Annexure IV

Photograph

Name: Post Applied for: Date and Place of interview: Name of Reference:

Jindal Steel & Power Limited

PERSONAL PROFILE

Name (Last, First, Middle) Fathers/Husbands Name Permanent address:

Address for communication:

Phone/Mobile number(s) E-mail address Date of birth Nationality: Sex: No of Children (if any)

Age Yrs Place of birth Marital status: Blood Group: Boy Age Girl Age

Academic Qualification (starting from school leaving to graduation) Name of School/ College/ University Year of Passin g Class &%

Course

Main Subject

Professional Qualification (Any Professional Degree/Diploma/Post Graduation) Year Name of College/ of Course Main Subject Institution/ University Passin g

Class &%

Academic achievements (Prizes/Scholarships/Awards won)

Details of Experience List down Present employment details (Pl complete this section even if you are attaching a resume). 1. Present Major contributions to organization the

Address Date of joining 1. On Joining Designation CTC per annum Reason(s) for leaving 5. Present Job Responsibilities: At Present 2. 3. 4.

company or its customers

Please draw the relevant part of your Current Organization Chart to specify the reporting relationship between you, your superiors and subordinates (highlight your position).

Detail of Previous Employments Other than current employment (if applicable) Sr. Name of the Year (MM/YY) Designatio Job No Organization n Responsibilities From To

CTC (PA)

Total Experience: .(in years). Detail of missing years in experience (if any) Period Reason Membership of any professional body/association: Body / Association Nature of membership (eg. Life / individual, etc.)

Specialized Training Undergone: Please dont mention routine courses. Course Period / duration Institution

Language proficiency: (Language Known) 1. 2. 3.

(Mother Tongue)

4.

Why would you like to join Jindal Steel and Power? (Max 200 words)

Why should you consider yourself fit to be hired by JSPL? (max 200 words)

Additional Information Yes Have you ever been employed or interviewed by this company before? If Yes, give detail Do you have any friends or relatives employed in this company? If Yes, please provide their names and relationship with you: Time required to join in case selected Expected Date of Joining No

References: Two persons (not relative) who have knowledge of your work performance 1 Name Occupation Company name Address E-mail Telephone Nos. 2

I certify that the facts stated in this document are true and correct to the best of my knowledge and belief.

Dated:_____________ Applicant)
DETAILS OF COMPENSATION

(Signature of

Please attach latest salary slip as proof (Mandatory), Latest form 16 on joining A B B1 Particulars (Rs. Per month) Designation Emoluments Basic Present Remarks

B2 B3 B4 B5 B6 B7 B8 B9 B10 Total C C1 C2 C3 Total D D1 D2 D3 D4 Total E E1 E2 E3 Total F F1 F2 F3 F4

Allowance Allowance Allowance Allowance Allowance Allowance Allowance Allowance B Monthly total on Salary slip Reimbursements (if any)

C Annual perks Medical LTA Bonus/ Exgratia D Statutory benefits PF Gratuity E Any other Benefits

Total Gross B+C+D+E

Cost to Company

Expected CTC :

I hereby confirm that all the facts stated above are true to the best of my knowledge. I fully understand that any mis-statement/ concealing of facts would disqualify me from this job resulting in termination of service, with me.

Dated:_____________ Applicant)

(Signature of