Page 01 of 04

APPLICATION
FOR
EMPLOYMENT / TRAINING / APPRENTICESHIP
(To be filled in by the applicant in his/her own handwriting, no column should be left blank)

Application for Minimum acceptable salary / Stipend

PERSONAL DATA (Capital Letters)

Name in full

Father/Husband's Name Occupation
(Father/Husband)

ADDRESS:

Present Permanent


PIN PIN
Mobile Tel. (L) (M)
e-mail

State of Domicile


Date of Birth Place of Birth Blood Group Identification Mark
Height
Cms


Weight
Kg
Marital
Status
No. of children Total no. of
dependents


ACADEMIC/ TECHNICAL/ PROFESSIONAL QUALIFICATION (Begin with High School)
Examination
Passed
Name & location of
Institution attended
Year Of
Passing
Subjects/Stream/
Trade
Board/
University
Division/Grade and
Percentage (%)






























Gold Medal/Scholarship/Special Appreciation/Distinction obtained, if any


Give details of study/ course pursued currently/ wished to be pursued in future






Photograph




Page 02 of 04
COMPUTER LITERACY /QUALIFICATIONS


PROJECTS UNDERTAKEN



EXTRA CURRICULAR ACTIVITIES

School

College

Others

YOUR MAJOR STRENGTHS



HOBBIES

YOUR AMBITION IN LIFE (Personal)






(Professional)







LANGUAGES KNOWN READ WRITE SPEAK

(Underline Mother Tongue) English

Hindi

Punjabi
Others (Specify)

WRITE YES / NO FOR:

Shift Working : Yes No Staggered Off : Yes No
Driving : Yes No License(Driving) : Yes No
Computer Literacy : Yes No Passport : Yes No (If Yes No.
: Valid up to
Applied / Worked/ : Yes No Aadhar Card : Yes No (If Yes, No.
Interviewed in If Yes,
Ind-Sphinx before? when :








Page 03 of 04
WORK EXPERIENCE (Begin with latest employer)


Name, Postal & website
address of organization
Type of Industry
(Product/Service)
Designation & nature of
duties
From - To
(Dates)
Total Duration Reason for leaving Last Salary Drawn



































Name, Designation and contact number of present/last reporting head

Can we refer to your present/last employer Yes No N.A.

Any other information, you wish to add :








Page 04 of 04
GENERAL

a. Mention particulars of chronic ailments, physical handicap or disabilities, if any



b. Since when have you been a resident of Himachal Pradesh (if applicable):

c. General /OBC / SC / ST : Please attach Certificate

d. Are you a member of :

i) E.P.F. Yes No No.

ii) E.S.I. Yes No No.

iii)

iv)

v)
Employment Exchange

Any Labour Union

Facebook/Twitter
Yes No

Yes No

Yes No

No.

No.

e. Have you ever been convicted for criminal or other offences? Yes / No

If yes, give details

f. Name of your Relative / Friend in our company

(Specify relationship)

g. When can you join, if selected?/ Notice pay/period required



REFERENCES (anywhere in India)
(Persons should hold responsible positions and not to be related to the applicant)
Name
Occupation
Address


Tel(L) (M)
e-mail
Name
Occupation
Address


Tel(L) (M)
e-mail

I declare that the details furnished by me above are true. I understand that any misrepresentation or omission of facts in
this application will result in immediate dismissal without notice.
(eSa?kks"k.kkdj rk/dj rhgwafd esj s}kj kmi j crk, x, l HkhrF; l R; o l ghgSaAeSal e>rk/l e>rhgwafd fdl h
HkhrF; ds>wBk; kxyr i k, t kusi j eq>sfcukcrk, rqj ar ukSdj hl sfudkykt kl drkgSA




Place Date (Signature of Applicant)