WORK EXPERIENCE (Starting from first employment ) ( Use additional sheets, if necessary )

Employer’s name & full Duration Designation Details of assignments No. of Designation Gross monthly salary Reason for
address From To employees of immediate On On leaving
(Month (Month directly superior joining leaving
& & supervised
Year) Year)

BRIEF DESCRIPTION OF YOUR PRESENT JOB DRAW BRIEF ORGANISATION STRUCTURE OF YOUR PRESENT COMPANY
(use additional sheets if required ) (indicate two levels above and one level below your position)

What kind of a job / position are you looking for ?

Indicate your location preference.

SALARY DETAILS * Tick mark as applicable ( )
Particulars Monthly Remarks
emoluments Your present accommodation : Company Own Rented Joint family
( Rs.)
Type of Vehicle : 4 Wheeler 2 Wheeler
MONTHLY
Basic Owned by : Self Company
DA Own Residential Telephone : Yes No
House Rent Allowance Significant academic and career achievements ( use additional sheets if required )
Educational Allowance
Special Allowance
Conveyance Reimbursement
( Fixed Monthly Payments )
Lunch Allowance / Subsidy
Others
1.
2. Sub Total A
ANNUAL (Converted to monthly )
Leave Travel Assistance / Allowance
Bonus / Exgratia
Commission / Incentive References : Names, designation and address of three persons NOT related to you
Medical Reimbursement ( two of them should have known you professionally )
Executive Bonus 1.
Other :
1.
2. Sub Total B 2.
DEFERRED ( Converted to monthly )
Provident Fund
Superannuation
Gratuity 3.
Other :
1.
2. Sub Total C I certify that the foregoing information is correct to the best of my knowledge. I am aware
GRAND TOTAL that any false, distorted or incorrect information given by me may result in termination of
Expected gross emoluments from my service with the Company at any time, without any notice or compensation.
Thermax Joining time if selected
* Please submit copies of current salary slip, revision letter, appointment terms etc.
as proof. Date Place Signature