AIPL/HAD/PDF/ 1.

0
15th January, 2019
1.0

PERSONAL DATA FORM

Page 1 of 3

Please affix your

Name (Mr./Ms.) recent colored
………………………………………………………………………………………… photograph
(in block letters) here
Father’s / Husband’s Name
……………………………………………………………….……

Correspondence Address
……………………………………………………………………..……….…………..
(with contact no.)
..…………………………………………………………………..…………………….

……………………………………………………………….…………………………

Permanent Address ………………………………………………………………………………………….

with telephone no.
……………………………………………………………………………………….…

Date of Birth ………………………………. Blood Group ……………………….………………

Marital Status ……………………………… No. of children (if any) ……………...…………….

Family background ……………………………………………………………………………………….…

………………………………………………………………………………………….

……………………………………………………………………………………….…

Medical History (if any) ……………………………………………………………………………………….…

……………………………………………………………………………………….…

Educational Background (from last to first)

Name of Standard / From To Board / University % Regular/

Course obtained Correspondence

AIPL/HAD/PDF/1.0
15th January 2019
 AIPL/HAD/PDF/ 1.0
15th January, 2019
1.0

PERSONAL DATA FORM

Page 2 of 3

*Kindly mention NA whichever point is not applicable.

Employment History

Name of Nature of Joining Detail Designation Salary per month

Organization Business From To (CTC)
At At
joining leaving

Mention your Work Profile in brief

Outline your reporting relationship

Please give two References for your employment verification

AIPL/HAD/PDF/1.0
15th January 2019
 AIPL/HAD/PDF/ 1.0
15th January, 2019
1.0

PERSONAL DATA FORM

Page 3 of 3

Are you serving any bond or service agreement with your present employer?

______________________________________________________________________________________

Will you be able to provide us relieving certificate and experience certificate from your present employer?

______________________________________________________________________________________

Own conveyance Four-wheeler - Yes/No Two-wheeler - Yes/No

Bank Account Yes/No

Reason for leaving the current job ……………………………………………………………………….……

Expected Salary (CTC) ……………………….……………………………………………………

How much notice period you required to give to current Employer? ………………………………………

Date: Signature

AIPL/HAD/PDF/1.0
15th January 2019