® MALABAR CEMENTS LIMITED Bai Seamsl WALAYAR - PALAKKAD e099 sleoem acid avladidas eilalga’, aogaod, anerasos APPLICATION FORM FOR EMPLOYMENT cereilanjep arenieeid On000 Post Applied for emoniacilagjen maya, soci Name (IN BLOCK CAPITALS) Gai Present Address fe,proem aasialenm. Phone No: Permanent Address cdlonow aastailon ae Phone No: 1) Name of Father (2qjodlo oni5) ll) Name of Mother (anaamj0s anid) i: il) Name of Guardian (eaaadaaoailodto ond) Iv) Relation with Guardian eeaiadomongzom}aR sus Date of Birth com esky Place of Birth-Vilage/Municipality eamomunee « alleged / mans: Taluk imaeqed) District «ng State (wacom): 2) Your Religion and Caste ismgos aaage woah. ) Whether you belong to SC/ST/OBC if yes, attach required certificates : clan aglanomnislacdgonteen ap) alemoos adsvesiken aAoygmenn aan pels) aauqaxn roan. somjavawaae) aardcansemasth, Married / Unmarried ailanacineme aoniinnactaacnn9. 2 Family details (Father, Mother, Spouse and Children) Sismoamajclyjon ailaiosmd (an243, anna, arayesamerl aislas) Name Relation ‘ge | Occupation] Whee Dependent ons anv cumgy omaslas ‘Yes/No 16. Physical Data: waddle ailnincsus a) Height ms. ‘Weight Kgms. 200. moa b) Have you defective : agomblel, oaniacgsmud goar2t 1. Sight 4. Arms et aiad Bead 2. Hearing 5. Legs eainilas enegaias 3. Speech: 6. Any other eunavastonyrmals aagoorelegs ) — Have you had any major operation/iliness in + the past three years?. If yes, give details estan 3 aidacmimastes clades apometeys come wondimaluean mpmysiean gemseslsjemst ‘pari eiotad oikasailaine abaya. 11. Educational Qualifications inilysqjomy emauymai) School/College/Institute where studied | Examinations Passed | Year of passing | “lass wee Ri oe marks i nidly atené { caooael | wotqylgus | apqyow asdlanacd | anquom aidan | gol, goded womaam3 Details of your employment : (Starting from Present Employment) croelow aiSlapen alainamis igea)s¥oam aroell gv0,195) Name and Address of employers: Period ‘Salary drawn ]Reason| emnell exiciaigm comengies | (Nome of PO soeroent rosary ee canis castatenmnys From [To [vs | wm, | “oioans 13. Languages known : (anolwangmm eaten) Read iapmlegjand) Write (apeejniand) Speak rvamvoataayniod) 44. a) (i) Have you any special interest or talent in any sports/games/cultural activities: agomeley, aciegken aavleniemnagcn lamoiia’ wiexie amainallow aosBaIye29 ‘gomeat (ii If yes, give details 2m, apelas cikeaailan, matey b) What are your hobbies 2 ikangyas canoes ngonmgyost 15. Have you any relatives working in this company? aiamgias mimmend amaomlens 27 amunilelas ‘oraelldningjmjomeat IF yes, give Details gomstsIoS. alos allios mabajer 16, a) Had you worked in any post in this company earlier ? BP aminivlad agomsley» madolaclss clans aroell oariotgjemo7 If yes, give details PomEsles altos ailaios mabayes b) Had you applied for any postin this company earlier Doing ycSai gy amriclact agometey» emolamlcoad «ems aocaianilsisyesnot IF yes, give details Pomsela} alkoa allnios makajer17, a) Have you been convicted of any criminal or wil offence by any court anywhere in India cr abroad? cikmog minilesom isliknebens cgonslegs a}gantes gnmyclocams aiese omens ajomBky, caosalads nosjsjaae >) Whether any Civil or Crimimal case In your name Is in existence in any court : lenges aadlas avalenamo whiknenews conujod agomelen, eaosailaglt enilegemaa? ©) Have you been prosecuted by any police or Other Govt. authorities for any Civil or Criminal offence in your name: camgos anidlas eanchns aoclaocleage wniatoas aeulaoslaog avinlenemo ‘baa aigande’ casrysyasiggomer d) Have you been terminated or dismissed by any company of establishment? t lewog agomeleg» amicilet eam meaamaslas came aldlapoisjecne askrislgy oargecwo gauoulsoarsst Tf yes (to a, b, ¢ d) give detail : a,b, ¢, 6 waitiad game. “pei” apanosni spots ailesaiains malaje 18. Minimum salary expected lewd paqslaajm ajosam mgs 19. Minimum time required for joining duty i emocilalad eaiajands ela jos cua, 20. Two personal references other than relatives ©: ensuye cilemog aiclaxmates om) (wom agesilagss exis casinieodag. Thereby certify that the foregoing information Is true. I fully agree that any false information given in this application will entail my immediate dismissal from service. 1 am wiling to work in any-of the sections of the company fon shit duty or any ste, locations or other units or offices anywhere in Incia and under the supervision and direction of the company or officials entrusted by the company. ajeqlot aidsastcleom apg ailanema), amar) apni amd galmsd enndhiasasaaim. 2 ewonieanenconses amodh apoommleg» eraarsems annimal alajacarDem ape» cians mathe! apm ailtls amines omnayoysjanssnal apualedo cals aminies agom gsamom omoeialed olan> Niolagnisoagmmncann anoid qweawD? ajSanorcl Taaslazeso—TT), gD qucouMenTee) agowsley, aonchyagiaen Sgomeleg. jmigagle somgjeglen omsamlecn ahiglacn aminlqesens amin) oloslailslosjm Doqromodacjescms widejoniar exdeloagadd agilad awamaoa apm. ano) emndlailayosoeo}m, Place Date Signature of the Applicant crue mantaaisodio aaj aged