Indo-German Chamber

of Commerce

Post Applied For

COMMON APPLICATION FORM

PERSONAL DATA
First Name : Mr./Ms./Mrs./Dr./Dr.Ms._____________________Middle Name :_____________ Surname: _________
Fathers/Husbands Name : ______________________________________________
Permanent Address : ___________________________________________________
____________________________________________________________________
____________________________________________________________________

Present Address (If different from above) : _________________________________

____________________________________________________________________
Contact Telephone Numbers : Resi._____________ Office___________ Ext.______
Mobile : ______________________ Email : ________________________________

Date of Birth

Marital Status :
Divorced

Place of Birth & State

Nationality

Single
Widowed

Religion

Married

EDUCATION (SSC / HSC Onwards)

Degree / Diploma
Certificate /
Course Name

From

To

Institute /

Location

Branch of Study

University

Total %

Class

Marks

Obtained

Mention any special merits or failures in your education career : ______________________________________________

__________________________________________________________________________________________________

PROFESSIONAL TRAINING
Course

From

To

Institute / Organisation

Details of Training

Please do not mention your present employment in this column.

EMPLOYMENT HISTORY
Duration
From

To

Yrs/Mths

PRESENT EMPLOYMENT

Employers
Name &
Address

Industry

Designation

Role &
Nature of
work

Reasons for leaving

(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)
Monthly Payment

Basic

HRA

Annual Payments

LTA

Exgratia

Perquisites

House

Car

Retirement Benefits

PF

Gratuity

Conv.

Total

Medical

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 _________________________________________