FORM No.

( 03 )

SHRIRAM POWER & STEEL PRIVATE LIMITED

COMPANY APPLICATION FORM
Post Applied For : ___________________________________________________
Please Attach Your
1) PERSONAL DETAIL Photograph

Name (Name in BLOCK LETTER): _____________________________________________________________

Name of Father/Spouse : ___________________________________________________________

Date of Birth : _____/_____/_19____ Aadhar No. ___________________________________

Mobile No : _______________________________Blood Group ____________________

E-mail Id : ______________________________________________________________

Marital Status : Single Married

Sex : Male Female

No. of Dependent Children:_________________________________________________________________

Permanent Address :______________________________________________________________________

Present Address : ______________________________________________________________________

2) Education Qualification:

(Starting from the Last to Xth standard)

Year Of
Qualification School/College University % / Class
Passing

3) Professional/Technical Qualification:
Year Of
Qualification School/College University % / Class
Passing

Academic Awards (If Any): _____________________________________________________________________________

4) Work Experience
(Starting from the present job) please attach extra sheet if required

Period of Service Salary

Name of the Organization/Employer Job Title Reason For Leaving
From To Drawn

5) Language Known: (Mother Tongue First)

Language Read Write Speak

6) Expected Salary: ______________________________________________

7) PROFICIENCY IN SPORTS & OTHER EXTRA CURRICULAR ACTIVITIES:

Hobbies 1) _____________________ 2)________________________ 3)_______________________

Strength 1) _____________________ 2)________________________ 3)_______________________

Weakness1) _____________________ 2)________________________ 3)_______________________

Yes / No
Did you apply to us previously? If yes please specify your
ex employment details

Do you know any employees of this

company/Group Company? Yes / No
Are you related to any employee of this If yes please specify
company? their details

Are you member of Employee Provident Yes / No

Fund? If Yes give Account No.
8) REFERENCE (Two reference compulsory)

Name Occupation Contact details (email id & Acquaintance Period

mobile no.)

Are You Physically Handicap Yes / No

Have you ever suffered from
any contagious disease
Have you ever been Prosecuted
If Yes, give brief details
Yes / No
If Yes, give brief details
Yes / No
If Yes, give brief details

11)DECLARATION

I hereby declare that the above said information is true to my knowledge. If any information is found wrong.
I shall be liable to dismissed from the service.

Date : ________________ Signature Of Applicant: _____________________________

For Office Use Only

Appointed / Not Appointed DEPARTMENT DESIGNATION AUTHORIZED SIGNATORY

DATE OF HR
SALARY PER JOINING
MONTH CEO/ED

MD/CMD