PERSONAL PARTICULARS FORM

Position Applied For: ___________________

Name: _______________________________

Father’s Name: ________________________ Occupation: ______________

Address for Communication: ________________________

________________________________________________
________________________________________________

Tel. No.: E-mail:

Permanent address: _______________________________

________________________________________________
________________________________________________

Tel.No.

Date of Birth: ______________ Sex: __________ Blood Group: ___________

Marital Status:_____________ Occupation of spouse:_________________

No. & Age of children & Dependants:__________

Present state of Health(Ay chronic/recurring health problems):____________

ACADEMICS

PERIOD College/University Degree Specialization Class % of

marks
Academic Achievements:

a. Prizes/Scholarships/Awards won:

b. What factors contributed to your academic achievements

EMPLOYMENT DETAILS:

Period Employer Designation Responsibilities Salary Drawn

Please draw the relevant part of your Organization Chart to specify the reporting
relationship between you, your superiors and subordinates.

Specialised training/on-the-job training undergone;

Course Period/Duration Institution

LANGUAGE PROFICIENCY:
(Please indicate proficiency level – Good/Average/Poor)

Languages Speak Read Write

Known

CAREER OBJECTIVES:

a. What made you take up your present profession and what would you
define as your career objective/s ?
 b. In what way do you think our organization meets your career objectives

c. What kind of work gives you satisfaction and what kind of professional
values to you appreciate?

Membership of any professional body/Association

Nature of membership
Body/Association
(Life/Individual)

Leisure Activities:

a. What leisure time activities do you pursue and how did you develop an
interest in those?

b) How do these benefit you?

References: Give three professional references not related to you in any way
who are familiar with your work:

S.No. Name & Occupation Address & Telephone

 Miscellaneous:

Do you have any relative/friend working with our organization ? Yes/No

(If yes, please state name & designation)

Any other information that you may like to provide ?

Time required joining in case selected:

The information given by me is true to the best of my knowledge.

Signature Date

INTERVIEWERS ASSESSMENT:

Comments:

Recommended for employment : Yes/No

If yes, proposed designation & recommended salary:

Interviewers:_______________ __________________ _______________

Signature/s :________________ __________________ ________________

Date: