Attach Passport Picture,
with name written behind.
AXION ENGENEERING LTD EMPLOYEE BIODATA FORM
Kindly fill this form and return with related attachments to the HR Department.
PERSONAL DETAILS
Title (Mr/Mrs/Miss/Ms)
Full Name
Surname First Name Other Name
Date of Birth
DD/MM/YEAR
Job Role/Title
Marital Status
Name of Husband/Wife
Name of Children
CONTACT DETAILS
Home Telephone
Mobile
Email
Current Address
Street City
City State Zip Code
Emergency Contact 1
Name Phone Relationship
Emergency Contact 2
Name Phone Relationship
ACADEMIC QUALIFICATION
Kindly list secondary and tertiary schools you attended and the academic
| AXION Engineering Ltd Employee Biodata form
qualifications obtained in each subject
Name of Institution
Course/Subject of Study
Qualification Obtained
Grade/Class of Degree Start Date End Date
DD/MM/YEAR DD/MM/YEAR
Name of Institution
Course/Su Qualification Obtained
Grade/Class of Degree Start Date End Date
DD/MM/YEAR DD/MM/YEAR
Name of Institution
Course/Subject of Study
Qualification Obtained
Grade/Class of Degree Start Date End Date
DD/MM/YEAR DD/MM/YEAR
Name of Institution
Course/Subject of Study
Qualification Obtained
Grade/Class of Degree Start Date End Date
DD/MM/YEAR DD/MM/YEAR
PROFESSIONAL QUALIFICATION
Kindly list the professional institutions you attended and the qualifications
obtained.
Name of Institution
Certification Obtained
Grade/Class of Certification Start Date End Date
DD/MM/YEAR DD/MM/YEAR
Name of Institution
Certification Obtained
| AXION Engineering Ltd Employee Biodata form
Grade/Class of Certification Start Date End Date
DD/MM/YEAR DD/MM/YEAR
Name of Institution
Certification Obtained
Grade/Class of Certification Start Date End Date
DD/MM/YEAR DD/MM/YEAR
Subject of Study
| AXION Engineering Ltd Employee Biodata form
EMPLOYMENT HISTORY
Kindly start with your most recent employment.
Organization 1
Role
Contact Name & Num.
Start Date End Date Reason for Leaving
DD/MM/YEAR DD/MM/YEAR
Organization 2
Role
Contact Name & Num.
Start Date End Date Reason for Leaving
DD/MM/YEAR DD/MM/YEAR
Organization 3
Role
Contact Name & Num.
Start Date End Date Reason for Leaving
DD/MM/YEAR DD/MM/YEAR
Do you have any relatives working in this company?
Yes No
If yes, mention their names and your relation to them
Name Relationship
A | AXION Engineering Ltd Employee Biodata Form
SECURITY
How long have you lived at your current Address? - Months: Years:
Have been convicted of
Yes No
felony or a misdemeanor or
served time?
Yes No
If Yes, kindly describe incident
(indicate city, state and
charge):
1.
2.
Do you have a driving license?
Yes
No
Are you willing to work in other
states?
Yes
No
Do you authorize AXION
Engineering Ltd. to do a criminal
and professional background
check on you?
Yes No
A | AXION Engineering Ltd Employee Biodata Form
REFERENCE
Kindly provide 3 references, excluding relatives. We advise that you notify your references
in advance that we will contact them. (Please note that your documentation will not
be concluded if you do not provide up to 3 references)
Full Phone Number Relationshi Years Best
Name p Known Call
Time
1.
AM PM
2.
AM PM
AM PM
DECLARATION
1. I declare that all the information I have given is true and that any false or misleading
information may result in termination of my employment.
2. I authorize AXION ENGENEERING LTD and her agents to verify any of this information
including, but not limited to, criminal history and employment records.
3. I authorize all persons, schools, companies, and law enforcement authorities to release
any information concerning my background to AXION ENGENEERING LTD and hereby
release any said persons, schools, companies, and law enforcement authorities from any
liability for any damage whatsoever for issuing this information.
4. I release AXION ENGENEERING LTD from any liability which might result from making
such investigations.
5. All changes in this employment relationship must be done in writing.
6. My signature below acknowledges that I have read, understood and agree to the above
disclosure.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Employee’s Signature Date
A | AXION Engineering Ltd Employee Biodata Form