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FOR OFFICE USE ONLY

REQUIREMENT REF CLIENT / AREA / PROJECT POSITION SELECTED SALARY EXPECTED SALARY OFFERED CALLED ON INTV. ON ENTRY DATE TEST REMARKS YES NO

PERSONAL APPLICATION
PLEASE FILL IN THE COMPLETE DETAILS IN PRINT AND ATTACH PHOTOCOPIES OF CREDENTIALS AND REFERENCES

BAR CODE

POSITION APPLIED SECOND CHOICE PASTE PHOTO HERE PLACE OF BIRTH RELIGION CASTE

NAME AS PER PASSPORT DATE OF BIRTH AGE

FATHERS NAME SPOUSE NAME

MOTHERS NAME NO. OF CHILDREN

PASSPORT DETAILS
PASSPORT NUMBER ISSUE DATE EXPIRY DATE ISSUED AT ECNR ECR

EDUCATIONAL / TECHNICAL QUALIFICATIONS & CERTIFICATIONS


UNIVERSITY / INSTITUTE DEGREE / DIPLOMA / OTHERS* YEAR GRADE DETAILS

COMPUTER KNOWLEDGE
SOFTWARES USED

EMPLOYMENT RECORDS
EMPLOYERS TITLE FROM TO SALARY

GIVE DESCRIPTION OF DUTIES, RESPONSIBILITIES AND EQUIPMENTS USED -

NOTICE PERIOD REQUIRED TO JOIN ?

SALARY EXPECTED LICENCE # 3173 / MUM / PER / 1000+ / 3 / 5268 / 99

Plot # 8, Shah Industrial Estate, Off Veera Desai Road. Andheri (W), Mumbai - 400 053. Tel : + 91 22 26747160 / 65 / 70 fax + 91 22 26731878 email : indman@indman.com

ADDITIONAL EXPERIENCE DETAILS


EMPLOYERS TITLE FROM TO SALARY

GIVE DESCRIPTION OF DUTIES, RESPONSIBILITIES AND EQUIPMENTS USED

INDICATE GOOD OR FAIR KNOWLEDGE OF LANGUAGES READ WRITE SPEAK TYPE OF LICENCE/S L.M.V. H.M.V.

DRIVERS & OPERATORS COUNTRY OF LISC. ISSUE DT. EXP. DT. ORIGINAL / COPY

EQUIPMENT OPERATORS PLEASE SPECIFY EQUIPMENT USED / OPERATED


MAKE OF EQUIPMENT USED MODEL NO. EQUIP. CAPACITY CAPACITY LIFTED DETAILS

PLEASE READ CAREFULLY

APPLICANT'S CERTIFICATION AND AGREEMENT


MAY WE CONTACT YOUR PRESENT EMPLOYER NOW WITHOUT JEOPARDIZING YOUR POSITION ?

HAVE YOU EVER BEEN ARRESTED OR CONVICTED OF A FELONY? IF YES, PLEASE GIVE FULL DETAILS-

I) I HEREBY CERTIFY THAT THE ANSWERS GIVEN AND STATEMENTS MADE ARE TRUE AND CORRECT. IHEREBY AUTHORIZE ALL MY PREVIOUS EMPLOYERS AND REFERENCE TO FURNISH ANY INFORMATION CONCERNING MY PERSONAL CHARACTER, HABITS AND EMPLOYMENT RECORDS. 2) I AM SUBMITTING HEREWITH MY ORIGINAL PASSPORT WITH INDMAN CONSULTANTS BY AUTHORIZING THEM TO PROCESS MY OVERSEAS EMPLOYMENT VISA AND OTHER RELATED TRAVEL DOCUMNTS AS PER AGREED TERMS. I AGREE TO REIMBURSE THE EXPENSES INCURRED BY INDMAN CONSULTANTS TOWARDS PROCESSING OF MY TRAVEL DOCUMENTS IF I WITHDRAW MY DOCUMENTS AFTER PROCESSING MY VISA. 3) I UNDERSTAND THAT ANY MISREPRESENTATION OR MATERIAL OMISSION MADE ON THIS FORM OR ANY OTHER RELEVANT DOCUMENTS, TENDERS ME LIABLE TO DISMISSAL WITHOUT NOTICE AND I HEREBY WAIVE ALL MY RIGHT RECOURSE.

4) I UNDERSTAND THAT INFORMATION AND ANY DOCUMENTS PROVIDED IS WITHOUT OBLIGATION TO INDMAN CONSULTANTS OR TO THEIR PRINCIPAL ARE NOT RETURNABLE.

NAME AND CONTACT NO. IN CASE OF EMERGENCY

TEL. NO.

PRESENT ADDRESS

PERMANENT ADDRESS

MOBILE No.

EMAIL

TEL. NO.

APPLICANTS SIGNATURE

DATE

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