HINDUSTHAN NATIONAL GLASS & INDUSTRIES LTD.
2, Red Cross Place, 2nd Floor, Kolkata- 700001 Ph: (91)(33) 22543100
Job Application Form
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Position Applied For _________________________________________
Passport-size
Location Applied for _________________________________________ Photograph
(Rishra / Bahadurgarh / Rishikesh / Nasik / Puducherry / Naidupeta)
PERSONAL INFORMATION:
Name in full _______________________________________________________
Father’s name _______________________________________________________
Mother’s name ________________________________________________________
Permanent Address ________________________________________________________
_________________________________Pin.____________________
Correspondence Address __________________________________________________
_________________________________Pin.___________________
E-mail: _______________________________________________________
Mobile No _____________________ Phone No ( residence ) ___________________
Aadhaar No ______________________ PAN No ________________________________
Date of Birth _________________ State of Origin ________________________
Religion & Caste _________________Gender: ( M /F ) ________________________
Marital Status (Whether Bachelor/ Married/ Widower/ Separated) ___________________
Annual Family Income: Rs. _____________Father’s Occupation _____________________
EDUCATION DETAILS:
Educational Attainments (High School & onward):
Name and Address of University / Year of Degree / Divisio Subject (Main)
School/ College Board Exam. Diploma n/
Class
HINDUSTHAN NATIONAL GLASS & INDUSTRIES LTD.
2, Red Cross Place, 2nd Floor, Kolkata- 700001 Ph: (91)(33) 22543100
EMPLOYMENT HISTORY:
Employer’s Name From To Designation Name & No. of Reason for
Designation persons leaving
to whom report to
you report you
References not related to you:
Name Occupation Address Phone/ Cell Phone E-mail address
Number
Present Salary Rs._____________________________
If selected when you can join (Month / days) _____________________________
Have you ever been arrested by the police or convicted by a court of law?
If so, give date, place and reason _________________________________________
OTHER PERSONAL INFORMATION
Height: ______ Ft ______ Inch Weight : _________ Kgs.
Birth Identification Mark _________________________
Physical disability or serious illness, if any ___________________________________________
HINDUSTHAN NATIONAL GLASS & INDUSTRIES LTD.
2, Red Cross Place, 2nd Floor, Kolkata- 700001 Ph: (91)(33) 22543100
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I certify that information contained in this application is true and complete. I understand that
false information may be grounds for not hiring me or for immediate termination of employment
at any point in the future if I am hired. I authorize the verification of any or all information listed
above.
Name ________________________________
Signature______________________________
Date__________________________________