Mitsui. O.S. K. Lines (India) Pvt. Ltd.

CANDIDATE PROFILE FORM

1. Personal Details

Paste
Photograph

Name : _________________________________________________________
(first)
(middle)
(surname)
Gender
Date of Birth

: Male / Female
: _____ / _____ / _______
(dd) / (mm) / (yyyy)

Blood Group: _______

Local Address: _____________________________
____________________________________

Marital Status
Date of Marriage

: ___________________
: _____ / _____ / _______
(dd) / (mm) / (yyyy)
: ____________________

____________________________________
____________________________________
____________________________________
Telephone: (Off) ____________________________

Languages Known (Indian)

Spoken
: __________________________
Written
: __________________________

(Res) ____________________________
Mobile: ___________________________________
Email: ____________________________________
Permanent Address: _________________________

Nationality

Languages Known (Foreign)

Spoken
: __________________________
Written
: __________________________
Valid passport
: Yes / No / Applied For
If yes, valid upto
: ____________________

____________________________________
____________________________________
____________________________________
Telephone: ________________________________

2. Educational Qualification
Exam

Status : Regular/
Part-Time / Dist.

Month &
Year of

Edu.

Passing

Institute /
University

%/
Grade

Main Subjects /
Specialization

Std. X
Std. XII
Graduation /
Diploma
Post
Graduation /
Diploma
Others

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Mitsui. O.S. K. Lines (India) Pvt. Ltd.

3. Awards / Scholarships / Prizes
1. _____________________________________________________________________________
2. _____________________________________________________________________________
3. _____________________________________________________________________________

4. Computer Awareness/ Other Professional Qualification

Course

Year
(FromTo)

Full Time /
Part Time

Frequency (Specify # of
days & # of hrs per session

Do you have a computer at home? Y / N

Have you formally learnt typing at an institute: Y / N
Institute

Course Duration

Institute Name &

Location

If Yes,
Year

Speed (wpm)

5. Family Details
Relation

Name

D.O.B.

Qualification

Occupation

Name of Company

Father
Mother
Spouse
Brother (s)

Sister (s)

Children

6. Emergency Contact Details

Name

Relation

Candidate Profile Form Ver 1-01 Nov-04

Telephone (Off)

Telephone (Res)

Mobile

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Mitsui. O.S. K. Lines (India) Pvt. Ltd.

7. Work Experience (Starting with current job)
Company &

Designation

Location

Period of

Duration Responsibility

Annual

Employment
Month & Year
From

Salary

To

Reason for leaving / seeking a change: ___________________________________________

Total Experience: _______yrs_______mths Relevant Experience: _______yrs_______mths
Strengths related to the Job applied for: ________________________________________
________________________________________________________________________
8. References
Give two references (other than relatives) of people who have known you personally as well as
professionally, particularly superiors from previous employment. No references shall be made to
your present employer without your consent.
Name

Company

Period for

Capacity in

Designation

which he/she
knows you

which he/she
knows you

Contact No.

E-mail Id

1
2

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Mitsui. O.S. K. Lines (India) Pvt. Ltd.

9. Personal Profile
(Career Plans & Objectives, plans for higher education, extra curricular activities, personal strengths &
weaknesses in about 100 words)

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I hereby declare that I am not under any service obligation / agreement other than the notice period
stated above to serve any other employer. If appointed, I would join duty only after getting properly
relieved by my current employer. I also declare that, I have no criminal / legal proceedings pending
against me.
I certify that the information furnished above is true to the best of my knowledge and any misrepresentation made by me in this form will render me liable to be terminated from service, if
appointed.
Date: ________________ Place: __________________ Signature: __________________

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