KOHINOOR MILLS LTD

APPLICATION FOR EMPLOYMENT

Please answer each question clearly and completely. The information submitted
AFFIX
In this form will be treated by the Company as strictly private and confidential.
RECENT PHOTO

1.Name: 2. N.I.C.No.
(in capitals)
3. Father’s Name: Occupation:

4. Mailing Address: Permanent Address: Position

applied for:

Telephone No. Telephone No. Minimum Salary

Acceptable
5. Date/Place of Birth: 6. Nationality: 7. Religion:

8. Sex: 9. Height: 10. Weight Kgs.

Mtr. Cms.

11. Marital Status: Single Married Date: / /

12. Spouse’s Name

Occupation: (if any)
13. Name ( s) of Dependents: (including spouse & Children who are dependent on you for
support).
Name Date of Birth Relationship Name Date of Relationship
birth

14. Have you any relative in this Company?

Yes No

If “yes” state name & Relationship:

15. Have you previously submitted an application with this organization? If “ Yes “ indicate
date: / /
16. Have you ever been arrested, indicted or summoned into court as defendant in a criminal
proceedings,
or convicted, fined or imprisoned for the violation of any law ( excluding
minor traffic violations) ?

Yes No
17. Education. Give full details i.e. School/College/University/Institution.

Name and place Years Attended Certificate, obtained Grade / Main Course
Percentage Of study
From To

18. Employment Record: ( Starting with your present job, list in backward sequence every employment
You have had. If you need more space attach additional pages of the same size).

Name of Employer Nature of Work Salary From To Reason for leaving.

19. Have you any objection to our making inquiries from your present Employer?

yes No.

20.References: List three person not related to you, who are familiar with your character, qualifications
And competence whom the Company may contact at any time.

Full Name Full Address & Phone No. Business or Occupation.

21. State any other relevant facts, which in your opinion may be of interest in considering your appointment

22. I certify that the statements made by me in answer to the foregoing questions are true and complete to the best of my
knowledge and belief. Permission is given to make such investigations as are necessary on the information given above. I
understand that any misrepresentation or material omission made herein or in any other document requested by the company
renders an Employee liable to dismissal.

Date: Applicants Signature

HRGP 02/F-02