Job Application Form Updated

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    07-May-2017

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<p>EMPLOYMENT APPLICATION / PERSONAL PROFILE</p> <p>Wuerth Group India</p> <p>EMPLOYMENT APPLICATION / PERSONAL PROFILE</p> <p>Post Applied for :</p> <p>Name : Designation :. Dept :</p> <p>Affix Photo</p> <p>1. Personal:</p> <p>1. Date of Birth: Place of Birth: </p> <p>2. Religion: Caste / Community:</p> <p>3. Nationality: Sex: Blood Group:.</p> <p>4. Address for Communication</p> <p>Phone No.Permanent Address</p> <p>Phone No.</p> <p>5. Languages Known (Please tick appropriate column) Read Write Speak</p> <p>i. (Mother Tongue).. </p> <p>ii</p> <p>iii</p> <p>iv</p> <p>v.</p> <p> 6. In case of emergency contact</p> <p> Name..RelationshipTel No</p> <p> 7. Do you know driving: Two Wheeler Four Wheeler None</p> <p> If yes, driving Licence No.Valid up to</p> <p> 8. Do you own: Two Wheeler Four Wheeler None </p> <p> 9. Do you have a Passport: Yes No</p> <p>If yes, Passport NoValid upto.</p> <p>2. Health History:</p> <p>1. Your blood group: ..</p> <p>2. Do your wear Spectacles : Yes No</p> <p> If yes, What power : right eye Left eye</p> <p> 3. Any Known allergies:..</p> <p>4. Do you suffer from Respiratory Disorder Heart Disease</p> <p> Blood Pressure Diabetes Asthma </p> <p> Others Specify: </p> <p>5. Have you suffered any aliments in the past? Give details.</p> <p> .</p> <p>6. Have you had any accident in the past?</p> <p>3. Family Background:</p> <p> 1. Whether married? Yes No </p> <p> If yes, furnish date of marriage:..</p> <p>FAMILY BACKGROUND</p> <p>Name</p> <p>(Family members)AgeQualificationOccupationDependentYes / No</p> <p>4. Educational History: (Starting from 10th Std.)</p> <p>Name of the </p> <p>InstitutionFromToExam</p> <p>PassedSpecial </p> <p>Subjects% of </p> <p>Marks</p> <p>Trainings Attended:</p> <p>Achievements:</p> <p>5. A. Employment History Current to Previous</p> <p>1. Previous ExperienceName &amp; Address of EmployerFrom To (Month/ Year)Dept./</p> <p>DesignationGross Salary</p> <p>2. Work Description</p> <p>3. Your Achievements</p> <p>4. Reason for Job Shift</p> <p>5. B. Employment History Current to Previous</p> <p>1. Previous ExperienceName &amp; Address of EmployerFrom To (Month/ Year)Dept./</p> <p>DesignationGross Salary</p> <p>2. Work Description</p> <p>3. Your Achievements</p> <p>4. Reason for Job Shift</p> <p>5. C. Employment History Current to Previous</p> <p>1. Previous ExperienceName &amp; Address of EmployerFrom To (Month/ Year)Dept./</p> <p>DesignationGross Salary</p> <p>2. Work Description</p> <p>3. Your Achievements</p> <p>4. Reason for Job Shift</p> <p>5. D. Employment History Current to Previous</p> <p>1. Previous ExperienceName &amp; Address of EmployerFrom To (Month/ Year)Dept./</p> <p>DesignationGross Salary</p> <p>.</p> <p>2. Work Description</p> <p>3. Your Achievements</p> <p>4. Reason for Job Shift</p> <p>6. Additional Information On your Present / Latest Employment:</p> <p>Appointment Dt Reporting to</p> <p>Your Reportees</p> <p>Annual Sales turnover</p> <p>(Per month)</p> <p>Basic</p> <p>DA</p> <p>H.R.A</p> <p>Conveyance</p> <p>Other allowance</p> <p>Specify</p> <p>Total per month</p> <p>Total per annum(A)Amt.(Per annum)</p> <p>LTA</p> <p>Educational</p> <p>Bonus</p> <p>Medical</p> <p>Other allowance</p> <p>Specify</p> <p>Total per annum (B)Amt.Other Benefits</p> <p>(per annum)</p> <p>EPF</p> <p>Gratuity</p> <p>Superannuation</p> <p>Others </p> <p>Total per annum(C) </p> <p>Gross per annum</p> <p>(A+B+C)Amt.</p> <p>7. Other Information:</p> <p>1. Have you applied to /interviewed by us in the past? Yes No</p> <p> If yes, please state position applied for.. Interviewed on..</p> <p>2. Salary Expected:</p> <p>3. How soon would you been able to join us?</p> <p>4. Willingness to Re-locate if required? Yes No</p> <p>5. Do you have any relatives employed in this company? If yes, give details:</p> <p>6. How did you get to know about the vacancy? </p> <p>7. Have you ever been convicted under any court of law? If yes, furnish details:</p> <p>8. WORKING interest</p> <p>1. a. What is your aspiration in the career?_________________________________________________________________________</p> <p>_________________________________________________________________________ _________________________________________________________________________ </p> <p>b. Reason for encouraging you to apply to this company?</p> <p> _________________________________________________________________________</p> <p> _________________________________________________________________________</p> <p>c. What is your working program for this company if you are joining?</p> <p> ________________________________________________________________________ ________________________________________________________________________</p> <p> _________________________________________________________________________</p> <p> d. Your short term purpose in your career (3 5 years ahead)</p> <p> ________________________________________________________________________</p> <p> _______________________________________________________________________ ________________________________________________________________________</p> <p>e. Specific expertise / skills you have (related to the job) ?_________________________________________________________________________</p> <p> _________________________________________________________________________</p> <p>2. Write briefly about yourself:</p> <p>a. What do you expect in your life? _______________________________________________________________________</p> <p> _______________________________________________________________________</p> <p> ________________________________________________________________________</p> <p> _________________________________________________________________________</p> <p>b. What are you principles and life philosophy:______________________________________________________________________</p> <p> ______________________________________________________________________</p> <p> _______________________________________________________________________</p> <p>c. What are your strengths and weaknesses?Strengths : _____________________________________________________________ Weaknesses: ____________________________________________________________d. What is the opinion of your friends about yourself (as far as you know)?_______________________________________________________________________</p> <p> _______________________________________________________________________</p> <p>e. Please explain your opinion about the difference between duties and responsibilities:_______________________________________________________________________ _______________________________________________________________________</p> <p> _______________________________________________________________________</p> <p>f. Tell briefly about your view of the Art of Selling : ______________________________________________________________________________________________________________________________________________</p> <p>9. Any Civil / Criminal proceedings pending against you in any court of law? </p> <p> Yes No. If yes please clarify.</p> <p>References (No relative please) Contact No. &amp; Address1.</p> <p>2.</p> <p>References from the Current Employer - Contact No. &amp; Address 1.</p> <p>2.</p> <p>Name and Address of person to be contacted in case of Emergency:</p> <p>1.</p> <p>2.</p> <p>Your extra curricular activities, if any please specify</p> <p> Playing Games ( Specify)..</p> <p> Cinema TV Reading Books Listening to Music</p> <p> Stamp Collections Social service Others.. </p> <p>Declaration: I hereby affirm that the foregoing statement and answer to questions are true to the best of my knowledge and belief and without consequential omissions of any kind whatsoever and understand that any wrong statements and suppression of facts will if I am employed, subject me to immediate dismissal. </p> <p>Date:</p> <p>Place: Signature</p> <p>OFFICE USE</p> <p>Date of Interview __________________ Place of Interview: __________________ </p> <p>Remarks of AM/BM/DM: _______________________________________________________________</p> <p>Name &amp; Signature: _____________________ _____________________Remarks of RM: ______________________________________________________________________Name &amp; Signature: _____________________ _____________________</p> <p>Remarks of BDM :_____________________________________________________________________ </p> <p>Name &amp; Signature: _____________________ _____________________</p> <p>Approvals GM: Approved / Not Approved ______________________________ Remarks if any: _____________________________________________________________________ </p> <p>Name &amp; Signature: _____________________ _____________________</p> <p>101</p>