To be updated

by HR

People
Manager

Staff ID

Name:

Office
Representative

Staff ID

Name:

APPLICATION

FORM

Full name
(IN BLOCK
LETTER)

(First Name*)

(Middle Name*)

(Surname*)

*Name as per legal documents (i.e., PAN Card, Passport)

Designation

Date of
Joining
(DOJ)

Location
(DD -MMM-YYYY)

Line of
Service
(LOS)

SBU
Mandatory

Type of
Employment*

Sub
SBU

Attention applicant: It is your responsibility to provide sufficient information on this application to

indicate that you meet the minimum qualifications for the job for which you wish to be considered.
- Please read all instructions carefully.
- Complete all sheets of the application accurately.
- All fields marked with a (*) are mandatory
- Please mention dates in "DD/MMM/YYYY" format only (for e.g. : 31-Aug2009)
(Your application may be ineligible for review if information is omitted or
inaccurate)

1- Recent passport size

Personal
Information

photograph up to Shoulders (no

more than six months old).2Professionally dressed.3- JPG
Format 4- Grey background5Dimension: - 1050*1350 Pixels

Name
Gender
Date of Birth
Blood
Group*
Marital
Status
Nationality
Religion

(DDMMMYYYY)
Date of
Anniversary

(DD- MMM
-YYYY)

For Gratuity Nominations (a statutory Requirement) only

Birth
Birth
Country
Location
State
State Of
Others (Pls
Date (since)
Domicile*
Specify)
* "State of Domicile" is the state where you have a permanent residence to which, if absent, you have the
intention of return. Domicile is irrespective of whether you are staying there or not
Languages
Language 1
Language 2
Language 3
Language 4
Spoken
[Mother
Tongue first]:
Language
Speak
Read
Write
Correspondence Address:

Address
House No.Apartment
Name- Street
NameArea NamePlot No.
Sector
Location
Name
Landmark-

City

State

Pin code

Contact No.
(HOME)
Contact No.
(Self-Cellular)

Email ID

Permanent Address (please do not write IF same as above):

Address:
House No.Apartment
Name- Street
NameArea NamePlot No.
Sector
Location
Name
Landmark-

City

State

Pin code

Contact No.
(Land Line)
Contact No.
(Cellular)

Email ID
Emergency Contact Details:
Emergency
contact
person

Relationship
with Employee

Emergency Contact Address:

Address:
House No.Apartment
Name- Street
NameArea NamePlot No.
Sector
Location
Name
Landmark-

City

State

Pin code

Contact No.
(Land Line)
Emergency
Contact No.

Email ID

Fathers
Name
Husband's Name (for married women only)

Mothers Name

Bank Detail:
Name (as per
bank
records)
Name of the
bank*
Preferred email ID
Kindly suggest two email ID options.

Bank Account
No.

Option
1
Option
2

i.e. test@goodwillfabrics.com
i.e. test@goodwillfabrics.com