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7/27/2019 Employment Form New.xls
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FATHER'S NAME
MOTHER'S NAME
PAN NUMBER
ADDRESS IN PUNE
PRESENT CONTACT NUMBER
ADDRESS FOR
CORRESPONDENCE
MARITAL STATUS
PERMANENT ADDRESS
E-MAIL ID
SRI BALAJI SOCIETY'S EMPLOYMENT FORM
S.No. 55/2-7, Tathawade, Near Wakad,
Off Mumbai - Bangalore Bypass, Pune - 411 033
Tel : + 91 020 66741090/91, E-mail :[email protected]
NAME (As per 10th Certificate)
POSITION APPLIED FOR
DATE OF BIRTH
CURRICULUM - VITAE
(Page 1 to 8)
PERSONAL DATA
Landline :
Mobile :
Photograph
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EXAMINATION /
DEGREE
NAME OF
THE
DEGREE
REGULAR
OR
EXTERNAL
DURATION OF
THE COURSE
INSTITUTE &
UNIVERSITY
YEAR OF
STARTING
OF THE
COURSE
YEAR OF
PASSING
DISCIPLINE/
SPECIALISATION
S.S.C (10th)
H.S.C (12th)
GRADUATION
POST
GRADUATION
Any Other
Qualification
(any diploma, NET,
SET, etc.)
CASTE- SC / ST/ OBC /
GEN
Tick Appropriate
(Please attach certificate
if applicable)OBC
Ph.D AWARDED ON
TOPIC OF PhD.
DOCTORATE
SC
DISCIPLINE
GENERAL
ST
YES
YES NO
NO
NO
AGGREGATE
% OF
MARKS
DATE OF SUBMISSION
UNIVERSITY
YES
ACADEMICS (START FROM SSC / Xth )
(Kindly attach copies of all certificates)
YES
NO
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From To
PG UG From To Months
1
2
3
ORGANISATIONPERIOD & DURATION
CTC Drawn
TOTAL INDUSTRY EXPERIENCE
POSITION / DESIGNATION &
NATURE OF WORK
PERIOD & DURATION
INDUSTRY EXPERIENCE (IF ANY) (Note:
Please mention only those experience for which you can provide experience letter)
Months
ORGANISATION
_____ YRS _____ MONTHS
ACADEMIC EXPERIENCE (IF ANY) (Note:
Please mention only those experience for which you can provide experience letter)
____ YRS _____ MONTHS
SUBJECT IN WHICH YOU HAVE COMPETENCY TO ENGAGE GRADUATE / POST GRADUATE STUDENTS
Taught to PG / UG
level students (tick
wherever applicable)POSITION / DESIGNATION &
NATURE OF WORKCTC Drawn
TOTAL ACADEMIC EXPERIENCE
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TITLE JOURNAL IN WHICH PUBLISHED
ARTICLES PUBLISHED IN REFERED JOURNALS ONLY. (Attach separate sheet if required)
PUBLISHERS & THEIR ADDRESS
EDITION
(DATE / MONTH / YEAR)
BOOKS PUBLISHED : (Attach separate sheet if required)
YEAR OF PUBLICATIONTITLE
ADDITIONAL INFORMATION (IF ANY)
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Sl. No.
1
2
Name Designation Contact No.
REFERENCES (Please give details of two of your references in the table provided below:)
(i) Are you married? If so, briefly describe your family.
(h) What is the notice period (in months) that you have to serve in your current organisation? (i.e how many days do you require to join us in case
you are given an offer)
(g) What is your expected salary?
(c) Why do you want to join us?
(d) Explain about your experience in your core functional areas / specialization (if any).
(e) If you are already employed, give reasons for your desire to join us. How long you intend to be with us?
(f) What is your current salary (if any) ? (please givegross salary and its break up)
Questionnaire (Important information to be filled up by the candidate)
(a) Are you willing to stay in Pune as this is a full-time job ?
(b) Please confirm whether the institute from which you have done your MBA / PG Degree is AICTE approved or not? If so in which year it got the
approval?
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Details required as per AICTE norms
Male / Female
4. Caste
5. PF Number (If applicable)
6. Salary Mode
2. Postal Code
3. Religion
Yes / No
1. Gender
12. Is physically handicapped?
11. International Publications (If any)
8. Bank & Branch Name
Yes / No
Yes / No
14. Have you ever applied to AICTE for any grants / assistance?
13. Would you like to work as expert member on various committees of AICTE?
7. Bank Account No.
10. National Publications (If any)
9. IFSC Code
Credit to Bank Account
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Date :
Place :
3. Any Other Information : (e.g. pending
submission of certificates)
16
Signature of the Candidate
3. Std. XII Marksheet
2. Std. X Certificate
2. Designation
11. PAN Card
4. Std. XII Certificate
12. Experience Certificates
8. Post Graduation Certificate
9. Cetificate conferring Doctorate
5. Graduation Marksheet
DOCUMENTS ENCLOSED: (Submission of all applicable certificates, testimonials is mandatory )
1. Std. X Marksheet
13. Last Drawn Salary Slip 14. Address Proof
6. Graduation Certificate
7. Post Graduation Marksheet
TOTAL DOCUMENTS ENCLOSED : ______________ NOS.
Any Other Enclosures :
10. Caste Certificate if applicable
15
Signature of the Candidate
ACCEPTANCE
I Mr / Ms. _________________________________ hereby accept the offer to join the Management
Institutes of Sri Balaji Society w.e.f. ____________________ as a full time ________________________
and I undertake to abide by the rules and regulations.
Date :
(Signature of the Candidate)
JOINING REPORT
1. Joined in BIMM / BIIB / BIMHRD /
BITM / BLC / BCACS / DLI on
Signature of the HR Representative
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FOR OFFICE USE ONLY
SELECTION DETAILS
1. Interviewed on
2. Selected for the Post of
3. Pay on Joining
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