candidate application form 2012 modified

7/31/2019 Candidate Application Form 2012 Modified

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Thirumalai Chemicals Limited

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ACADEMICS:

PERIOD COLLEGE/ UNIVERSITY/SCHOOL DEGREE SPECIALISATION CLASS % OF

MARKSFROM TO

ACADEMIC ACHIEVEMENTS:a) Prizes / Scholarship / Award won

b) What factors contributed to your academic achievements?

SPECIALISED TRAINING/ON-THE-JOB TRAINING UNDERGONE:Please do not mention routine courses.

COURSE PERIOD / DURATION INSTITUTION

CAREER OBJECTIVES:

a. What made you take up your present profession and what would you define as your careerObjective/s?

b. In what way do you think TCL meets your career objectives?

c. What kind of work gives you satisfaction and what kind of professional values do youAppreciate?




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HOBBIES:

a. WHAT LEISURE TIME ACTIVITIES DO YOU PURSUE AND HOW DID YOU DEVELOP ANINTEREST IN THOSE?

b. HOW DO THESE BENEFIT YOU?

EMPLOYMENT DETAILS (Please begin with current job

) PERIOD EMPLOYER / Name of

OrganizationDesignation Reason for

Leaving

FROM TO

Total Years of Experience : (YY-MM)

Please draw the relevant part of your Organisation Chart to specify the reportingrelationship between you, your superiors and subordinates on Page 7

LANGUAGES PROFICIENCY: Please indicate proficiency level (Good, Average, Poor)

LANGUAGES KNOWN SPEAK READ WRITE

1)2)3)

MISCELLANEOUS:Do you have any relative / friend working with our Group Yes NoCompany/UPL/CMC/LDS/LTS?

If yes, kindly state name, designation and company:




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Any other information that you may like to provide:

Do you own a 2-wheeler / 4-wheeler with valid Driving license? Yes No

Notice Period for Experience Candidate: ___________________________

Are you ready to shift the family? ___________________________

Family Shifting Time Required: ___________________________

Passport status (Tick) : Applied / Available / Not Available / Expired

If Passport is available: : Passport No:

Name Address & Phone No.s of two professional references other than relatives or friends

1) Name : 2)Name :Position : Position :Company Name & Address: Company Name & Address:

Email id : Email id :Phone No : Phone No :

DETAILS OF COMPENSATION:

Present:

Particulars Salary + MonetaryPerquisites (Rs.)

Non-Monetary Benefits / Perquisites

Per Annum

Expected:

Particulars Salary + MonetaryPerquisites (Rs.)

Non-Monetary Benefits / Perquisites

Per Annum

Time / Days required joining in case selected:The Information given by me is true to the best of my knowledge.

DATE: PLACE: SIGNATURE:




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(A) ADDITIONAL INFORMATION REQUIRED IN APPLICATION FORM

Full Name: .(In Block Letters)

Father’s / Husband’s Name:

Phone: Age:

Religion: Caste:

Identification Mark: Complexion:

Height: Cm. Weight Kg. Blood Group

Guardian’s Name

1. Do you have any physical disability? If any, Give Details.

…………………………………………………………………………………………………………..

2. Have you ever been convicted by a Court of Law or is any Criminal / Civil suit pending againstyou in the court?

.....................................................................................................................................................................

3. Have you ever been employed by TCL earlier? If yes, Department, period and Designation.

…………………………………………………………………………………………………………

4. Have you ever applied, been interviewed in any of the member Group concerns(UPL/CMC/LDS/LTS) of our organization? If yes, give details.

…………………………………………………………………………………………………………

5. Are you a member of PF / Superannuation / ESI (Give No.)

…………………………………………………………………………………………………………….6. Name & Address of next of Kin (Who should be contacted in case of emergency.)

…………………………………………………………………………………………………………7. Do you belong to any political party? If yes, give details of membership.

……………………………………………………………………………………………………………




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RELATIONSHIP DECLARATION

Date …………………………

I…………………………………………………………….S/o Shri…………………………………….……………………………………………………………………here by declare that:

(1) Mr. ………………………………………………who is working in……………………….department

at ……………………………………………………………………………………….is related to me as

………………………………………………………………………………………………………………….

(2) None of the employee (s) of this plant or any other our Group Companies(TCL/CMC/UPL/LDS/LTS) is related to me.

The above information is true to the best of my knowledge and if above information is false Ishall be liable for severe disciplinary action by the company.

Permanent Address:(Name & Address)

…………………………………………………………………………..

…………………………………………………………………………..

……………………………………………………………....................

…………………………………………………………………………..

Signature…………………………………………………..

Name………………………………………………………

Position Applied For ……………………………........




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ORGANIZATIONAL CHART

Please give your present company’s Organisation Chart showing your position, reporting authority,persons reporting to you .

Please mention Brief description of present responsibilities in your current organization: (TechnicalExperience) and also give details of areas / equipment you consider yourself a specialist / field of interest.




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INTERVIEW ASSESSMENT SHEET

Name of the Candidate:………………………………………………………………………….

Personality Excellent Good Average Poor

AttitudePositive Negative

Job/Conceptual KnowledgeExcellent Good Average Poor

Inter-Personal SkillsExcellent Good Average Poor

Leadership Skills Excellent Good Average Poor

Interviewer’s Assessment:

Recommended for employment: Yes No

If yes, proposed designation & recommended salary :

Interviewers : ___________________ _________________ ________________

Signature/s : ___________________ _________________ ________________

Date :

Medical Test Date : Fit / Unfit Department Selected for :

Position : Cadre : Training : Yes / No Training Period :

Bond Period : Cerficates / Passport :




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REMUNERATION DETAILS WITH PRESENT EMPLOYER

DETAILES OF EMOLUMENTS PER MONTH (Rs.) PROPOSED

Basic Pay / Stipend

HRA / Living Allowance

Special Allowance as per Cadre

Fitment Allowance

Medical Allowance (%)

Service Allowance

Conveyance Allowance

City Compensatory Allowance (%)

HOD Allowance

Mobile Allowance

Telephone Allowance

LTA (%)

ESI Contribution (%)

PF Contribution (%)

Gratuity (%)

LIC Superannuation (%)

Bonus

Annual Performance / Incentive / Exgratia

Any Other Allowance (a)

(b)

(c)

(d)

(e)

(f)

Total Rupees

Note: Details declared above shall have to be satisfied with proof on joining.

Expected Gross Salary: (SIGNATURE)

candidate application form 2012 modified

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