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Advertisement Reff Position Applied for

APPLICATION FOR EMPLOYEMENT This
form is to be completed with own handwriting

NAME (Block letters) :

Permanent Address Present Address

Please affix your Passport Size
Photograph

Phone Number Mobile : Email id :-

Age DOB Height Weight Sex Blood Group Married /Single

Fathers Name and Occupation : Religion : Caste :

FAMILY DETAILS
S. No Names Age Relationship Occupation

Extra Curricular Activities

LANGUAGE PROFICIENCY
Hobbies and Accomplishments
Speak Read Write
Malayalam
English
Tamil
Hindi languages
Other
(Specify)

Are you a member of any professional Social or culture body? If yes , give details :

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DOMICILE DETAILS
Places of stay exceeding one year at a stretch during last 10 Years

Place and Address From To

ACCADEMIC & TECHNICAL QUALIFICATIONS

Details of all examination passed from matriculation onwards Class Regular,
Examination University Subject or Parallel
Passed Institution /Board Period of Study Studied Grade or by
Corresp

Details of all courses and examination attended other that the above

State reasons for gaps in studies if any

Employment Records

Details of experience starting from present position

Reason
Period of
Organization Position Salary Nature of Duties for
Employment
leaving
 REFERANCE
S. No Name Designation Organization Phone Number Email address

Have you previously applied for the work with Vera Group of concerns ?

Joining time required Salary Expected

DECLARATION
I hereby declare that the particulars given above are, to the best of my knowledge and belied, correct and true. I
understand that if appointed, any incorrect information given in this application is sufficient cause for termination of
my service .
Place : Signature
Date :

INTERVIEW EVALUATION SCORE

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