Post Applied For

Personal Details

Name

Middle Name PHOTOGRAPH

Last Name / Surname

Marital Status

Sex Nationality Religion

Date of Birth Place of Birth State

Blood Group Height Weight

Spouse’s name Spouse’s date of birth

Father’s name Father’s date of birth

Mother’s name Mother’s date of birth

Children’s Details Name Date of Birth Sex

1 Male / Female
2 Male / Female
3 Male / Female

If Permanent address is same as communication address

Kindly mention the Communication address
then kindly mention “same as communication address”
Present Permanent
Address Address

Pin Code Pin Code

Telephone Telephone
e-mail e-mail

Pan No. Adhar

Languages Known Language Read Write Speak

1
2
3
4
Category – UG (Undergraduate), G (Graduate), PG (Post
Academics
Graduate) D - Doctorate
From Year To Year Category Institute / Location Certificate Specializations, if any Results
 Career In reverse chronological order - Start with your present employment

From Year To Year Organization / Location Type of Industry Last Designation Reasons for Leaving

About Your Present Employment

Number of Gross Salary p.m. Gross Salary p.m.
Annual Turnover Employee Strength Reporting to
reportees (Starting) (Current)

Responsibilities & Achievements in Present Employment

Key responsibilities Major achievements (Personal / Professional)

Tell us exactly what you can do for “Ventair”.

1. ....................................................................................................................................................................................

2. ....................................................................................................................................................................................

3. ....................................................................................................................................................................................

4. ....................................................................................................................................................................................

5. ....................................................................................................................................................................................

6. ....................................................................................................................................................................................
May we refer to your previous employer?

Have you been interviewed earlier by us / our associate companies?

If Yes, Position interviewed for Interview Date

Place of interview Interviewer

How soon would you be free to take up the new assignment, if offered?

Do you have any locational preference?

Current Remuneration Details

Per Month
Salary Components Per Annum Any other Allowance, kindly Per Month
(Rs.) (Rs.) mention (Rs.)
Basic Salary
House Rent Allowance
Conveyance Allowance
Special Allowance
Any Other Allowances Pl. mention

Gross Salary
Employer Contribution to PF
Employer Contribution to ESIC
Medical Reimbursement
Leave Travel Allowance (LTA)
Gratuity
Cost to Company (CTC)

What CTC (Cost to Company) do you expect to receive per annum / Per
Month?

References Details of three persons other than your relatives (at least 1 from your previous organization)
Name Designation Organization Telephone E-Mail

I hereby declare that the information given is true to the best of my knowledge and will form the basis of the contract of
employment if I am employed by Multiplex Appliances Pvt. Ltd.If at a later date if is found that any information furnished herein is
untrue or incorrect in any material respect, the Company will have the right to terminate my service without notice or salary in
lieu thereof

Place Date Signature

 Current Company Name Last Company Name

Current Designation Last Designation

Address Address

Contact Number Contact Number

E mail Id E mail Id

Working Period Working Period

From From
To To
Reporting To Reporting To
(Name,Desig.,Ph. (Name,Desig.,Ph.
No.) No.)
Team Size Team Size
Team Details Team Details
Name Designation Contact No. Name Designation Contact No.

Target Target
Taken(Mo/Qu/HY/An) Taken(Mo/Qu/HY/An)
Revenue Revenue
Achieve(Mo./Qu/HY/An) Achieve(Mo/Qu/HY/An)
No. of
Dealer/Distributor No. of Dealer/Distributor
Handles Handles
Details of Distributor/Dealer Details Details of Distributor/Dealer Details
Name Contact No. Area Name Contact No. Area

Area Covering Area Covering

CTC CTC
Fixed Variable Fixed Variable

Notice Period

Reason For Change

Reason For Change
 Previous Company Name Previous to Previous Company Name

Designation Designation

Address Address

Contact Number Contact Number

E mail Id E mail Id

Working Period Working Period

From From
To To
Reporting To Reporting To
(Name,Desig.,Ph. (Name,Desig.,Ph.
No.) No.)
Team Size Team Size
Team Details Team Details
Name Designation Contact No. Name Designation Contact No.

Target Target
Taken(Mo/Qu/HY/An) Taken(Mo/Qu/HY/An)
Revenue Revenue
Achieve(Mo/Qu/HY/An) Achieve(Mo/Qu/HY/An)
No. of No. of
Dealer/Distributor Dealer/Distributor
Handles Handles
Details of Distributor/Dealer Details Details of Distributor/Dealer Details
Name Contact No. Area Name Contact No. Area

Area Covering Area Covering

CTC CTC
Fixed Variable Fixed Variable

Reason For Change Reason For Change