Indo-German Chamber COMMON APPLICATION FORM Post Applied For

of Commerce

PERSONAL DATA

First Name : Mr./Ms./Mrs./Dr./Dr.Ms._____________________Middle Name :_____________ Surname: _________

Father’s/Husband’s Name : ______________________________________________

Permanent Address : ___________________________________________________

____________________________________________________________________
____________________________________________________________________

Present Address (If different from above) : _________________________________

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

Date of Birth Place of Birth & State Nationality Religion

Marital Status : Single Married

Divorced Widowed

EDUCATION (SSC / HSC Onwards)

Degree / Diploma From To Institute / Location Branch of Study Total % Class

Certificate /
University Marks Obtained
Course Name

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

__________________________________________________________________________________________________

PROFESSIONAL TRAINING

Course From To Institute / Organisation Details of Training

 EMPLOYMENT HISTORY Please do not mention your present employment in this column.

Duration Employer’s Industry Designation Role & Reasons for leaving

Name & Nature of
From To Yrs/Mths Address work

PRESENT EMPLOYMENT
(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) Total
Monthly Payment Basic HRA Conv. Medical

Annual Payments LTA Exgratia

Perquisites House Car

Retirement Benefits PF Gratuity 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 _________________________________________