SUApplicationForm 1

CONFIDENTIAL

TobereturnedtoDirector(Recruitment)

ShobhitUniversityUniversity Tower, Institutional Area

Pocket-B, Mayur Vihar Phase II New Delhi110 091,India

Email:careers@shobhituniversity.ac.inWebsite:www.shobhituniversity.ac.in

PassportSizePhotograph

Name:__________________________________

Positionappliedfor:______________________

School:_________________________________

Specialization:___________________________

Reference:______________________________

Date:___________________________________

APPLICATIONFOREMPLOYMENTAT

SHOBHITUNIVERSITY

SUApplicationForm 2

IMPORTANTNOTES

1. ThisisaveryimportantdocumentformingpartofyourpotentialemploymentinShobhitUniversityoritsassociates,etc.

2. Thisformshallbefilledinyourownhandwritingandcomprehensively.Thiscanbe supplemented by a duly signedCV / additional sheets of relevantinformation.

3. Misrepresentation, withholding of information, etc. shall render theemployment void and Shobhit University reserves the option of initiatinglegalaction.

4. Shobhit University reserves the option to share the contents of thisapplication form with other organizations / Institutes, the businessassociates/parentcompanies/subsidiaries,etc.

5. Selected candidate will be required to submit evidence in support ofinformationbeingprovidedduringtheselectionprocess.

6. Servicesofallemployeesshallbetransferable.

SUApplicationForm 3

PERSONALINFORMATIONFullNameandPersonalDetails(BlockLetters)

Mr./Ms./Dr._________________________________________________________________________(Surname)(FirstName)(OtherNames)

AgeDateofBirth/(DD/MM/YY)PlaceofBirth

(Married/Unmarried/Divorced/Widowed)

Religion NationalityNamesofChildrenalongwithDatesofBirth

FamilyDetailsFathersName,OccupationandAddress. MothersName,OccupationandAddress

SpousesName,OccupationandAddress

ContactAddressAddressForCorrespondence PermanentAddress AddressincaseofEmergency

No.ofYearsintheCityPin Pin PinTel.No. Tel.No. Tel.No.Emailaddress: MobileNo.

RelativesorfriendsemployedinShobhitUniversity/NICESocietyInstitutions.Relative(s):Name:Company:Designation:

Friends(s):Name:Company:Designation:

Did you apply toShobhit University/NICE Society Institutions in the past? If yes, when and for whichposition?Whatwastheoutcome?

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LANGUAGESKNOWN(Indicateproficiencyasbeingfluent,fair,workable)

SpeakRead Write

1. _______________________()()( )(MotherTongue)

2. _______________________()( )()

3. _______________________()()( )

4. _______________________( )()()

5. _______________________()()( )

ACADEMICBACKGROUND(Beginwithlatestqualification)*NameofSchool/College/University/Instituteand

Location

Period TitleofDegree/DiplomaandSubject

ofSpecification

Division/%Marksobtained

Distinction/AwardsReceivedFrom To

*(Pleaseclearlyspecifythequalificationsacquiredthroughparttime/correspondencecourses)

AreasofInterest/SpecificationPlease indicate the reasons for yourchoiceof subject / specialization,asalso the relevanceof thesecoursestoyourcareerobjectivesandthejobyouareseekingwithus.

SUApplicationForm 5

EMPLOYMENTHISTORY/EXPERIENCERECORD(IncludingSummer/VocationalTraining)Pleasesetoutthemostrecentemploymentfirstandwriteinthereversechronologicalorder.**

PeriodEmployer

Position/Natureofwork

ReasonforLeavingFrom(DDMMYY)

To(DDMMYY)

**(Pleaseclearlyspecifythedetailsofanyparttimeemployment)

DETAILSOFCURRENT/MOSTRECENTEMPLOYMENTNameandAddressofEmployer:

Pin:Tel.:

Position(s)held

PeriodEmoluments(Grossannualpackage)

From(DDMMYY)

To(DDMMYY)

Starting Current/Last

MajorResponsibilities:

List out your major responsibilities in the current (most recent) job and the impact caused by yourpersonalcontributionsontheorganization

SUApplicationForm 6

ORGANISATIONCHARTFORYOURCURRENTROLEPleasedrawtheorganizationalchartrepresentingyourcurrent/mostrecentassignment,clearlyindicatingyourreportingrelationships(above/below/onparwithyou)andalsoanyotherfunctionalinterfaces:

ACHIEVEMENTS,ASPIRATIONSANDPURSUITSWhatdoyouconsidertobeyourmostsignificantachievementduringyouracademiccareer?

Listoutsignificantcontributionstothepresent/formeremployers.Whatdoyouconsidertobeyourmostsignificantachievementduringyouremployment?Whatawards/recognitionand/orrewardsdidyougetforthesame?

Whatarethegoalsyouhavesetforyourselftobeachievedwithinthenextfiveyearsandwhy?

A. Wealth

B. Career

C. AnyOther

Please describe briefly your strengths and weaknesses as an individual and as a professional in thecontextofthejobforwhichyouhaveapplied.

SUApplicationForm 7

Interests and Cocurricular Pursuits: Set out your involvement in cultural, sports, community workactivitiesandmembershipofclubsandsocietiesfromschoolonwards.Providedetailsofparticipation/membership,andpositionsofleadership/officesheld,ifany.

TypeofActivity PositionHeldSchool/College

WithEmployers

ClubMembership

CommunityActivities

NGO/SocialActivities

Howdoyouspendyourweekends?Whatareyourhobbies/activeinterests?

CURRENTEMOLUMENTS

MonthlyGross:Rs.________________________AnnualBenefits:Rs.______________________

GrossAnnualCTC(fullyquantifiedvalue):Rs.___________________________________________

ExpectedGrossAnnualCTC:Rs._____________________________________________________

Important:PleasefillinthedetailedSALARYDATASHEETinallrespects,withoutfail.YoucanusethereversesideoftheSalaryDataSheettoexplainthedetails.

REFERENCESListthreepersons(otherthanrelatives)whoknowyoucloselyandholdresponsiblepositionsinindustry/EducationalInstitutions/Governmentandwhomwemaycontact:Name 1) 2) 3)PositionDesignationAddress

PinTel.No.MobileNo.EmailAddress:

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LOCATIONPREFERENCES(IFANY)AreyouwillingtoworkanywhereinIndiaorabroad?Ifnot,pleasestatetheconstrainingfactorsandyourpersonalpreferences.

Setoutanyadditionalinformationyouconsiderimportantandthatmayhaveabearingonyourapplication.(Pleasefeelfreetoattachadditionalsheetstoelaborateanypointlistedintheform)

Iherebydeclarethatallinformationsetoutinthisapplicationistruetothebestofmyknowledgeandthatanymisrepresentationifanywilldisqualifymycandidature.

Date:

Place: SignatureofApplicant

HaveyouvisitedourWebsitewww.shobhituniversity.ac.in,www.nicesociety.org (Yes)(No)

FOROFFICEUSEONLYPreliminaryInterview(Ifany)

Date:________________________________

Panel:_______________________________

FinalInterview

Date:_________________________________

Panel:________________________________

OFFICIALREMARKS

SUApplicationForm 9

SALARYDATASHEET

CandidatesName: PresentCompany:

ContactPhoneNo(alongwithSTDcode):(O) (R) CurrentDesignation:

A SalaryandAllowance T/NT* R** Rs.(PM) Rs.(Annual) RemarksBasicPayHRAConveyanceAllowance/TransportAllowanceSpecialCityAllowance/CCAUniformAllowance/ProfessionalattireProfessionalAllowance/SpecialAllowanceChildrenEducation/EducationAllowanceProfessionalDevelopmentAllowanceAnyOtherSubTotalI

B OtherBenefits/PerquisitesPerformanceBonus/IncentivesBonus/Exgratia@______%of______LTAMedicalReimbursementMedicalInsurance(Self+otherstobespecified)Gas/ElectricitySoft/HardFurnishingHousemaintenanceCreditCard/EntertainmentResidentialTelephoneBooksandPeriodicalsAnyotherSubTotalII

C RetirementsBenefitsPF(CosContribution)@____%of_______Superannuation(CosContribution)@__%of___Gratuity@_______%of___________SubTotalIII

D ValuationFor:SocietyCarCarMaintenanceDriversWagesPetrolExpansesCompanyleasedhousingClubMembershipValueofanyloansESOPsAnyotherSubTotalIV

GrandTotal(I+II+III+IV)

SignatureofApplicant:Note:

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1. Theinformationtobeprovidedbyyouinthissheetwillhelpusunderstandyourcompensationinitsentirelyand about how it is structured. This will have no bearing on the overall compensation offer fromShobhitUniversity.ItmayhelpusStructuretheofferbetter.Hence,weseekyourcooperation.

2. (*)(**)PleasehighlightthepaymentwhetherTaxable(T)orNonTaxable(NT).Wheneverapaymentisinthe nature of reimbursement, i.e.with supportingdocuments, pleasehighlight the payment by indicationwithan(R).

3. Please provide detailed notes on the reverse of this sheet particularly regarding items which are notspecificallyquantifiedbyyouremployer.Pleaseuseadditionalsheets,ifrequired.

4. Pleasenotethat, incaseofyourselectionbyShobhitUniversity,youwillberequiredtosubmitproofoftheearning/entitlementslistedabove,atthetimeofjoining ShobhitUniversity.

SALARYDATASHEET

Additionalspaceforelaborationofanyofthecomponentslistedoverleaf:

1). Gratuity/Superannuation:Pleaseelaborateregardingrate,eligibilitycriteriaetc.

2). Performancelinkedincentives/Bonuses:Pleasedescribethecriteria,amountsreceivedintherecentpastetc.

3). Notesregardinganyothercomponents:

SignatureofApplicant