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    BI Application Form

    Uploaded by

    abvasanth098

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    BI Application Form

    Uploaded by

    abvasanth098
    6 views6 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    6 views6 pages

    BI Application Form

    Uploaded by

    abvasanth098

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    Brakes India Private Limited

    Padi, Chennai - 600 050.

    Phone : (044) 26258161, 26526000 PHOTO


    Fax : (044) 26257010 / (044) 26257844
    E-mail : bitvs@md2.vsnl.net.in
    bipadi@md2.vsnl.net.in
    Website : www.brakesindia.com

    Registered Office No.. 21, Patullos Road, Chennai 600 002.


    -

    Application for Employment

    Instructions
    1. Please go through this form thoroughly prior to furnishing information called for

    Position applied for

    Personal Data

    Name (in Block Letters)


    Date of Birth: Age:
    Place of Birth: Native Place:
    Present Address: Permanent Address:

    Pin code Pin code


    Telephone Telephone
    Mobile Mobile
    Email:
    Father’s/Guardian Name, Occupation

    Marital Status
    Single
    Married Date of Marriage
    Nationality Religion Caste
    Passport No Valid From To

    Driving License No. Valid From To


    PAN Aadhar Number UAN No:
    Blood Group
    Personal Data

    Names of Parents/Brothers/Sisters/ DOB Relationship Employment details,


    Wife/Children and Dependents if any

    Education (Please furnish information starting from SSLC)

    Period of Name and Address of the Institution Course Month & Class/Marks
    Education Studied Year of Obtained
    Passing
    From To

    Languages Known
    Languages Speak Write Read

    Indicate your mother tongue

    If you are a member of any professional body, give particulars Extra Curricular Attainments
    Employment Record
    Starting with the present, specify previous and earlier employments (if the space provided is not
    sufficient please attach a separate sheet). Please furnish the complete particulars of your
    emoluments in the enclosed format.
    1. Name & Address of the Company

    Duration of Service – From: To:

    Post held Salary drawn P.M Rs. P.A Rs.

    Nature of duties performed

    Reason for leaving

    2. Name & Address of the Company

    Duration of Service – From: To:

    Post held Salary drawn P.M Rs. P.A Rs.

    Nature of duties performed

    Reason for leaving

    3. Name & Address of the Company

    Duration of Service – From: To:

    Post held Salary drawn P.M Rs. P.A Rs.

    Nature of duties performed

    Reason for leaving

    Period of Unemployment, if any


    From To Reason

    General Information
    If you have relatives working in TVS Group of Companies, give details
    Training
    Please furnish details of Training undergone by you. Use additional sheets, if required

    References
    Persons mentioned should hold a responsible position and may include referees from previous
    employers, educational institutions or Professional bodies and should not be your relatives

    1. Name, Address & Occupation 1. Name, Address & Occupation

    Phone Phone

    Have you suffered any major ailment/undergone surgery in the past? Please furnish details, if any

    Are you prepared to work in shifts? Yes No


    Are you willing to work in any location of Brakes Yes No
    India Private Limited

    Minimum acceptable remuneration, if selected


    Salary and Allowances Monthly Fringe benefits
    CTC Per Annum

    Time required to join, if selected

    I declare that the information stated in this application are true and correct to the best fo my
    knowledge. In the event of my concealing or furnishing information which is false, I am liable to be
    instantly terminated.

    Date Signature of the applicant


    Details of Current emoluments
    Name of the Candidate
    A Monthly Emoluments
    Basic
    DA
    House Rent Allowance
    Conveyance Reimbursement/Allowance
    Education Allowance
    Lunch Allowance
    Other Allowance, if any
    a)
    b)
    c)
    d)
    Total Rs.
    Annual

    B Fringe Benefits (Please mention only those components which are paid on annual basis
    LTA
    Bonus
    Special Allowance/Incentive
    Medical Reimbursement
    Furnishing Allowance
    Club Membership
    Periodical Allowance
    Credit Card
    Subscription to Professional Bodies
    Total

    C Retirals
    Superannuation
    Provident Fund
    Gratuity
    Pension
    Total A+B+C=

    Others
    Car Laptop Loan Facility
    Telephone Mobile Leave entitlement
    Lease Accommodation Increment

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