Application Form - CAs.

Application for Employment
NOTE: Please do not amend/alter the layout of this application

form. Such an act will disqualify your application. You are
requested to use Arial Font size 9 for filling up the form. All
questions need to be fully answered to enable us to process
your application. Please state “NA” only in case a particular
question does not relate to you.
Only those applications which are complete in all respects

will be considered for further processing.
Please note that any alteration to this Application Form

could disqualify your candidature
NAME
CA UNIQUE STUDENT
REGISTRATION NUMBER
Page1
PERSONAL DATA
Full Name in Block Letters ( Please expand initials )

First Name Middle Name Last Name
Date Of Birth Place Of Birth Sex Nationality

Day Month Year
Mailing Address : ( Please specify date Permanent Address:

until when you are available at this
address)
Mobile Number - 1 : Mobile Number -1 :

Mobile Number - 2 : Mobile Number - 2 :
Landline Number : Landline Number :
Email : Email :
Languages Known Speak Read Write
Name(s) and relationship with any

relative(s) in ITC Limited and ITC
Infotech India Ltd
Have you applied in the past for a
position or been interviewed in
any of the Divisions or Group
Companies of ITC Limited? If yes,
Page1
when and for what position?
Details of any major illness /

impairment and/or any operations
that you have undergone in the
last 5 years
FAMILY DATA
Father’s Name : Mother’s Name :

Occupation : Occupation :
(provide brief
description)
Address and Telephone No. :
Single/ Date of marriage Others

Married (If Married)
Marital Status
Spouse’s Name : Qualification :
Date of Birth : Occupation :
Names of Children : Date of Sex

Birth
REFEREES - ( Please provide 3 – Mandatory )
Name and addresses of three referees, other than your relatives, to whom we
may write.
(Please note that all 3 names should not be from the same organization / institution. The
referees have to be persons who are respected and of some repute eg. School/college
principal, partner of your audit firm, senior manager with previous employer/ reputed
corporate, senior practicing professionals, gazetted officers, judges etc.)
How do you know
Name & Designation Address & Telephone Nos. Email Id
this person?
Page1
EDUCATION
(Starting from high school ( Class 10 ) to the present)
Institution Board / Degree Year Of Grade / Remarks

(School/College) University /Diploma / Passing %
Certificate
Academic Achievements & Awards, Scholarships & Distinctions – Please specify

in chronological order.
Month / Year Achievements/ Awards/ Awarded By

Scholarships/ Distinctions (institution)
OTHER QUALIFICATIONS :
Name of the Institute & Qualification & Specialisation Year of GPA/ %

Location Passing
Page1
POSTING LOCATION :
Posting – Anywhere in India (Please indicate Yes or

No)
CHARTERED ACCOUNTANCY
Student Registration No.

Membership No.
Month Year No. of Attempts % Remarks

Final Exam
Group I
Group II
Intermediate/PE-II Exam
Group I
Group II
Firm(s) articled with No. of

Names of significant clients
(Name / Location & Dates Partners Qualified
audited
Address ) Assistants
From To
Industrial Training Firm Dates

Nature of duties
From To
GMCS Program Dates

(whether completed) Fro To Where Attended Remarks
m
PROJECTS DONE ( As part of professional qualification / employment )
1. What was the major learning from the training/project work ?
2. What were your major recommendations to the organisation ? Give an example of one
recommendation made by you that was implemented.
Page1
3. Give an example of a recommendation made by you that was not accepted. What is your
understanding of why it was not accepted?
COST ACCOUNTANCY
Membership No. :
Month Year No. of % Remarks

Attempts
Final Exam
Group I
Group II
Intermediate Exam
Group I
Group II
3-year Practical Training Dates Location Responsibilities / Projects Done

Name & Address Of From To
Organisation
COMPANY SECRETARYSHIP
Membership No. :
Month Year No. of Attempts % Remarks

Final Exam
Group I
Group II
Intermediate Exam
Group I
Group II
Details of Scholarships and other Distinctions (during CA/Cost/CS)
Scholarships/ Distinctions Month / Awarded By Remarks

Year Page1
WORK EXPERIENCE (Add more as applicable)
Organisation :
Location :
(Name & Address)
Date : From To
CTC : Rs./pa
Position & Nature of Work Reasons for change
Organisation :
Location :
(Name & Address) :
Date : From To
CTC : Rs./pa
Position & Nature of Work Reasons for change
EXTRA CURRICULAR ACTIVITIES
(Describe your Extra Curricular interests/activities and mention the relevant

achievements , positions and responsibilities held in school/college/social
organisation /interest group)
Page1
ABOUT YOURSELF
1. What do you believe you are best at and how you will contribute if
selected?
2. Please describe one of your achievements, which you are proud of, and
which reflects you “thought leadership” and “execution excellence”?
Page1
3. Describe an incident that has had a deep impact on you and brought
about a significant change?
5. Career goals :
 What would you like to achieve in your professional career?
 What are the career choices you have before you?
 What are the factors influencing your career choice at present?
6. Write down any question that you would like us to respond to during
the interview? Page1
Name : Organisation :
EXISTING EMOLUMENT PACKAGE
Please indicate your existing emolument package in the following

format :-
Rupees Rupees
Per Month Per Annum
A Monthly Remuneration
A1 Basic
A2 House Rent Allowance

A3 Conveyance Allowance
A4 Supplementary Allowance
A5 Special Allowance
A6 Other Allowances (Please specify)
A7 --------------------------
A8 --------------------------
A9 --------------------------
A10 --------------------------
Sub Total ( A1.....A10 )
B Annual Remuneration
B1 Performance Bonus/Variable Pay (recd.

last year)
B2 Leave Travel Assistance
B3 Others, Please specify :-
B4 --------------------------
B5 --------------------------
Sub Total (B1.....B5)
TOTAL REMUNERATION (A + B)
C Retiral Benefits (indicate % by

employer)
C1 Provident Fund (Whether Govt /

Page1
Company)
C2 Gratuity
C3 Pension (Whether Contributory / Non
Contributory)
C4 Superannuation Scheme
Sub Total(CI….C4)
TOTAL COST TO COMPANY

(A+B+C)
D Other Benefits
D1 Company provided Accomodation / _____________ ______________

Maintenance
Unfurnished / Furnished; If furnished
provide details
D2 Housing Loan
D3 Car Loan
D4 Furniture Loan
D5 Medical Assistance - Please give brief

details
D6 List of Fixed Assets provided by the

Company
i
ii
iii
D7 Company Car / Vehicle - Please give

brief details
Petrol-Litres
Car Maintenance
Driver
Car Insurance & Road Tax
D8 Please provide details of any other benefits not

included in the above list
Page1
Notes
We would ask for proof of remuneration / pay slip at
the final stages of Selection

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Application for Employment

NOTE: Please do not amend/alter the layout of this application

Only those applications which are complete in all respects

Please note that any alteration to this Application Form

Full Name in Block Letters ( Please expand initials )

Date Of Birth Place Of Birth Sex Nationality

Mailing Address : ( Please specify date Permanent Address:

Mobile Number - 1 : Mobile Number -1 :

Languages Known Speak Read Write

Name(s) and relationship with any

when and for what position?

Details of any major illness /

Father’s Name : Mother’s Name :

Single/ Date of marriage Others

Spouse’s Name : Qualification :

Date of Birth : Occupation :

Names of Children : Date of Sex

REFEREES - ( Please provide 3 – Mandatory )

(Starting from high school ( Class 10 ) to the present)

Institution Board / Degree Year Of Grade / Remarks

Academic Achievements & Awards, Scholarships & Distinctions – Please specify

Month / Year Achievements/ Awards/ Awarded By

Name of the Institute & Qualification & Specialisation Year of GPA/ %

Posting – Anywhere in India (Please indicate Yes or

Student Registration No.

Month Year No. of Attempts % Remarks

Firm(s) articled with No. of

Industrial Training Firm Dates

GMCS Program Dates

PROJECTS DONE ( As part of professional qualification / employment )

1. What was the major learning from the training/project work ?

Month Year No. of % Remarks

3-year Practical Training Dates Location Responsibilities / Projects Done

Month Year No. of Attempts % Remarks

Details of Scholarships and other Distinctions (during CA/Cost/CS)

Scholarships/ Distinctions Month / Awarded By Remarks

EXTRA CURRICULAR ACTIVITIES

(Describe your Extra Curricular interests/activities and mention the relevant

Please indicate your existing emolument package in the following

A2 House Rent Allowance

B1 Performance Bonus/Variable Pay (recd.

C Retiral Benefits (indicate % by

C1 Provident Fund (Whether Govt /

TOTAL COST TO COMPANY

D1 Company provided Accomodation / _____________ ______________

D5 Medical Assistance - Please give brief

D6 List of Fixed Assets provided by the

D7 Company Car / Vehicle - Please give

D8 Please provide details of any other benefits not

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D1 Company provided Accomodation / _ __