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Candidate Application Form

This document is an application form for Omniactive Health Technologies Limited. It requests personal details such as name, age, address, education history, work experience, references, and a declaration signed by the applicant. If hired, the applicant agrees the information provided is true and the company can terminate without notice if any information is found to be untrue.

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Bhavana Patil
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44 views

Candidate Application Form

This document is an application form for Omniactive Health Technologies Limited. It requests personal details such as name, age, address, education history, work experience, references, and a declaration signed by the applicant. If hired, the applicant agrees the information provided is true and the company can terminate without notice if any information is found to be untrue.

Uploaded by

Bhavana Patil
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HRD/REC/AP

OMNIACTIVE HEALTH TECHNOLOGIES LIMITED


APPLICATION FORM

For Office Use Only Location____________ Dept. ______________ Grade _____________ Sr. No.

PERSONAL PARTICULARS Name (in BLOCK letters)


Surname First Name Middle Name Photograph

Sex

Age

Date of Birth (D/M/Y)

Place of Birth

Marital Status

Religion No. of Children Spouse's Name Father's Name Age (1)

State of Domicile (2) (3) Other dependents Occupation Occupation

Please indicate the type of your present residential accommodation: Own Rented Company's Relatives/Friends Present Residential Address

Paying Guest

Permanent Address

Tel. (Resi.) Mobile

Tel. (Office) E-mail

Tel.

Linguistic Proficiency: (mark your mother tongue, pls. indicate against each language whether fluent, fair or slight) Language Speak Read Write

Membership of Recognised Professional Bodies: Association

HRD/REC/AP

EDUCATION: (begin with the highest qualification) Degree/Diploma or Certificate Name of School, College or University Year of Passing Class & % Principal Subjects Awards

EXPERIENCE: (Begin with present employer) Sr. No. 1. 2. 3. 4. 5. 6. ORGANISATION CHART: Please draw an organisation chart of your dept. mentioning (1) Level above your position; (2) The lower level reporting to you. Name of the Organisation Location From Mth / Yr To Mth / Yr Designation Reporting to No of reportees

HRD/REC/AP PROFESSIONAL TRAINING: Period From To Place of Training Nature of Training

Details of representation in sports at School / College / University:

No. of employees reporting to you

Brief description of your job responsibilities

Last Drawn Salary

Reason for leaving

DETAILS OF CURRENT EMOLUMENTS: Monthly Compensation (A) Particulars Basic HRA Education Conveyance PF (Co. contribution) Others: (1) (2) (3) Total (A x 12) Total Emoluments (A + B + C): Salary expected: If selected, when are you free to start? Others: (1) (2) (3) Rs. LTA Medical Gratuity

Yearly Compensation (B) Rs.

Perks, if any (Yearly) (C)

Particulars

Total

Total

HRD/REC/AP

CAREER PROFILE: What would you consider as your significant contribution to your past and present organisation?

What kind of a career do you visualise for yourself for the next five years?

What would you consider as your strengths?

What would you consider as your weaknesses?

Details of any serious illness you may have suffered from in the past:

Have you applied to this company earlier? Yes / No If yes, post applied for REFERENCES (other than relatives) we shall be writing to each one of them for a reference. No. 1. 2. 3. Name Designation E-mail Contact No.

DECLARATION BY THE APPLICANT: I hereby declare that the information given herein is true to the best of my knowledge and will form the basis of the contract of employment if I am employed by the Company. If at a future date it is found that any of the information furnished herein is untrue or incorrect in any material respect, the Company will have the right to terminate my services without notice or salary in lieu thereof.

Place

Date

Signature

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