Recent Passport

Size Photograph

Annex 10-1-D
EMPLOYEE INFORMATION

(Do not use glue / stapler)

Full Name : .. Nick Name: Designation:

(in block letters)

Father's Name : . ID # .. E-mail Address: ..

Present Address :

Permanent Address :

Tel No. (if any) :

Tel No. (if any) :

Date of Birth :

Sex : Female / Male

Marital Status : Single / Married

Nationality :

Religion :

No. of Children :

Blood Group :

Spouse's Name :
Spouse's Profession :
Passport No. :

Date of Issue :

Place of Issue :

If you have any relative(s) working in SQ Group, give name(s), designation(s), place of work and relationship
1. Name :
2. Name :
Designation :
Designation :
Company :
Company :
Relationship :
Relationship :
Professional membership no. :
Name of the Institute :
Language Proficiency (Excellent/Good/Satisfactory/Poor/None)
Language
Speak
Mother Tongue :
English
Hindi
Others

Read

Write

Address

Relationship

Contact Number

Description

Efficiency

Remarks

Emergency person information

Name

Special Skills (if any)

Type

Education (in descending order)

Name of School /College / University /
Professional Institutions

Year of
Passing

Degree

Page : 1

Class / Division
/ Grade

Marks Obtained

Certificate Number

Other Qualification (Course attended, Training received or certificates obtained) :

Date
Course Attended
From
To

Employment Record (Start with your present job first)

Month & Year
Name & Address of Employer
From
To

Institute

Salary Drawn (Initial & Last)

Country

Job Title & Responsibilities

Have you applied for any job in the SQ Group before? If so, when and where?

Publication Information (If any)

Title
Type

Media

Date

References
1. Name :
Designation :
Address :

2. Name :
Designation :
Address :

Tel No. :
Relationship :

Tel No. :
Relationship :

Copy Right and abstract

Career Plans and Further Information (if any)

DECLARATION
I ... hereby declare that :
01. The particulars furnished in this application are accurate and completed to my knowledge and belief and I have not knowingly with held any
information, which, if disclosed, would affect my application unfavorably.
02. I shall be deemed to have been guilty of gross default, misconduct in the event of my appointment with .. if at
any future date it is found that my declaration as above is false or materially incorrect in any respect and in that case my service with the
company will be liable to be terminated without notice or payment of benefit whatsoever.
03. In the events of being selected for employment with .. I agree to abide by the rules and regulations of
the company which may be in force from time to time.

Signature of the Employee

Date

Page : 2