For HR use only

Please affix a S ___________________

passport size
photograph here H___________________

T ___________________

F ___________________
ASSOCIATE APPLICATION FORM

Designation Applied for: __________________________________________ Date: _DD_ / _MM_ / _YYYY_

Name (in full): Mr./Ms.____________________________________________________________________________

(Surname) (First name) (Middle name)

Date of Birth: _DD_ / _MM_ / _YYYY_ Age: ________ Marital Status: __________________________

Telephone (Res): _____________________ Mobile: ___________________ / _____________________

Email: __________________________________________________________________________________________

Address: ________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

LANGUAGES KNOW: (please tick) Mother Tongue: __________________________

English Hindi Marathi Other(1): _________ Other(2): _________

Spoken
Read
Written

EDUCATIONAL QUALIFICATION

Qualification Name of Institute/Board Place Year of Passing Percentage /

Grade
1. X
2. X+2 / Diploma
3.
4.
5.

Additional Qualification: ___________________________________________________________________________

Computer Skills: _________________________________________________________________________________

WORK EXPERIENCE: (Start with your current job)

Sr.
Name of the Organisation Designation Reporting to Annual CTC (in Reason for
No.
(Designation) Rs.) change
1.

From: _MM_/ YYYY_ To: _MM_/YYYY_

2.

From: _MM_/ YYYY_ To: _MM_/YYYY_

3.

From: _MM_/ YYYY_ To: _MM_/YYYY_

4.

From: _MM_/ YYYY_ To: _MM_/YYYY_

5.

From: _MM_/ YYYY_ To: _MM_/YYYY_

Total Work Experience (in years): ______________ Total Industry Experience (in years): _____________________

Achievements: __________________________________________________________________________________

_______________________________________________________________________________________________

Present / Last: Annual CTC (in Rs.): _________________ Monthly Take Home (in Rs.): ______________________

Expected: Annual CTC (in Rs.): _________________ Monthly Take Home (in Rs.): ______________________

Notice Period required to join (in days): ______________________________________________________________

Have you applied to us earlier? (If yes, given details):

_______________________________________________________________________________________________
 For HR use only

Have you worked as consultant before?

Name: ____________________________________ Designation: ______________________________________

Have you suffered any major illness? (If yes, given details):

_______________________________________________________________________________________________

What do you dislike the most in your current / previous organisation?

_______________________________________________________________________________________________

Were you asked to resign or terminate your services at any time? (If yes, give details):

_______________________________________________________________________________________________

What are your career goals?

_______________________________________________________________________________________________

Hobbies

_______________________________________________________________________________________________

Any Legal case or criminal case filed against you?

_______________________________________________________________________________________________

FAMILY BACKGROUND:

Name Age Education Occupation

Father

Mother

Wife/ Husband

Children 1.

2.

Sister(s) 1.

2.

Brother(s) 1.

2.
REFERENCES:

Please provide contact details of at least 3 references whom you have directly reported to in the last 10 years.

Particulars 1 2 3

Name

Contact No.

Designation
(at the time you reported
to him / her)

Name of the organisation

(at the time you reported
to him / her)

Period (From – to) MM / YYYY MM / YYYY MM / YYYY

(you reported to him / her) To To To
MM / YYYY MM / YYYY MM / YYYY

Comments
(for internal use only)

DECLARATION:

I hereby declare that the information provided by me is true and subject to verification. I understand that any
incorrect / false information in the application form will render me unconditionally liable for termination of my
employment.

Date: _DD_ / _MM_ / _YYYY_ Place: __________________ Signature: _______________________