Personal Details
Please expand initials in your name ---- As the same would be used in our Employment records
Father’s Name
Graduation
12th
10th
Any Technical
degree
Date of Birth (Please adhere DD / MM / YYYY
Nationality
to Date format mentioned)
Gender Male Female Marital Status Married Unmarried
Contact Details
Current Residential Address
(Number and Street)
Permanent Address
(Number and Street)
Current Residence Tel No Country Code: City Code: No:
Mobile No
Alternate Mobile No
E-mail ID
Alternate E-mail ID
Page 1 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.
Sl No Full Name Address of Contact No. Designation Reported to Period Last drawn Reasons for leaving
of the the Employer With STD (Name & From - To salary
Employer Code Position) (mm/ yy) (p.a.)
starting with (Gross)
latest
Employer1
Employer2
Employer3
Remarks if any :
Signature:_____________
Page 2 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.
Other Details
Are you currently under service agreement / bond with your existing employer? (Yes/No)
Have you applied to Kassa before? If yes, please provide the details
Have you ever been charged or convicted for any criminal offense in India or abroad? ( Yes / No )
If employed by Kassa, I agree to provide copies of mark sheets/Degrees and relevant certificates. I
understand that employment with Kassa is governed by Kassa Employment Policies as applicable,
including satisfactory information from a background check.
I hereby certify all of the statements made on the Kassa Finvest Private Ltd Employee Application Form
are true and complete and I understand that omission or misrepresentation of any fact may result in
refusal of employment or immediate dismissal.
I hereby authorize Kassa Finvest Private Ltd and its representative to verify information provided in my
resume and application of employment, and to conduct enquiries as may be necessary, at the
company's discretion. I authorize all persons who may have information relevant to this enquiry to
disclose it to Kassa Services Private Ltd. or its representative. I release all persons from liability on
account of such disclosure.
Signature : _______________________________
Date : _______________________________
Place : _______________________________
Page 3 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.
CONFIDENTIALITY, NON COMPETE AND NON SOLICITATION UNDERTAKING
I,__________________________________________,S/o Sh.
____________________________________________, Present Add.:
_________________________________________________________________________and
Permanent Add.:
_________________________________________________________________________ aged about
______ years, do hereby undertake and declare as under.
Page 4 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.
ownership, management, operation or control of any business, trade or occupation
which is in competition with any product or service offered by the Company or under
the companies research or development.
d) I shall not solicit any of the employees of the Company to leave the
employment of the Company during the term of my employment with the Company
and for a period of twelve (12) months immediately following the termination of
relationship with the company. Further, I shall never take any action or make any
statement of a disparaging or derogatory nature against the company or any
employee or officer therein.
e) That I understand that during the course of my employment for the
performance of my duties towards the company, I shall be in a position to enjoy
several deemed and implied powers, positions, besides the specific and non specific
resolutions, privileges & authorities. I shall use and exercise the said powers,
positions, resolutions, privileges & authorities in the best interest of the company and
not for any other purposes and not to the detriment of the interest of the Company.
f) That in case of violation/breach of any of the terms of the appointment, or any
directives from the Company, and the terms of this undertaking, I shall be
liable to face all the legal Consequences and liabilities and I & my legal heirs
shall be liable to compensate & pay damages to the company or its directors
etc. for the breach of this undertaking.
g) Your services are liable to be transferred at the sole discretion of
Management, in such other capacity as the company may determine, to any
department / section, location, associate, sister concern or subsidiary, at any
place in India or Abroad, whether existing today or which may come up in future.
In such a case, you will be governed by the terms and conditions of the service
applicable at the new placement location.
Page 5 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.
Department __________________________
Designation__________________________
Official Mail Id_______________________
Contact No. ________________________
Date
To
The Director
M/s. Kassa Finvest (P) Ltd.
H-35/3, Connaught Circus
New Delhi- 110 001.
Dear Sir,
Date of joining :
Page 6 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.
Signature
( )
Page 7 of 7 Signature