TNHFCtrust & NEEDtrust

“DISABLE THE DISABILITY”

Job Fair for Differently Abled

APPLICATION FORM

1. PERSONAL DETAILS:

NAME :
AFFIX
DATE OF BIRTH : YOUR
PHOTO
GENDER : Male / Female HERE

MARITAL STATUS : Single / Married

NAME OF FATER /
MOTHER/GUARDIAN/
HUSBAND :

COMMUNITY :

ADDRESS FOR
COMMUNICATION :

PINCODE :

STATE :

PERMANENT ADDRESS :

PINCODE :

STATE :

TELEPHONE NUMBER
WITH STD CODE :
(To you do not have a phone, give the
Contact number of someone close to
You with the person’s name)

MOBILE NUMBER :

E-MAIL ID :
2. EDUCATIONAL QUALIFICATIONS:
 Degree &
School Month & Month &
Subjucts (for eg: Name of School/ Duration of Percentage of Medium of
Qualification Board/ Year of Year of
B.E – E.E.E M.A College and Location Course marks (%) Instructions
University joining Passing
– History

Class X

Class XII

Diploma

Degree

PG Diploma

PG Degree

Any other
TNHFCtrust & NEEDtrust
 TNHFCtrust & NEEDtrust

Brief Details of all Academic Projects (if any):

In case of computer based projects, please indicate in “Description” the front end and back
end applications used.

Academic Title of the Project Name of the Duration Description

year Organization of the
Project
 TNHFCtrust & NEEDtrust

3. COMPUTER SKILLS (Please tick) :  YES  NO

If YES
(a) Basic Computer Skills (Please tick the ones opplicable)

1. MS Word 
2. MS Excel 
3. MS Power Point 
4. MS Access 
5. Internet Applications 
6. others
(b) Advanced Computer Skills (Please write in details)

Programming Languages
1.
(eg.C, C++ etc)

Operating Systems
2.
(Eg: Windows, Linux etc)

Sofware Packages
3. (eg. MS Office, Adobe
Photoshop, SAP etc)

Web Programming Languages

4.
(eg: HTML, Java Script etc)

Hardware & Networking

5. (eg. Troubeshooting
LAN/WAN etc)

6.
 TNHFCtrust & NEEDtrust

4. ADDITIONAL QUALIFICATIONS:

(a) Languages Known : (Please tick)

Language Speak Read Write

English
Hindi
Other (Specify)

Other (Specify)

(b) Typewriting (please tick) :  YES  NO

If Yes please specify speed

Language Qualification with speed

Lower Higher Other
English
Hindi
Other (Specify)

Other (Specify)

(c) Any Other Qualification:

5. WORK EXPERIENCE : YES  NO 

If YES, please fill in the details below

SI No. Company Designation Nature of work Date of Date of Total Last

Name joining Leaving duration Salary
(Month (Month in drawn
& year) & Year) months (Per
Month

6. DETAILS OF DISABILITY:
 TNHFCtrust & NEEDtrust

(a) Nature of disability (please tick: Hearing/Orthopedic/ Visual/ Others

(b) Please give details of disability:

HEARING IMPAIRMENT:

i. Hard of hearing / Moderate / Severe loss (please tick)

ii. Do you (please tick)

- sign
- Lip read
- Speak

iii. Do you use hearing aid? Yes/No

ORTHOPAEDIC IMPAIRMENT:

i. Give details of orthopedic disability : (Eg: left leg, right hand, both legs
etc)

ii. Do you use any assistive device for mobility? (eg: calipers, crutches,
wheelchair etc.) If yes, please specify.

VISUAL IMPAIRMENT:

Blind / Low Vision / Any Other (please tick)

i. Describe the degree of your vision loss you have in one or both eyes:

Left eye: Right eye:

ii. Do you Know Braille? Yes / No

iii. Do you use Computers? Yes / No

iv. Do you use any assistive device / technology to use computers? (eg.
JAWS / magnifier.) Please specify.

v. Do you use any assistive device for reading? If Yes, Please Specify.
 TNHFCtrust & NEEDtrust

FOR OTHERS INCLUDING FOR THOSE WITH MULTIPLE DISABILITIES:

i. Mention your disability and the details of disability (In not more than
50 words)

ii. Do you use any assistive device? If Yes, Please Specify

(c) other than the above mentioned, if you need any other special assistance at work
place, which the employer would need to be aware of, please specify

7. PREPARATORY SEMINAR

Preparatory seminar on Saturday, August 28th , 2009 – 9 AM to 10 AM

The seminar is an added advantage for you at TNHFCtrust. We have arranged for top HR Professionals to
give you practical and valuable tips on expected corporate behavior. This will enable you to face interviews more
confidently to be able to present yourself better to your prospective employer. Make use of this wonderful opportunity!

Please note : This Seminar is NOT compulsory.

: A token amount of Rs. 50/- will be collected from you at the Venue

I would like to participate in the preparatory Seminar? (Please tick):

Yes  No 

I declare that all the above details are true.

Date: Signature of Candidate

Place:
 TNHFCtrust & NEEDtrust

Terms & Conditions:

Applications can be downloaded from www.tnhfctrust.in and also

from our out district representatives. Additional information on
this obtained from NEED TRUST,New-33, Old-14, 48th Avenue,
Ashok Nagar, Chennai – 600 083.

1. Only shortlisted candidates will be called for the job fair to attend
personal interviews.

2. Candidates who are not shortlishted will not be permitted to

attend job fair. (ne®Kf¤ nj®î¡F Kiwahd foj« »il¡f¥ bg‰wt®fS¡F
k£Lnk g§nf‰f mDkâ c©L)

3. Shortlisted candidates will be intimated by post/email/fax on

basis of the availability.

4. Filled in applications can be emailed to careeforyou@ymail.com or

can be posted to be following address NEED TRUST, New-33,
Old-14, 48th Street, 9th Avenue, Ashok Nagar, Chennai – 600 083.

5. Shortlisted candidated will be required to register their

candidature for interview by paying Rs.50 in the venue. (ne®Kf¤
nj®É‹ miH¥ghs®fŸ %.50I mDkâ f£lzkhf nj®î eilbgW« âd¤j‹W
neÇš brY¤â uÓJ bgw nt©L«.)

6. Selected candidates may be liable to serve through out the

nation.