APPLICATION FORM

Attach Recent
Passport Size
A. Personal Details: Photographs

First Name Last Name

Full Name:
Father’s Name:
Gender: Male Female Date of Birth: Nationality:
Un-Married Married Birth Place: Blood Group:
Married Status: Aadhar Card Number:
Native:
Email:

B. Family details

Name Company &

Relationship Date of Birth Qualification
First Name Last Name Occupation

C. Contact Addresses:
Permanent Address (country of origin)

Flat/House No: Building Name:

Street/Area: City:
Country: Zip code:
Tele No: Mobile No:
Present Local Address:

Flat/House No: Building Name:

Street/Area: City:
Country: Zip code:
Tele No: Mobile No:

D. Language (Indicate proficiency level):

Note: Kindly fill all relevant fields and mention NA for not applicable cases
 APPLICATION FORM
Spoken Written Reading
Language
Excellent Good Poor Excellent Good Poor Excellent Good Poor
1.English
2.

3.

4.

E. Educational & Professional Qualifications:

Name of School/College Duration Year of Percentage

Name of the Course
/University From To Passing of Marks (%)

Any current standing arrears/papers pending? Yes / No (Kindly highlight)

F. Short Term Courses / Training Programs:

Duration Percentage
Name of Course Name of Institute Location
From To of Marks (%)

G. Extra-Curricular Activities:

Club / Association
Location Covered Period
membership
1.
2.
Hobbies (interests, sports)

H. Employment History (Previous Companies)

Note: Kindly fill all relevant fields and mention NA for not applicable cases
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Period worked
Name of the Position CTC /
Location From To Reason for Leaving
company held PA
(DD/MM/YYYY) (DD/MM/YYYY)

CTC Details (all in INR)

Monthly Components Annual / Retiral Components

Basic Employer PF

HRA Gratuity

Medical LTA (if annually

applicable)

LTA (if monthly applicable) Bonus / Incentive /

Variable pay – How
Special Allowance earned, Payment interval
and last FY earnings

Others 1 Others 1

Others 2 Others 2

Others 3 Others 3

Monthly total (A) Annual total (B)

Total Annual CTC = Monthly total (A) *12 + Annual

total

Expected Annual total CTC

Last salary revision date Notice period

I) Benefits in the present company

Benefit Available Subsidized (Fully / Additional details

Note: Kindly fill all relevant fields and mention NA for not applicable cases
 APPLICATION FORM
(Yes / No) Partial / No subsidy)

Canteen No of meals in a day:

Accommodation Sharing / Individual:

General:

I. How do you rate your present Health? Good/ Fair/ Poor …………………………
II. Physically Handicaps, if any Yes / No……… If yes, give details. ………………………….
III. Were you ever seriously ill, injured or operated? Yes / No……. If yes, give details. ………………………..
IV. Any Allergies? Yes / No……… If yes, give details…………………………………
V. Do you wear Spectacles? Yes / No …………If yes, give details. ……………………………………….
VI. Have you ever been arrested indicted or summoned as a defendant in a criminal proceeding or convicted,
fined or, imprisoned for the violation of any law (Excluding minor traffic violations) YES/NO

J) Relative within the Company:

Do you have relatives in Walkaroo Group Yes / No ………If yes provide the following details.

Name Department Location Relationship

K) Reference Details:

S.
Name of the Person Occupation Address and Phone Number
No

Emergency Contact Number: _________________________

I declare that all the above information is correct and genuinely true and that I have not knowingly withheld any
fact or circumstances which would affect my employment.

Place: _______________

Date: ________________ Signature of the Applicant…………………….

_____________________________________________________________________

Note: Kindly fill all relevant fields and mention NA for not applicable cases