F U C H S LUBRICANTS (I N D I A) PVT.

L
TD.

CORPORATE HEAD OFFICE

Atur House, 2nd Flr, 87,
Annie Besant Rd., Worli,
Mumbai 18, India
Tel.:91 22 56661046 / 224946841
Fax :(91) (22) 56661049.
Email – fuchsindia.bom@vsnl.com

APPLICATION BANK
Instructions
1. This application must be filled by the applicant only Date :
2. All information details must be filled in
3. Please fill only in BLOCK letters

Post Applied for :

AFFIX
SNAP
1. Name:
First Name Father’s / Middle Name Surname
HERE

2. Address & Telephone Nos. for Communication

Address - Tel. Nos -

3. Permanent Address & Telephone Nos.

Address - Tel. Nos.-

4. Date of Birth 5. Age yrs.

6. Nationality 7. Religion 8. State to which

you belong

9. Marital status 10. If Married Spouse : Age :

details
Child : Age :

Child : Age :

11. Details of Academic & Professional Qualification (Please mention from latest first)

Examination Passed College / Board / University Year of Class %

Passing

Fuchs Lubricants (India) Pvt. Ltd. Application Bank 1

 Examination Passed College / Board / University Year of Class %
Passing

12. Proficiency in languages (including mother tongue)

Language Only Speak Speak & Read Speak, Read & Write

12. Details of Employment / Training (Start from Present)

Period Organization & Position & Job Emoluments Emoluments Reasons for
Address Resp. (joining) (leaving) Leaving
From To

13. Details of Present Job

Salary – Basic DA CCA HRA
Perks / Allowances (if any)

Job Responsibilities

Positions in Present Organization (Please draw an organogram indicating your own position)

14(a). Have you traveled outside India ? Yes No

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14.(b) Please give details of passport No. and expiry date

15 Notice period required to join

16 Membership of Professional Bodies

a. b.

17. Are you a member of any Provident Fund Scheme ? If so, please give details

18. References (no relations please)

Name : Name :

Occupation: Occupation:

Address: Address:

Tel. No.: Tel. No.:

19. Salary Expectations

20. Details of Enclosure(s) & Testimonial(s)

21. DECLARATION

I hereby declare that the information given above is true & correct to the best of my knowledge and
belief & I understand that I shall be liable to appropriate disciplinary action, if the information given
above is found to be incorrect.

Date : Signature :

For Company Use Only

• Selected / Not Selected / Kept on hold

• Designation :

• Place of Posting :

• Agreed Salary :

Date : Signature :

Fuchs Lubricants (India) Pvt. Ltd. Application Bank 3

Fuchs Lubricants (India) Pvt. Ltd. Application Bank 4