Kalpataru

Applicant Information Sheet

Personal Details
Name of the Applicant *
First

Middle

Last Name

Date of Birth (DD/MM/YYYY) *

Fathers Name
PAN Number or SSN for US*
Permanent Address
& Duration of Stay *
Telephone *
Mobile *
Current Address *
& Duration of Stay
Telephone *
Mobile *
Previous Address *
& Duration of Stay
Telephone *
Mobile *
Client Employee Code *
Whether to Contact the Current
Employer *

Yes

If Not, Then After What Date:

Please Note: Fields marked with astrix are absolutely mandatory.

Education History (Highest Degree Qualification)

Name of the Institute / College *
Location (City, State) *
Affiliated University *
Contact Details
Qualification (Type of Degree) *
Specialization (Major Subject) *
Dates Attended (DD/MM/YYYY) *

Start date and year of passing

Exam Seat No / Registration

Number / Enrollment No *
Marks Obtained / Class Obtained *

Documents Required: Copy of Degree Certificate & Final Year Marksheet *

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Confidential Materials

Employment History (Most Recent)

Employer 1 *
{Provide Agency Details if on Contract}

Location (City, State) *

Contact Details *
Employee Code * (If applicable)
Dates of Employment *

Start:

End:

(DD MM YYYY)

Designation *
Last Salary Drawn (CTC) *
Reason for Leaving *
Reporting Manager *
HR Manager

Employer 2 *
{Provide Agency Details if on Contract}

Location (City, State) *

Contact Details *
Employee Code * (If applicable)
Dates of Employment*

Start:

End:

Start:

End:

(DD MM YYYY)

Designation *
Last Salary Drawn (CTC) *
Reason for Leaving *
Reporting Manager *
HR Manager

Employer 3 *
{Provide Agency Details if on Contract}

Location (City, State) *

Contact Details *
Employee Code * (If applicable)
Dates of Employment*
(DD MM YYYY)

Designation *
Last Salary Drawn (CTC) *
Reason for Leaving *
Reporting Manager *
HR Manager

Documents Required: Copy of Relieving Letter (Preferred) or Experience Certificate

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Confidential Materials

APPLICANT AUTHORIZATION
I hereby authorize Kalpataru Limited and the appointed agencies to
Verify information provided in my resume and the applicant Information sheet for
employment purposes and to conduct enquiries necessary.
I authorize all who may have pertaining information relevant to this enquiry to
disclose the same.
Thank you.
Full Name: ____________________________________________ Place: _____________
Signature: _____________________________________________Date: ______________

DOCUMENTS CHECKLIST:
1. Completed & Signed Application Form
2. Relevant Education Certificates (Degree Certificate & Final Year Marksheet)
3. Experience Certificate or Relieving Certificate
4. Proof of Address & Identity: Government issued ID, or Passport Copy or Pan Card

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Confidential Materials