Affix recent

passport size
photograph duly
signed

APPLICATION FOR THE POST OF JUNIOR OFFICERS ON CONTRACT AT CAN FIN HOMES LTD
1. Name of the applicant
(in capitals)
2.Fathers name
3.Occupation /Business of Father
4.Sex

Male /Female

5a. Date of Birth

DD

5b. Age as on 01/03/15

MM

Years

YY

Months

Days

6. Place of Birth
7. Place of Domicile
8. Permanent address

9. Address for communication

10.Phone: Land line (with STD Code)

Mobile No.
Email ID :
11. Languages Known
a)
b)
c)
12. Branch preferred/opted.

TO SPEAK

TO READ

Choice

TO WRITE

Name of
branch

Distance from
place of
Domicile

First
Second
Married/Unmarried

13. Marital Status

14. Educational qualification
Sl
Examination /
No.
Course
01.
SSLC/SSC
02.
Pre University/
Intermediate
03.
Graduation
04.
Any other qualification

University/ Board

15. If already employed details of previous experience

Sl
From
To
Name of the employer
No.

16. If selected, probable date

of reporting by me
17. Knowledge of Driving

YES / NO

18.Particulars of application fee

DD No: ___________

Subject

Year of
Passing

Designation

% of marks

Nature of
appoi
ntme
nt

Salary per
mo
nth

Date: _________

Name of Bank : __________

Amount : Rs.______
I hereby declare that, all the statements made in this application are true and if any of the particulars furnished by
me are found to be incorrect, my candidature is liable to be rejected at any stage of the selection process.
PLACE :
DATE :

SIGNATURE OF THE CANDIDATE

NB: Please note to fill all the columns in the application.