BGR ENERGY SYSTEMS LIMITED

APPLICATION FOR EMPLOYMENT

(Please fill in your own handwriting)

Type of work desired Name in fill (in capitals) Father's / Husband's Name Address of Communication

If selected, joining time required

Reference

Permanent Address Res: Off:

Phone No. PP: Mobile:

Email: Have you ever sought employment with this company? If so when? Give Details.

Age Day Citizenship

Date of Birth Month Sex Male

PERSONAL DETAILS Place of Birth Year Height Female Weight

Mother Tongue

Passport No

Blood Group

Are you suffering from any disability or contagious illness? If yes, give details

MARITAL STATUS (Pl.tick relevant block) If married,

Single Date of Marriage Is your wife / husband employed? If yes, employer name Details of children Sons (No.(s) Daughters (No.(s) Relationship

Married

YES

NO

Age (years) Age (years) Age Profession

Details of parents and family members: Name

Family Background Brothers Sisters (No.(s) (No.(s) Age(years) Age(years)

Qualifying Exam

Year of Passing

EDUCATIONAL / PROFESSIONAL QUALIFICATION Name of the School / Meidum of Class / Division College or Institution Instruction % of Marks Obtained

Subject of Study

Languages Known 1. 2. 3.

Speak

Read

Write

4. Membership of Professional Organisation / Association, if any, Name of the Organisaiton

Membership No.

Extra Curricular Activities

Period of Service From To No of Yrs

WORK EXPERIENCE (START WITH PRESENT EMPLOYMENT) Designation, Name Brief Description of Total Salary and Address of the job, functions and Last Start Organsation responsibiltites Drawn
(Pls attach separate sheet if reqd)

Reason for Leaving

Record below industries, equipment, or operation which you are familiar and / or specialised (Please attach separate sheet if necessary)

Specify area in which you consider yourself most proficient? (Please attach separate sheet if necessary)

Reference: (Give names of employer and others who know you well) Name Address & Phone Number Occupation

How long you are known to him

Have you ever been a member of any trade union / political party / Organisation? If so please furnish the details

Have you ever been convicted by a Court of Law for an offence? If so, please furnish details.

Speifcy acquaintances connected with the company and its group companies S.No 1. 2. 3. Name Relationship, if any

SALARY DETAILS
Item Monthly Benefits: (A) Basic DA HRA Conveyance Present * Remuneration Recommended Remarks (For Office use) Remarks (For Office use) HR Department Ref. By : Designation CTC per month :

Monthly Salary ANNUAL BENEFITS: (B)

(Calculated per month)

G.M. / V.P

President / Director MONTHLY CTC (A+B) EXPECTED MONTHLY CTC * Please enclose latest salary slip PF Account No. I declare that the information / particulars herein above furnished by me are true and correct to the best of my Knowledge and belief and it conceals no material fact. I further declasre that any errors or suppression of facts in respect of matters stated above shall make me liable for dismissal from service

Date :

Place:

Signature:

APPRAISAL OF THE CANDIDATE

HR Department Personality Head of the Department Genl Mgr / Vice President President / Director

Communication Skill

Job Knowledge

Rating A-Excellent D - Average B-Good E - Below Average

A B C D E A

C - Satisfactory Specific Achievements

General Observations, Comments and / or Remarks

Adverse Remarks / Unusual behaviour, if any

Relevance of past experience to the job

HR Department Whether the candidate satisfies job requirements in full. Yes No Yes

Head of the Department

Genl Mgr / Vice President

President / Director

No

Yes

No

Yes

No

Overall Rating A-Excellent D - Average B-Good E - Below Average

A B C D E A B C D E A B C D E A B C D E

C - Satisfactory Recommendation

Location Reporting to Probation / Training Period Proposed Designation Proposed Salary Name Signature Approval

MANAGING DIRECTOR

CHAIRMAN & MANAGING DIRECTOR