PERSONAL APPLICATION
PLEASE FILL IN THE COMPLETE DETAILS IN PRINT AND ATTACH PHOTOCOPIES OF
CREDENTIALS AND REFERENCES
BAR CODE POSITION APPLIED
SECOND CHOICE
NAME AS PER PASSPORT PASTE PHOTO HERE
DATE OF BIRTH AGE PLACE OF BIRTH RELIGION CASTE
FATHER NAME MOTHER NAME
SPOUSE NAME NO. OF CHILDREN
PASSPORT DETAILS
ISSUE
NUMBER : VALIDITY ISSUED AT ECNR ECR
DATE
EDUCATIONAL TECHNICA QUALIFICATION
/ L S& CERTIFICATIONS
UNIVERSITY / INSTITUTE DEGREE / DIPLOMA / OTHERS* YEAR GRADE DETAILS
COMPUTER KNOWLEDGE
SOFTWARES USED
EMPLOYMENT RECORDS
EMPLOYERS TITLE FROM TO SALARY
GIVE DESCRIPTION OF DUTIES, RESPONSIBILITIES AND EQUIPMENTS USED -
NOTICE
PERIOD
REQUIR
ED TO
JOIN:
ADDITIONAL EXPERIENCE DETAILS
EMPLOYERS TITLE FROM TO SALARY
GIVE DESCRIPTION OF DUTIES, RESPONSIBILITIES AND EQUIPMENTS USED
INDICATE GOOD OR FAIR DRIVERS & OPERATORS
KNOWLEDGE OF LANGUAGES
READ WRITE SPEAK TYPE OF LICENCE/S COUNTRY OF LISC. ISSUE DT. EXP. DT. ORIGINAL / COPY
L.M.V.
H.M.V.
EQUIPMENT OPERATORS PLEASE SPECIFY EQUIPMENT USED / OPERATED
MAKE OF EQUIPMENT USED MODEL NO. EQUIP. CAPACITY CAPACITY LIFTED DETAILS
PLEASE READ CAREFULLY
APPLICANT'S CERTIFICATION AND AGREEMENT
MAY WE CONTACT YOUR PRESENT EMPLOYER NOW WITHOUT JEOPARDIZING YOUR POSITION ?
HAVE YOU EVER BEEN ARRESTED OR CONVICTED OF A FELONY? IF YES, PLEASE GIVE FULL DETAILS
1) I HEREBY CERTIFY THAT THE ANSWERS GIVEN AND STATEMENTS MADE ARE TRUE AND CORRECT. I HEREBY AUTHORIZE ALL MY PREVIOUS EMPLOYERS AND
REFERENCE TO FURNISH ANY INFORMATION CONCERNING MY PERSONAL CHARACTER, HABITS AND EMPLOYMENT RECORDS.
2) I AM SUBMITTING HEREWITH MY ORIGINAL PASSPORT WITH GASDROGEN OIL AND GAS CORPORATION BY AUTHORIZING THEM TO PROCESS MY OVERSEAS
EMPLOYMENT VISA AND OTHER RELATED TRAVEL DOCUMNTS AS PER AGREED TERMS. WE AGREE TO REIMBURSE THE EXPENSES INCURRED TOWARDS
PROCESSING OF YOUR TRAVEL DOCUMENTS AFTER PROCESSING YOUR VISA.
3) I UNDERSTAND THAT ANY MISREPRESENTATION OR MATERIAL OMISSION MADE ON THIS FORM OR ANY OTHER RELEVANT DOCUMENTS, TENDERS ME LIABLE TO
DISMISSAL WITHOUT NOTICE AND I HEREBY WAIVE ALL MY RIGHT RECOURSE.
4) I UNDERSTAND THAT INFORMATION AND ANY DOCUMENTS PROVIDED IS WITHOUT OBLIGATION TO GASDROGEN OIL AND GAS CORPORATION OR TO THEIR
PRINCIPAL ARE NOT RETURNABLE.
NAME AND CONTACT NO. IN CASE OF EMERGENCY TEL. NO.
PRESENT ADDRESS PERMANENT ADDRESS
MOBILE No. EMAIL TEL. NO.
APPLICANTS SIGNATURE DATE
