Académique Documents
Professionnel Documents
Culture Documents
RECENT
PHOTOGRAPHY
(Preferably Colored)
Personal Information:
Name: ______________________________________________________
Father's Name: _______________________________________________
Present Address
Permanent Address
_______________________________
__________________________
_______________________________
__________________________
_______________________________
__________________________
Marital
Single
Status:
Married
Family Details
No. of Children:__________
Ages:
__________
Parents Details
Residing with you:
Other
Office
Religion
Domicile
NIC NO.
Father only
Mother only
Both
None
Partly
Not depen
Major Subjects
Matriculation
Intermediate
Bachelor's
Master's
Others
Employment History:
Please describe every position which you have held since first began to work. Start from the last position.
Also account for all periods of unemployment and state reasons.
Reason for
Date
Gross Salary
Leaving
Name and Adress of the
Position Held
From To
Starting
Last
Employer
Please give break up of yur present/last gross salary on the attached sheet.
Basic Pay
Housing
Conveyance
Yes
No
o Are you under any service bond with your present employer?
Yes
No
Yes
No
Yes
No
Yes
No
o Have you ever been convicted of crime other than traffic violation
if yes, give details:
Yes
No
o Does any member of your family (wife, children & parents) suffer from or have
a history of any serious contagious illness or disability, if yes, give details.
Yes
No
o Please feel free to add any other information you think should be considered in evaluating your application
To
If so so upto when:
References:
Please give the names of two persons other than relatives to whom you are well known.
Name
Address
Occupation/Position For how long are you
known to him/her
Telephone contact
I certify that the information given by me is true and correct to the best of my knowledge and I understand
that a false statement will render me liable for termination of my Training.
Applicant's Signature
Date
Place