EmploymentApplicationForm (1)

7/18/2019 EmploymentApplicationForm (1)

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Employment Application Form

Guidelines for filling the Employment Application form

1 This form has 4 sections - Personal details1, Personal details2, Education+Employm

2

3 Please provide the correct contact details of the refree's, since e ould !e callin" th

as part of our reference chec# process

4 $ll se"ments indicated are mandatory and any se"ments not applica!le needs to fill

Please !e as accurate as possi!le hen enterin" the information Ta#e the time to re

rather than a "uess as inaccurate information could cause a delay ith processin" yo

process



nd Declaration

s %&ot $pplica!le%

rch correct ansers

formation or stop the




Personal Details

Name (as in the Passport)

Initial (epan! initial)

First Name

"i!!le Name

#ast Name

$en!er "ale % Female &ate o' irth (!

itle "r. % "s. *ity o' irth

"arital +tat,s *o,ntry o' irth

"arrie! since (!!.mm.yyyy) *iti-enship

N,mer o' *hil!ren

Residence Status *iti-en % Non/*iti-en

Personal IDs

PAN I& (5letters!igits1letter)

Passport No

&ate o' Iss,e (!!.mm.yyyy) Iss,ing A,thori

Place o' Iss,e Iss,ing N,me

&ate o' Epiry (!!.mm.yyyy) *o,ntry o' Iss,

Permanent Residence Address



.mm.yyyy)




elationship

*%o Name

A!!ress #ine 1 A!!ress #ine

*ity +tate

Postal *o!e Email a!!res

elephone No *ell No

Fa No

Family Details (required for Medical insurance purpose)

"emer Father "other +po,se

#ast Name

First Name

itle

$en!er

*iti-enship

irth *o,ntry

Additional information

loo! gro,p otal Eperien

*,rrent #ocation In!ia % Aroa! ele3ant Ep

From &ate (!!.mm.yyyy)

o &ate (!!.mm.yyyy)

Disability

ype o' !isaility

Emergency ontact Information Please pro!ide t"e name of t"e indi!idual #"o can be contacted in case o



$anguage Proficiency (ot"er t"an Englis")

#ang,age *an 4n!erstan! *an ea!



*hil! *hil!

e ("onths)

ience ("onths)

medical emergency



*an +pea *an 6rite




Education Academic %ac&ground ' (start #it" most recent qualification)Instit,te % *ollege 7ith +tate 4ni3ersity 7ith *o,ntry &iploma % &egree 7ith "aor

9e

From

+tate : *o,ntry sho,l! e mentione! clearly

PA $icense

*o,ntry Name

*erti'icate N,mer

#icense N,mer

Employment istory

Name o' the c,rrent employer

A!!ress o' the c,rrent employer

Ann,al $ross *ompensation (incl. ene'its)

9o,r ey o responsiilities

Employee I& N,mer No o' employees

Nat,re o' ,siness e3en,e t,rno3er

&ate o' oining *,rrent !esignation

&esig reporting to No o' !irect reportees

Epecte! Ann,al ** eason 'or seeing change

Notice perio!

Part ime % F,llime

Are yo, o,n! y any +er3ice Agreement % on! in yo,r present employment; I' so< pro3i!e!etails.



Name an! A!!ress o' Pre3io,s Employer (s)

&,ration &esignation

From o =oining #ea3in

References Minimum of (*ne of #"om s"ould "a!e #or&ed closely #it" you in profe

Name &esignation >rganisation(Name%#ocation) *ontact Phone No



' +t,!y

o

$ra!e%

"ars%*PA



=oining #ea3ing

nal capacity)

E "ail I&

*ompensation (incl.

ene'its)




Rele!ant +raining, In"ouse - E.ternal +raining Program onducted or At

Instit,te % >rganisation Program Atten!e!

Are yo, relate! to any personnel at &eloitte< its a''iliates or relate! entities; (yes%no%,nno7n) I' yes< pro3i!e name(s)< rela

?a3e yo, e3er s,mitte! an employment application in any o''ice o' &eloitte< its a''iliates or relate! entities; I' yes< pro3i!e

?a3e yo, e3er 7ore! in any o''ice o' &eloitte< its a''iliates or relate! entities; I' yes< pro3i!e o''ice name(s) an! !ates.

Are yo, relate! to any o' o,r clients@ personnel; (yes%no%,nno7n) I' yes< pro3i!e client name(s)< relati3e name(s)< relatio

&o yo, ha3e any o3erseas % international 7or eperience; I' yes< pro3i!e co,ntries 7ore!< !,ration an! 3isa type.

?a3e yo, e3er 7ore! 'or any clients o' &eloitte< its a''iliates or relate! entities; (yes%no%,nno7n) I' yes< pro3i!e client nain'ormation on any employment agreement(s)< restriction(s) or contract,al oligations.



Are yo, 7illing to relocate 7ithn In!ia or o,tsi!e In!ia;

Are yo, 7illing to 7or in shi'ts;

1. 1. ?a3e yo, e3er 7ore!< 'or

2. o yo,r no7le!ge< has the &eloitte 4.+ In!ia o''ice een contacte! in connection 7ith yo,r application 'or employment

he &eloitte 4.+. Firms an! 4+ In!ia o''ice comply 7ith the 4.+. Foreign *orr,pt Practices Act (F*PA) an! other anti/corr,Please pro3i!e the 'ollo7ing in'ormation in connection 7ith the &eloitte 4.+. FirmsB an! 4.+. In!ia o''ice compliance proce!

. . . < 1

If yes2 please specify1

I' yes< please speci'y.



If yes2 please specify1







I< CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC < herey !eclare that all o' the in'ormation state! herein is correct a

can e pro3i!e!< i' necessary an! reD,este!. I also gi3e my consent to procee! 7ith re'erence chec process 7ith the re'e

application.

Signature #it" Date , CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC

. ?a3e yo, e3er een party to any ci3il or criminal case o' any nat,re in any ,ris!iction< 7hether insi!e or o,tsi!e o' In!iapro3i!e !etails o' the cases%charges against yo,.



ed

From o

hip(s)< an! o''ice(s).

e name(s) an! !ates.

to yo,< an! position(s) hel!.

)< position(s) hel!< !ates< an!



!ing internships) y anyone 7ho

la7.



cessary !oc,ments

in!icate! in this

or No. I' yes< please speci'y an!

Documents

EmploymentApplicationForm (1)