemale I
Marital Status : No. of Children :
I,____
0 _....._,___0_ _ __._
Father's Name - - - - - - -- - -- -- - - - -- - -- - -- - -
Father's Occupation - - -- - - - -- - -- - - -- - - -- - - --
Living
I Deceased I
Spouse's Name - - - - - -- - - -- -- -- - - - -- ------
Spouse's Occupation _ _ __ _ _ __ __ _ __ _ __ _ _ Total No. of Dependants _ _ _ _ _ __

In case of emergency, inform : Name - - - - -- - -- -- - - -- - - -- - -- - - - -- - -

Address _ _ __ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ __ __ _ _ _ __ _ __ _ __

Telephone - - - - - -- - - --

Languages Known Name of Languages Speak Read Write

Mother Tongue 1
2
Others 3
4
5
a) Please attach self-attested xerox copy of all certificates. c) Any changes in information including address, phone number
b) Original certificates need not be attached with this application. and e-mail id should be notified to the Company.
 Particulars about the details of all family members
FAMILY BACKGROUND
(Father, Mother, Husband/Wife, Brother, Sister, Children)

Name of
Name Age Relationship Occupation Designation
Employer/Business

IEDUCATION (Additional information regarding Scientific Publication should be listed separately)

Educational School/College and Date %Marks Class/Division Main

Quallftcatlons lnstituta.'Unlverstty I Distinctions subjects
From To
year year ~

I TRAINING/ APPRENTICESHIP
Name wl 9ddlw of Dwllllon Nature of training I
Stipend I Salary
ln8tltute I Company Work done
- l
From To

IWORK EXPERIENCE In Chronological order, from first job onwards *Cost to Company

Company Name Duration Deeignatlon and Monthly Salary (CTC)* Reasons for Leaving
Nabn of Duties
From To Mlle Joililg Mlle l.llWlng

*CTC - Figure should include EPF contribution and other benefits I allowances such as Bonus I Ex-gratia, LTA, Medical etc.
IREFERENCES I Other than relatives

l oo Name Status, Address & How do you know him I h«

. ,.,, ) ContactNo.
- -

1.

2.

IEXTRA CURRICULAR ACTIVITIES

I DESCRIPTION OF CAREER & ACHIEVEMENT I Please use this space for any infonnation you have
not been able to provide in answer to previous
specific questions.

I OTHER INFORMATION I
Knowledge of: MS Office: Word D Excel D Power Point D ERP/SAP D E-mail D Tally D

Other software skills: - - - - - - -- - -- - - -- - -- - - - - - - - - - -- -----

Do.you know Typing I Shorthand Yes O No D Speed

Have you had any illness requiring hospitalization ? Or do you have any physical disability ?

Have you been Prosecuted in a criminal court ? Yes O No D

If "Yes" give details of the offence and the result of prosecution

Have you any obligation towards Anned forces e.g. as Reservist ? Yes D No D
Are you a member of the Employees State Insurance Scheme ? Yes O No D
I__.l_. .l_
If "Yes" give your number .... . .l. ._l.___..____,__..____._---1.--J
Are you a member of the Employees Provident Fund Scheme Yes O No D
If "Yes" give your UAN number I I I II I I II I I I I
Are you related to any employee of our Company ? Yes O No D
Relationship - - - - - - - - - - -
Minimum salary expected -~--------------------------- (CTC per annum)

If selected, when can you join-- -- - - - - - - - - - - - - - - - - - - - - - -- - - - - --

I certify that the particulars given above are correct and true to the best of my knowledge and belief. I also understand
that any misrepresentation of facts in this application is a sufficient cause for termination of my services.

Date Signature of Candidate

FOR OFFICIAL USE ONLY

Interview Summary

Interviewed on - - -- - - - -- - - -- - Certificates checked from Original: Yes D No D

Recommendations of the Interviewers:

Brief reasons for rejection:

Selected D Reserve
D Rejected D
Expansion D Replacement D Replacement of : Code: Name:
-
Division '
_, Location "" Department

-~
- -
~
Designation and Grade ____; Salaiy & Benefits

Signature Signature Signature Signature

Name & Designation Name & Designation Name & Designation Name & Designation

Signature of the Head of Department

I. ._E_m_p_lo_y_ee_ Cod
__e_.l.___ _ _ ___.I I Date of Joining Medical Report: Fit D Unfit D

HEAD OF PERSONNEL DEPARTMENT MANAGEMENT