STEEL STRIPS GROUP
S.C.O. 49-50, SECTOR 26,
MADHYAMARG,
CHANDIGARH
Affix Recent Photograph
BIO-DATA
Post Applied For .....
Full Name (in Block Letters) ... ... ... ... ... ... ......
Father's/Husband's Name . ... Occupation ...
Present Address .......
.......
Phone Office Res ........................
Permanent Address ..........
.......
Date of Birth n. Marital Status ........
No. of Children Male Female Age of Children...................
ACADEMIC RECORD
Year Class &
Degree/Exam/Course & School/ College / University
From I To Speclallsation & Institute 0/0Marks
Membership of Professional Association, Short Term Course, Thesis & Publicatlon,lf any
Languages You can I) Spea ~ _.....................................................................................................................................
II) Read .......................................................................................................................................
III) Write 0..........................................................................................................................
DETAILS OF EXPERIENCE: In Chronologicalorder, starting from the first employment ending withthe last any break in service
should be clearly mentioned.
Periodof Service Gross MonthlySalary
Employer's Designation&Nature of Reason for
From To Name &Address Duties in Brief Starting Leaving
Leaving
Details of Present Posting
1. Designation
2. Nature of Duties & Responsibilities
3. Reporting to :
Any other Infonnation
Give a brief note to justify your selection for the post applied for
,
Present Remuneration Details
On Basic Salarv D.A. HRA T.A. Others Total
On Joining
At Present
Benifits & Requisites.:
Leave Travel Medical Facilities Club Membership Annual Bonus Any others
-- - - ---
Retirement Benefits:
ProvidentFund I FamilyPension Insurance Gratuity Others
Present Grade if any ..........
Mention Name of any Twopersons (Not relatedto you) to whom referencecan be made
Name Occupation Address
Other Infonnation
. Do Youbelong to SC/ST/oac ? Yes c::J NO c::J
. Have You suffered
. If Yes, Give details
from any major illness/operation in last 5 years ? Yes c::J NO c::J
. Do You Smoke? Yesc::J NO c::J
. Have You ever been criminally prosecuted, If yes give details. yes c::J NO c::J
. Do You have any contract/bond with your present employer? Yesc::J NO c::J
. If yes, 'give details
. Are You related to any employees of . Steel Strips Group? Yesc::J NO c::J
. If yes, please mention his particulars.
. Have you any objection to our making enquiries from your Yesc::J NO c::J
. present employerllast employer
. Have you appeared for an interview earlier in our Company? Yesc::J NO c::J
. If yes, Please mention the details.
Minimum Salary & Perks Acceptable
How long will You take to join if selected
1 declare that the informationgiven above is true to the best of
my knowledge& beliefand nothing has been concealed.I understandthat any false or incorrect informationfurnished above will
make me liableto terminationof services and other lagal action.
Dated ............................................. Signature of the Applicant
.
""
(FOR OFFICE USE ONLY)
Name of the Company for which applicant would be suitable
SECTION .................
Remarks of the Interviewer:
"ADDOinted as oer details aiven below"
1. Designation...................................................................... 6. Conveyence Allowance ............
2. ProbationPeriod..............................................................
3. Salary ........................................................................... 7. Medical ..........
4. Grade... ......... 8. Anyother(as agreed)...........................................................
Chandigarh............................................................ ..............................................................................................
Branch... ... .........
5. 9.
HRA I Site ....................................................................... JoiningTime ....................................................
Accomodation : ...... ..............................................................................................
Manager (P & A) Head of Deptt. Unit Head ManagingDirector