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thyssenkrupp Industries India

Application for the post of ______________________________________________________ Date: _________________

[1] Full Name: ________________________________________________________


(First Name) (Middle Name) (Surname)
[2] Present Address:

Please affix recent


State Passport size
photograph
Pin Code: Tel. No.

[3] Permanent Address:

Pin Code: Tel. No.

[4] Email Address : ___________________________ Emergency Contact Number : ________________________


[5] Mobile Number : _______________________________________________________________________________
[6] Nationality : _________________________________________________________ Gender: Male / Female
[7] Date of Birth : __________________ Birth Place: ______________________ Blood Group: ______________
[8] Age: ________ Years ___________ Months [9] Total Experience______________Years _____________ Months
[10] EDUCATIONAL QUALIFICATION:

Examination Year of Major Subject / Percentage/


Name of the Institute & City
Passed Passing Specialization Grade
S.S.C.
(10th )
H.S.C.
(10+2 )
Diploma

Graduation
Post
Graduation

[11] Other Special Training / Courses Done


Period of training
Sr. No. Name and address of institute Details of Courses
From To

[12] Previous association with tkII – Yes / No


If Yes Department: ____________________________________ Designation ___________________________________

[13] Have you been interviewed before? – Yes / No (if Yes) Department: _____________________________________

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CAREER INFORMATION

(In chronological order starting from first employment)


If unemployed or self-employed, state the period and the nature of business, as the case may be.

Period of Total
Employment Position emoluments
Name and Address of the Employer Department
Held (CTC PA in
From To
Lakhs)
1

PRESENT EMPLOYMENT

[1] Name and address of Present employer :

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Pin Code: __________________ Phone Number: (___________) ________________


STD Code
[2] Number of persons employed: ___________________ approx. annual sales turnover: _______________

[3] Period of Employment : From : _________________ to: ____________________

[4] Designation held (Position) : ______________________________________________________________

[5] Salary Drawn (CTC) : ___________________Per Annum

[6] Any contract or bond: Yes / No (if Yes specify) :

[7] Notice Period : ____________________; Can it be curtailed? _______________________________

Description of duties, responsibilities and your specific achievements in present job.

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________
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Your position in organization structure
(Organization Chart along with your position and total number of employees reporting to you)

Present Salary details:

Description Per Month Per Annum

1] Basic
2] DA
3] ADDA
4] HRA
5] Conveyance
6] Bonus (Fixed)
7] Performance
linked rewards / incentives
8] Special Allowance
9] Leave Travel Allowance (LTA)
10] Medical
11] Telephone / Mobile
Reimbursement / Allowance
12] Any Voucher Payment
13] Superannuation
14] Provident Fund
15] Gratuity
16] ________________
17] ________________

Total CTC

Salary Expected: Rs._____________________ Per Annum

(*Please enclose copies of salary slips for last three months)


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PERSONAL DETAILS:

[A] Marital Status: _______________________________ Number of Children: _______________________


[B] Information regarding your family.
Staying
Sr. Date of Birth Dependent
Relationship Name Birth Place Occupation with you
No. (DD/MM/YYYY) (Y/N)
(Y/N)
1 Spouse

2 Father

3 Mother
4

[C] Mother tongue: _______________ Language Known: Marathi : Read Write Speak
English : Read Write Speak
Hindi : Read Write Speak
_________ : Read Write Speak
_________ : Read Write Speak
GENERAL DATA

[1] Passport No. and date of validity _______________________________________________________________________


[2] Permanent Account Number (PAN):

[3] Do you have a driving license? Yes / No License number: ________________________________________________


[4] Do you have any Relative / acquaintance in our Company? Yes / No
if yes, Name : ______________________________________ Department _____________________________________
[5] How did you come to know about this position? – (Please tick the relevant category)
Employee Referral/ Placement agency / Advertisement / Direct/ Job Sites
_________________________________________________________________________________________________
[6] Professional References (Other than your relatives)
Sr. Since when you know the
Name Title / Designation Contact Number
No referee

HEALTH DATA
[1] Height: __________ cm [2] Weight: __________ kg
[3] Identification marks: _________________________________________________________________________________
[4] are you suffering from any chronic illness or have undergone any surgery? : _____________________________________
[5] Do you wear glasses? Yes / No
[6] Are you Specially Abled? Yes / No; If yes, please give details: _________________________________________

I declare that the information in this form is correct and complete.


Date: _________________
Place: _________________ __________________________________
(Signature of applicant)

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