JK Organisation Employment Form (1) - 240308 - 124423

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CONFIDENTIAL

Personal Profile

JK ORGANISATION
Corporate Human Resource Department
Patriot House, 3 Bahadur Shah Zafar Marg
New Delhi - 110 002 Insert recent photograph
(in JPG/PDF format)
Phone : +91 11 33001112

Please fill up each and every part mentioning 'NA' if any part is not applicable
Attach additional sheet where space is inadequate (MS-Word format)
1 PERSONAL INFORMATION :
1.1 Position Applied :

1.2 Name :
(Block letters please First Middle Last
1.3 Name in brief Mr/Mrs/Dr/Ms/Other (e.g. Mr S.K.Shankar) :

1.4 Place of Birth : Birth date (dd/mm/yyyy) : Age (Yrs.) :

1.5 Gender : Male Nationality :

1.6 Marital status : Single Marriage Anniversary Date (if Married) :

1.7 Blood Group : Height (in cm) : Weight (Kgs.) :

2 CONTACT INFORMATION :
2.1 Present address : Permanent address :

City : PIN : City : PIN :

2.2 Residence Phone : Mobile Phone :

2.3 Email : Work Phone :

2.4 May we discretely call you at work? : Yes

3 FAMILY BACKGROUND :
Relationship Name Age Present/Past occupation/profession Dependent

Father Yes
Mother Yes
Spouse Yes
Yes
Sons /
Daughters Yes
Yes
No
Brothers /
Sisters
No
No

4 ACADEMIC RECORD (Please mention details starting with Secondary school ) :


Course / Duration (dd/mm/yyyy) Marks obtained
School/College Board / University Main Subjects
Degree From To (% or CGPA)
Surname

5 DETAILS OF EXPERIENCE STARTING WITH APPOINTMENT IMMEDIATELY BEFORE THE PRESENT ONE AND WORKING BACKWARDS

DURATION PERIOD COMPANY NO. OF YOUR DESIGNATION, EMOULUMENTS (Rs per Annum)
NAME OF THE ORGANISATION NATURE OF
FROM TO TURNOVER EMPLOYEES IN NATURE OF WORK & TOTAL COST TO
& PLACE OF POSTING BUSINESS SALARY
(dd/mm/yyyy) (dd/mm/yyyy) (Rs. in Cr) THE COMPANY REPORTING TO THE COMPANY
6 PRESENT ORGANISATION
6.1 Name and address of Organisation :

6.2 Nature of Employer's business :

Date of Joining (dd/mm/yyyy) :

6.3 Approx. annual turnover of company (Rs. in Cr.) : Turnover under the applicant (Rs. in Cr.) :

6.4 Number of Employees : Employees under the applicant :

6.5 Present position : Date appointed to present position (dd/mm/yyyy) :

6.6 Details of loans, if any :

6.7 Total Cost to Company (CTC) per annum (Rs.) :

6.8 Please outline your present job responsibilities :

6.9 To whom are you responsible ?


6.10 Who are responsible to you ? (Please explain through an organisation chart (see last page) showing your place & role
relationship in it, others at your level, who are reporting to you and to whom are you responsible)

6.11 Reasons for seeking new job :

6.12 If you have held your present appointment for less than one year, please describe your previous
appointment on an attached sheet. What are your significant career / professional achievements ?

6.13 Overseas travel - Countries visited and purpose ?

7 LANGUAGES YOU KNOW :

8 Hobbies including membership of social & cultural bodies :

9 Please provide an assessment of your strengths and weaknesses :


10 Are you physically challenged ? (If Yes, please elaborate) No

11 Have you had any illness in the last 3 years which lasted for more than 15 days with/without
hospitalisation ? (If Yes, please elaborate) No

12 Have you ever been interviewed by or worked in any JK Organisation concern? (If Yes, which business in JK
Organisation and which position?) No

13 Are you related to anyone in the JK Organisation ? (If yes, give the Name, Designation & Organisation) No

14 Please state your career objectives including why you consider yourself suitable for the position (within 100 words) :

15 One major achievement of yours in the present Employment :

16 May we refer to your previous employers' ? (No reference will be made without your permission) Yes
17 What remuneration do you expect to receive per annum ? (Rs. in Lakh)
Salary Other Allowance Variable Pay Other Gross Total (CTC)

18 Once selected how much time will you require for joining ?
19 Are you prepared to work anywhere in India ? (If 'No', please indicate places/areas in order of preference) : Yes

20 Name and address of three referees, two of whom should not be relatives and should have known
you in a Professional capacity, e.g. former bosses, a senior colleague, mentor or a customer :
Phone with STD code
Name Designation Organisation How known
Work/Home/Mobile/Email ID

21 Can we directly contact the referees provided by you ? Yes

All information stated by me in this form is accurate and true to the best of my knowledge.
Date Applicant Signature

FOR OFFICE USE ONLY


1st Interview
1. Date of Interview Place of Interview :
2. Interviewed by

3. Remarks :

Final Interview
1. Date of Interview Place of Interview :

2. Interviewed by

3. Remarks :

Assessment Rating :
ORGANISATION CHART
(showing your position in the chart and positions reporting to you)

Enclosure to Point No. 6 (6.10)

Name of Company _____________________________________

Date _______________

Click here to insert the Organogram in JPG/PDF format


COMPARATIVE COMPENSATION
Name :
Position :

PARTICULARS
CURRENT EXPECTED
I. REMUNERATION - COST TO THE COMPANY: Rupees Remarks Rupees Remarks
A. SALARY (A)
B. Allowances
i) Allowance
ii) Special Allowance
iii) Fixed Performance Linked Pay
iv) Other (Please specify)
Sub Total (B) ---> 0 0
Total (A+B) ---> 0 0
C. Salary Linked Allowances/
Reimbursements/Benefits
i) Medical - Reimbursement
- Allowance
Sub-Total (i) 0 0
ii) Leave Travel Assistance Cum Holiday Expenses
iii) Retirement Benefits
a) Provident Fund - Co.'s Cont.
b) Superannuation - Co.'s Cont.
c) NPS - Co.'s Cont.
d) Gratuity
Sub-Total (iii) 0 0
iv) Residential Accommodation
(a) Company Lease /Rent paid by Co./ HRA
(b) Less: Recovery from Employee
Sub-Total (iv) 0 0
Total C [(i) to( iv)] ---> 0 0
D. Conveyance - Reimbursement
i) Car Maintenance
ii) Driver's Wages
iii) Other (Please specify)
Total D ---> 0 0
E. Group Medical Insurance
F. Any other (Please specify)
i)
ii)
iii)
Total F ---> 0 0
G. GRAND TOTAL (A TO F) (a) --> Per Month 0 0
(b) --> Per Annum 0 0
H. Benefits in Kind - Annualised 0 0
I. TOTAL [G(b) &H] --> Per Annum 0 0
J. Variable Performance Linked Pay --> Per Annum
TOTAL COST TO THE COMPANY (I & J i.e. A to J) 0 0
II. ASSETS PROVIDED BY COMPANY
1) Car
2) Other (Please specify)
Total assets provided by the Co. 0 0
III. BENEFIT IN KIND (Annualised)
i) Car (annualised)
ii) Mobile/Telephone, etc.
iii) Other (Please specify)
Total (III) ---> 0 0

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