Brigade Group

PERSONAL DATA FORM Please Fix your Recent Photograph

Please fill in all the details in your handwriting. All information will be treated as strictly confidential.

Position applied :

Job Code :

Preferred Location : Bangalore / Chennai / Chikmagalur / Hyderabad / Kochi / Mangalore / Mysore

Preferred Area of work : Apartments & Integrated Enclaves / Offices / IT Parks / SEZs / Clubs & Resorts / Hotels / in Engineering Serviced Apartments / Convention Centre / Malls & Multiplexes / Others (please specify)

A. PERSONAL DATA : 1. Name (Block Letters) 2. Present Address

: Permanent Address

3. Contact Details 4. Date Of Birth 5. Marital Status 6. Family Details

Landline Email :

: :

Mobile Place Of Birth :

: Single/Married/Widowed (Tick whichever is applicable)

Age

Occupation

Age

Occupation

Father Mother Brother Sister 7. Father's / Spouse's /

Guardian's Name

Spouse Son Daughter

8. In case of emergency the person to notify:

Name : : Relationship : :

Address

Phone No.

9. Physical Data
Height

: Weight Blood Group

In case physically challenged, please furnish details : Have you had any major operations/illnesses within the past three years? yes / no. if yes, give details : 10. Languages Known Speak Read Write

Please tick (underline mother tongue)

11

Educational Qualifications : (Enclose photocopies of certificates) Name Of School /University Period Attended From To Course Degree/ Diploma Class Rank Year Of Passing

12

Specialized Training (Enclose photocopies of certificates): Name Of Institution Period Attended From To Details Of Training

13 Particulars of scholarship or special merit awards received : 14 Extra curricular activities : 15 Miscellaneous Data: A) Whether in possession of passport/visa ? if so, passport/visa no. and date of validity.

B) Are you staying in rented accommodation or own ?

B. Employment Particulars (Present Employment First)

(Enclose photocopies of previous experience certificates, appointment letter and salary slip of present employer. Please provide separate sheet if the space provided for employment detail is insufficient) Name & Address Duration From To Designation Responsibilities Salary Drawn CTC / annum Reason For Leaving

a) b)

c)

d)

e)

C. Present Salary Details :

Rs. Per Month Basic DA HRA Conveyance EPF (Employers Share) Medical Allowance Allowance (Please Specify) Monthly Gross (A) Less : Total Deductions (If any) (B) Net Salary (A B) Perks (If any, please specify) Car/Two wheeler details: Fuel /maintenance Entitlements (if any specify)

D. General Information :
Have you any relations/acquaintances in the service of the brigade group, if so : Name : Name :

Designation : Relationship :

Designation : Relationship :

16 Reasons for desiring to join our organisation: A) B) C) 17 Expected salary (CTC / annum) : 18 Minimum Notice Period : 19 If already a member of Provident Fund / ESI, please furnish PF No. & ESI No. 20 How did you come to know about this vacancy? a) Name of the Newspaper / Edition : b) Brigade Website c) Name of the Magazine :

d) Others (please specify)

E. Reference :
(Please give the name of two persons who know you but are not related to you, preferably superiors from your previous organisation.) Name Designation Name of the Organisation Address : : : : Mobile :

Telephone No./Contact No. Landline :

How long has he/she known you ? .................................... years.

Name Designation Name of the Organisation Address

: : : :

Telephone No./Contact No. Landline :

Mobile

How long has he/she known you ? .................................... years.

I hereby certify that the above information is true to the best of my knowledge. i understand that incorrect, false information given in this form will render me liable for immediate termination of employment. Place : Date : (Signature Of Applicant)