Please affix
recent passport NAME : Uthaya RU
size photograph
DATE OF JOINING: 14.08.2024
DEPARTMENT : Sales
DESIGNATION : Club manager
PLEASE FILL THE FORMS IN CAPITAL LETTERS ONLY
PERSONAL DETAILS
NAME: Mr. Mrs. Miss (Please tick)
Uthaya RU
________________________________________________________________________________
First Name Middle Name Surname (As in 10th marksheet/Pan / Aadhaar Card)
CURRENT (Local) POSTAL ADDRESS: PERMANENT POSTAL ADDRESS:
Address proof must match the information on record.
__________No 12,Thiruvalluvar nagar,
______________ DevadasNagar ______________________
______ Pammal (Po)
_____________ __________________________
______________________________________ _______________________________________
Landmark:__________________Auto stand nearby___________
Landmark:_______________________________
CITY:_______ Chengalpattu district _______ STATE:__Tamil Nadu___________
PIN CODE:_______600075______________________ PINCODE:_______________________________
MOBILE: _7871610981____________________________ EMAIL:
[email protected]_________________________________
ALTERNATIVE MOBILE NUMBER: If yes, then: _______________________________________
OFFICIAL D.O.B: D 5 0 M Y 9 8 9 PLACE OF
0 D M 7 1 Y Y Y
BIRTH:_____Thura iyur____________________
City, State
BIRTHDAY: D D M M Y Y 9 0
0 5 0 9 1 9 Y Y
NATIONALITY: __India________MARITAL STATUS: ___unmarried_____o+___ BLOOD GROUP:
___________
PAN NUMBER: Yes No
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If yes, then: ____________AEVPU4579D__________________
LANGUAGES KNOWN:
Mother Tongue: _____Tamil_____________________________
SPEAK Tamil English
READ Tamil English
WRITE Tamil English
FAMILY DETAILS:
RELATIONSHIP NAME DOB / AGE OCCUPATION DEPENDANT
(Yes / No)
FATHER Udhaya sankar-late
MOTHER Usha rani 54 Govt staff
BROTHER
/ SISTER Shalini 26 Doctor
SPOUSE
CHILDREN
QUALIFICATION DETAILS -
YEAR
QUALIFICATION FROM TO
NAME OF BOARD YEAR OF MARKS
INSTITUTE /UNIVERSITY PASSING OBTAINED
MM/YY MM/YY
X 2004
2005 2006 Lady lourd girls 2004 90
higher sec
XII / PUC
school,kottapal
ayam
2006 2010 Tamil nadu Tamil nadu 8.9
agricultural Agricultural
GRADUATION
college,madura university,coimb
i atore
2011 2013 Tamil nadu Tamil nadu 8.5
POST agricultural Agricultural
GRADUATION collcollege,ma university,coimb
durai atore
OTHER
CERTIFICATIONS
IF ANY
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PROFESSIONAL EXPERIENCE: - (Not to be filled by Fresher)
Beginning with last employment
TENURE NAME & CONTACT LAST NAME & REASON
DETAILS OF MAJOR DRAWN CONTACT
FROM TO DESIGNATION FOR
PREVIOUS RESPONSIBILITIES SALARY DETAILS OF
MM/YY MM/YY ORGANIZATION SUPERVISOR LEAVING
(P.A.)
2013 2024 Club manager Sales & marketing 30000/ Name:
Emp ID: Tel No:
Tel No: Email:
Name:
Emp ID: Tel No:
Tel No: Email:
Name:
Emp ID: Tel No:
Tel No: Email:
CERTIFICATION DETAILS:
Sl.No Certification Name Certified By Expiry date
Emergency Contact Details:
Primary Contact (Family)
- Full Name: _______________________Usha rani_____________________________
- Mobile Phone Number: ____________________________9843732855_______________
- Alternate Mobile Phone Number: ___________________________________
- Email Address: _________________________________________________
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- Relationship: _____________Mother_____________________ (e.g., Spouse, Parent, Child, etc.)
- Postal Address: __________________________Vannimalai kudiyeruppu,govt quateres,Ammapalayam
(Po),Perambalur dt,pin 621101_______________________
Secondary Contact (Local)
- Full Name: ______________________________Uthaya RU______________________
- Mobile Phone Number: ___________7871610981________________________________
- Alternate Mobile Phone Number: _____________9843732855______________________
- Email Address: [email protected]___________________________________________
Mother
- Relationship: __________________________________(e.g., Friend, Neighbor, Relative, etc.)
- Postal Address: _______D.no 385 ,vanimallai kudiyeruppu, Govt hospital quatres,Ammapalayam
(po)Perambalur dt ,pin 621101__________________________________________
Bank Account Details (For Salary Purposes):
Account Holder Name UTHAYA RU
Account Number 10077378218
IFSC Code:
Branch Name: IDFB0080123
Account Type : ( Saving account /
Salary Account or any) SAVING
Required Documents (Photocopies) : Please bring the following documents when
reporting:
☐ 1. Recent Passport-sized Photograph (1 copy)
☐ 2. Bio-data/ CV (same as submitted during the interview)
☐ 3. Educational Certificates (10th standard to highest qualification)
☐ 4. Experience Certificates/Relieving letters from previous organizations
* Note: Without experience/relieving letters, you will be considered a fresher.
☐ 5. Last 3 months' salary slips or bank statements (if pay slips are not available)
☐ 6. Form 16 (if available) from the previous employer
☐ 7. Permanent Address Proof
☐ 8. Current Address Proof
9. Photocopies of:
☐ PAN Card
☐ Aadhaar Card
☐ Driving License (DL) or Passport
10. Personal Trainer:
☐ Personal Training Certificate (photocopy)
11. All Trainers:
☐ CPR Certification (photocopy)
Please check the boxes (√) once you have submitted each document.
DECLARATION
I, _____Uthaya RU_______________________, hereby confirm that the information provided by me in this
form is accurate and true to the best of my knowledge and belief. I understand that any
misrepresentation or falsification of information may lead to disqualification of my candidature and, if
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employed, may result in termination of my employment and nullification of my contract with VIVAFIT,
whether with a franchisee or the corporate entity.
I authorize VIVAFIT, including its franchisees and corporate entity, to utilize the information provided
by me for any official purpose deemed necessary. Furthermore, I consent to VIVAFIT, including its
franchisees and corporate entity, conducting background searches, enquiries, and obtaining reports
as deemed necessary, at their sole discretion.
By signing below, I acknowledge that I have read, understood, and agreed to the terms and
conditions outlined in this declaration.
_ Uthaya RU 03/09/2024
SIGNATURE FULL NAME DATED
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