Bharat E Commerce Pvt. Ltd.

NEW JOINEE FORM

1. Name of the Post selected for: …………………………………………………….

2. Full Name of the Candidate: ……………………………………………………… Paste your recent

(in Capitals)* passport size
photograph
3. Location of Employment*: ...............................................................

4. Date of Joining*:
Day Month Year

5. Date of Birth*:
Day Month Year

6. Gender*: (Write ‘1’ for Male, ‘2’ for Female)

7. Marital Status*: ……………………………………..

8. Father’s/Husband’s Name*: ……………………………………………………………………………

9. Mailing Address*: …………………………………………………………………….

…………………………………………………………………………………………………………..

…………………………………………………………………….. Pin Code: ……………………….

Tel. No*: …………………………………………Mobile*: ……………………………................

E.mail ID (if any):

……………………………………………………………………………................

10. Blood group* ...........................................................

11. Whether Physical Handicapped? : (Write ‘1’ for Yes, ‘2’ for No)

12.Community (please tick  ) SC ST OBC GENERAL

13. Emergency Contact Number*

Name Address Contact number Relationship

14. All Educational/other professional Qualifications/Training Courses etc/Degree Examination

onwards:

Qualification Year of passing Board/ University Grade/Percentage

1
 Bharat E Commerce Pvt. Ltd.

15. Brief professional experience*:

Name of Organisation Designation Part time/ Exact dates to Total no Scale of

Temprory./ be given of years pay
permenent

16. Dependents Details (Family members)*

Name Relation Date of birth Contact Number Occupation

17. Any other relevant information: ………………………………………………………………………

I hereby declare that all the statements made in the application are true and complete to the best of my
knowledge and belief. I understand that action can be taken against me by the management

Date:

Place: Signature of candidate