JOB APPLICATION FORM

H.S. (Electrician)

I.T.I. (Electrician)

Unskilled Khalasi

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Full Name *

Father’s Name *

Male/Female *
Male Female

Date of Birth *

Marital Status *

Contact No. *

Email Id *

Aadhar No.

Bank Account No. *

IFSC Code *

Name of Bank *

Branch

PAN *

IP/ESIC No

Branch

Name is same in Bank Account
Yes No

UAN/EPF No

Nominee Name

Relation

Name of Employer/Organisation	Post	Last salary (in Rs.)	Date of Joining (dd/mm/yy)	Date of Leaving (dd/mm/yy)	Duration of Job (in years)



Total Duration of Job experience *

(a) Passing Certificate
(b) Experience Certificates if any
(c) Aadhar Card
(d) Bank Account Passbook
(e) Medical Fitness Certificate issued by any govt. Doctor*
(f) Character Certificate issued by Police Inspector*
(g) Undertaking in prescribed format*

Note: Documents as mentioned in Sl.No. 6(e), 6(f) and 6(g) may be submitted later at the time of documents verification if got selected

I declare that, to the best of my knowledge, the information given is true and correct. I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in rejection of my application or even termination of employment with this organization if got selected. I understand that this application does not constitute an offer of employment. I also declare that I have thoroughly gone through the general instructions and I agree on all the terms and conditions of the company regarding this employment and I have no any objections on any of the paragraph of general instructions

Academic Qualification	Subject/Stream	Name of Institution	Board	Year of Passing	Marks (in %)