PERSONAL INFORMATION FORM
PERSONAL INFORMATION FORM Kindly affix a
Employee Code:_____________ Passport size
First Name Middle Name Last Name Photograph
* Name should be same as on your Aadhar Card. In case of no Aadhar Card, name should match as per your here
PAN card
Date of Birth
E-mail id :
Current Address :
City – State – PIN Phone(with STD
New Delhi Delhi code)
Mobile
Aadhar Number:__________________________ UAN Number: ____________________________
Blood Group: Marital Status _______________ PAN Card : _____________________
Father Name: Mother Name:
Permanent Address :
City – State - PIN Phone(with STD
code)
Mobile
EDUCATIONAL QUALIFICATIONS (Please fill in
Course/Degree Specialization Name of Institute /University Graduation Board/ Aggregate
(Month/Yr. Affiliation Marks
) (% or CGPA)
SHORT TERM COURSES / PROGRAMS/CERTIFICATIONS
Name of the Institute , Period
Particulars Certificate
Location Year Duration
PREVIOUS EMPLOYMENT DETAILS (Last 5 Employment)
Name of the Organization Location Designatio Duration Total Employee Supervisor’s Name
n-Function From To Compensatio ID
n
Name:
Mobile:
PERSONAL INFORMATION FORM
Name:
Mobile:
Name:
Mobile:
Name:
Mobile:
Name:
Mobile:
REFERENCES
Give references under whom you have either worked (Chain in command) or who know you professionally
Name Duration & Organization & Designation E-mail Phone (with STD code)
Nature of Mobile Office
Association
FAMILY DETAILS
Father’s Name Mother’s Name
Date of Birth Date of Birth
Spouse Name Child Name
Date of Birth Date of Birth:
Child Name Child Name
Date of Birth: Date of Birth:
Contact Person Name: ____ _____________________
Contact Person No.:______ _______________
Emergency Contact Details:
Relation with Emergency Contact Person:_________
If Others, Specify Nationality :
Do you have work permit to work in India? ( ) Yes ( ) No
Nationality ( )Indian ( ) Others
If Yes, Passport No :
Do you hold a valid Passport? ( ) Yes ( ) No
(for Indian citizens only)
Valid till :
PERSONAL INFORMATION FORM
If yes, provide details on countries visited and type of Visas held
Have you worked on overseas assignments? 1.
( ) Yes ( ) No 2.
3.
Have you attended any selection process at If Yes, Division : Location :
NCheng India before?( ) Yes ( ) No Month/Year: Status :
Do you have any relative / friend employed with If Yes, his/her name :
NCheng India? ( ) Yes ( ) No Division/Location :
Have you ever been arrested, prosecuted or convicted If Yes, furnish details including type of offense and conviction
for any criminal offense, other than minor traffic
offenses ? ( ) Yes ( ) No
Have you ever been convicted of or plead guilty to any
offence? ( ) Yes ( ) No
Do you have any commitment to another employer or organization that might affect your employment with us? ( ) Yes (* ) No
WORK LOCATIONS
Are you willing to be posted anywhere in India?
Are you willing to be posted abroad? ( ) Yes ( ) No
( ) Yes ( ) No
Indicate your preferred work location in India –
I hereby declare that my statements on this application and on my resume or documents provided by me to Ncheng India are correct to
the best of my knowledge. I acknowledge and agree that providing any false information may result in a decision not to hire me or if
hired, may result in termination of my employment. I give consent to Ncheng India to institute and conduct a background check to
verify the information furnished by me in this form.
Date:
Place: Signature:
