SSGOI/HR/TFAF/001

SREE SASTHA GROUP OF INSTITUTIONS

“ J A M B U ”
Institution Corporate Office
Chennai – Bangalore Highway JAMBU TOWERS
Chembarambakkam New.No.99, New Avadi Road
Affix your
Chennai – 600 123 Kilpauk, Chennai – 600 010
Photo here
Application Form for Recruitment of NT Staff
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D a t e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Reference : Advertisement ___________ Direct ___________Portal __________ others__________________

For the Post of ______________________________________________________________________

Note: Please “” at the appropriate box

Name of the Department :
1. PERSONAL DETAILS
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Title (Dr./Prof./Mr./Ms./Mrs.)
Name
Father / Husband
Name with Occupation
Gender
Marital Status
Age & Date of Birth
Place of Birth & District
Qualification
Religion
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Community
GEN BC MBC SC ST

OTHERS Specify ________________________

Note: Please “” at the appropriate box
Nationality
Persons with Disability (If any)
Address for Communication
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Mobile Number
Telephone Number
Email ID

: : 2 : :
Permanent Address
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Mobile Number
Telephone Number
PAN Number
Emergency Contact Person
Address

Phone Number
Blood Group
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FAMILY DETAILS
Spouse Name & Occupation
Date of Marriage
Son / Daughter Name and 1.
Date of Birth 2.
3.
Mother Name with Occupation
House
OWN RENTED

Vehicle
TWO WHEELER FOUR WHEELER
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How long staying in Chennai

GENERAL INFORMATION
Favorite Sports
Interested in
Languages Known
Member in Social Bodies

Aadhaar Card Number

Bank Details Ac/No. Bank:
Allergy to (if any)
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Health Status
Height & Weight
Country Visited

: : 3 : :
2. ACADEMIC QUALIFICATIONS*
(Commencing with the High School or an Equivalent Examination)
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S.no Course / Specialization Year of RG/PT/DE Class/ % of Institution University Distinction/

Degree Passing /Week Division Marks/ Name Scolarship
End CGPA
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* Attach photo copies (front & back) of all relevant certificates

3. Experience Details*
(Give particulars in descending order starting with the current position)
Nature of Job Reporting to Period of Employment Experience Post held
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Name of From To Years Months

the
Company
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TOTAL YEARS OF EXPERIENCE

* Attach photo copies of all relevant certificates
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Software / Typing / Accounting Certificates :

: : 4 : :
11. Courses attended in last two
years
12. Industrial training undergone in
last two years
13. Industrial visit in the last two
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years
14. Study Visits

15. Name and address of the three persons to whom confidential refrence could be made (not related to blood or
marriage. They should be in a position to report the suitability of the position you’re seeking now)
S.n Name of the Referee Designation Address of the Email ID Mobile
Organisation Number
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17. Additional responsibilities held

in previous organisation, if any

18. Significant contributions made

in the previous organisation, if any
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19. Current Salary / Month

20. Expected Salary / Month
21. Notice Period/Joining Period
21. Any other information you would like to present for consideration in support of your candidature (use separate
sheet if necessary)
I hereby declare that all the information given in this application is true to the best of my knowledge and belief. I
understand that if any of the information furnished by me above is found to be false at any time, the Institution can
summarily reject / terminate my candidature / service at any point of time.
Place Date
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Name Signature