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Application Form For MBE

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CONFIDENTIAL

APPLICATION FOR EMPLOYMENT/ASSIGNMENT Please affix your


recent passpost
size photographs

McNally Bharat Engineering Co Limited


Please answer all questions carefully and completely in your own handwriting

Position for which applying :


Personal Particulars
1. Name in full : ___________________________________________________________________________________________________________________ ______
(Block letters & please underline surname)

2. Present Address___________________________________________________________________________________________________

_______________________________________________________________________________________________________________

Permanent Address________________________________________________________________________________________________

_______________________________________________________________________________________________________________

3. Contact Details.

Mobile No._________________________________________ Residence_______________________________________________

E-mail : ________________________________________________________________________________________________________________________ _________

4. Person to be notified in case of emergency :

Name : ______________________________________________________________________________________________

Address : __________________________________________________________________________________________________________

Telephone no : _________________________________________ Mobile No. ___________________________________________________

5. Date of birth : _______________________________________________________________________________________________________

6. Language Known : Bengali English Hindi

a) Read

b) Write

c) Speak

7. Caste SC ST OBC Others

8. Religion ____________________________________________________________________________________________________________

9. Marital Status Spouse's Name Spouse's DOB & occupation Name, DOB & Sex of children

10. Father's / Mother's Name Age Occupation (Name of Organisation/Position)

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11. Brother's / Sister's Name Age Occupation (Name of Organisation/Position)

1. Educational / Professional qualification:

List in order of highest degree, first and previous degree, next and so on (Secondary School onwards)
Higher Degree/Diploma Institution & Location Year of Qualification Major Subjects Class / Div. Obtained
From To & Scores

2 Short Term Courses / Trainings attended-

Course / Training Title Course / Training Duration Year Held Institution / Organisation

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3. Computer / Other Skill

4. Details of job Experience {Starting with Present or Most Recent Employer}

Year & Month Employer's Name Employer's Nature Designation Present Reason for
From To &Address of Business on Joining Designation Leaving

5. Outline your major responsibility handle / Key skill area.

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6. Draw your present responsibility relationship through a organisation chart: -

GENERAL INFORMATION
1. Please highlight significant professional achievements in your career till date: -

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

2. Are you a member of any social club? If so, specify names:_____________________________________________________

3. Are you a member of any professional Associations? If so, specify names:_________________________________________

4. Do you have relations employed in this organization? If Yes, give details: -

____________________________________________________________________________________________________

5. How many days notice are required to give to your present employers?____________________________________________

6. When can you join us, if selected?

____________________________________________________________________________________________________

7. Location Preference a] ______________________b] _________________________ c] _____________________________

8. Have you ever been convicted of any offence in any Civil / Criminal proceedings? Yes / No.

If yes, give details______________________________________________________________________________

____________________________________________________________________________________________________

9. Have you been interviewed by the company before? Yes/No.

10. Any other information, you would like to give in support of your application? Please mention :________________________

____________________________________________________________________________________________________

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11. Expected Salary:

____________________________________________________________________________________________________

REFERENCES
(Please give names of two persons whom you know intimately but are not relatives)

1. Name :

Address :

Occupation :

Phone No (s) :

E-mail Id :

2. Name :

Address :

Occupation :

Phone No (s) :

Email Id :

N. B. Please note that we may contact the above references if the need so arises

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Remuneration Details as on date :

Monthly Rupees Annual Rupees


Details (Per Month) Benefits (Per Annum)
Present Present
Details Details
…………………………………………………..
Basic Leave Travel
………………………………………………….. …………………………………………………..
Dearness Allowance Medical
………………………………………………….. …………………………………………………..
House Rent Allowance Club Membership
………………………………………………….. …………………………………………………..
Conveyance Allowance Annual Bonus
………………………………………………….. …………………………………………………..
Transport Allowance Ex-gratia
………………………………………………….. …………………………………………………..
Special Allowance Performance Incentive
………………………………………………….. …………………………………………………..
Electricity Flat Maintenance
………………………………………………….. …………………………………………………..
Gas Children Education
………………………………………………….. …………………………………………………..
Telephone P. F.
………………………………………………….. …………………………………………………..
Others Gratuity
………………………………………………….. …………………………………………………..
SAF
………………………………………………….. …………………………………………………..
Others (If any)
………………………………………………….. …………………………………………………..
Total Total
………………………………………………….. …………………………………………………..

Details of Perquisite :
______________________________________________________________________________________________________

______________________________________________________________________________________________________

Do you own a car :


______________________________________________________________________________________________________

DECLARATION…………………………

I shall, if and when required, take up any assignment while in employment with the Company, any where in India or abroad.
I certify that the foregoing information is correct and complete to the best of my knowledge and belief and nothing has been
concealed. I am not aware of any circumstances including my health which might impair my fitness for employment. If at any
time I am found to have concealed any material information or have given false details, my appointment shall be liable to
summary termination without notice or compensation.

Date :
Place : Signature of Applicant

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