HR & ADMIN

EMPLOYEE APPLICATION FORM DEPARTMENT

EMPLOYEE PERSONAL DATA

Name: Surname
Patil Nitesh
First Name Kisan Name
Middle
Sex: Male Female Nationality: Indian
Birth Date: 15/02/1993 Religion: Hindu
Birth Place: Januna bk. Category: OBC
Mother Tongue: Marathi Height: cms
Blood Group: B+ Weight: KGs
Marital Status: Married Unmarried Separated Eyesight PASSPORT
Aadhar Card No.: Left Eye Vision: SIZE
8 45371750749
PHOTO
Driving License No.: Right Eye Vision:
Passport No.: Date of Issue:
Place of Issue: Valid Till:
EMPLOYEE CONTACT DETAILS
E-Mail ID: Skype ID:
LinkedIn ID: Facebook ID:
Present Address: Januna bk Ta. Mangrulpir Dist. Washim Landline No.:
Street: Mobile No.: 8805241041
Pin Code: 444403
City: Mangrulpir State: Maharashtra Landmark:
Permanent Address: Landline No.:
Street: Mobile No.: 8805241041
Pin Code: 444403
City: Mangrulpir State: Maharashtra Landmark:
Employee Family Details
Sr. Name of Family Member Age (Years) Relation Occupation Contact Number
1 Patil Kisan Naryan 60 Father Framer
2 Patil Sushila Kisan 54 Mother House Wife
3 Patil Nitesh Kisan 26 Self Job 8805241041
4
5
6
 Employee Friend Details
Sr. Name of Friend Age (Years) Occupation Contact Number Mail ID
1 Divakar Raut 32 Job 9579688911
2
Educational Background
Year of % Marks /
Degree / Diploma Board / University Name of School / College
Passing Division
SSC Amravati B.G.V.Mohari 2009 65.00%

Languages Known
Languages R W S Languages R W S Languages R W S
Languages Known
R – Read 1. Marathi 4. 7.
W – Write 2. Hindi 5. 8.
S – Speak 3. 6. 9.
Computer Proficiency
Operating System
Programming
Applications
Others
Training Details
Training / Course Attended Period Institution
1.
2.
3.
Honors / Scholarship / Project Work / Publications
1.
2.
3.
Extra-Curricular Achievement
Achievement Activity Year Level Prize
1.
2.
3.
 Hobbies & Interests
Hobbies Sports Books
Cricket

Personal Strengths & Weaknesses

Strengths Working

Weaknesses

Employment History
Designation & Job Salary Last
Employer’s Name & Address From To Reason for Leaving
Description Drawn

Present Employment
Employer’s Name : Spaura infrastructure Pvt. Ltd.
Address : Mangrulpir Ta. Mangrulpir Dist. Washim
Sales Turnover Date of Joining 10/06/2019
Position Joined Helper Present position Helper
Brief Job Description

Total Annual CTC Fixed CTC

Variable CTC Perquisites / Superannuation
Joining Time Required CTC Expected
Reason for Change
What aspects of your job did you like most?

Plant Cleaning

Why do you consider yourself suitable for the position?

Any other information?

Yes

Have you been interviewed by Spaura Infrastructure Yes No If yes When?

Group before? No
Have you been worked for Spaura Infrastructure Group Yes No If yes When?
before? No
Your Position Reporting to
Are you related to any present employee of the Yes No Name of Person
company? No
If yes, describe relationship
Do you have any specific health problems / issues? Yes No
If yes, give details
Have you been involved in Court proceedings or in domestic enquiry? Yes No
If yes, give details
Is there any balance period of service bond, if any, with the present employer? Yes No
References ( Other than relatives
& Friends )
Sr. No. Full Name Designation Organization Contact Number
1.
2.
3.
Declaration
I declare that the above information is true. In case any information given above is found to be partially / completely
incorrect, my appointment may be cancelled / withdrawn and my services terminated at any time.
I also hereby authorize Spaura Infrastructure Group and / or its representatives to independently verify the information
provided above and in my resume, and to conduct enquiries as Spaura Infrastructure Group deems fit. I also authorize
Spaura Infrastructure Group to share this information with its representatives to verify its authenticity.
In case Spaura Infrastructure Group finds any information on this form and / or in my resume false or misleading, or Spaura
Infrastructure Group is informed by its representatives that the information contained herein and / or in my resume, is false
or misleading, I accept Spaura Infrastructure Group’s decision to withdraw the employment offer made to me
unconditionally.

Place: Mangrulpir Date: Signature: