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DEEPAK FERTILISERS

AND PETROCHEMICALS CORPORATION LIMITED.

APPLICATION FORM

Post Applied for : _______________________________________


Name in Full : __________________________________________
Surname
Name
Fathers Name
Date of Birth : dd/mm/yy
Diploma

Graduate Post

Graduate

Present Address : ________________________________________


_____________________________ Tel. No.: ___________________
Permanent Address:
(if different from above)___________________________________
___________________________ Tel. No.: ____________________
email id:PRESENT EMPLOYMENT

(Last job for those unemployed)

Name & Address of Employer _______________________________________________


_________________________________________________________________________
Nature of Business ________________________________________________________
Annual Sales Turnover ________________ Employed From ____________ To _______
Main Acheivements : ______________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Current Job Profile :
Reporting to :
Total Salary Drawn p.a (CTC):

Examination Passed

EMPLOYMENT HISTORY
Employer's
Name and
Address

Year of
Passing

School, University
Institute, Attended

Principal
Subjects

Total %
Marks

Please do not mention your present employment in this


column. (to be listed chronologically).

Designation
and Nature of
work

Duration
From

To

Monthly Salary
(Basic + DA)
Total
Years

Starting

Reason
for
Leaving

Leaving

Are/were you personally connected with any type of business at present / past:
Yes
No
if Yes, give details _______________________________________
_________________________________________________________________________
LANGUAGES

Mention mother tongue first.

Language

Understand

Speak

Read

Write

Have you any relatives or Friends either now or in the past in DFPCL?
Yes

No.

if Yes, give names, relationship, and place of work.

_________________________________________________________________________
_________________________________________________________________________
State, if you have any physical limitations due to which you may be put to disadvantage in
carrying out your duties effectively:
Yes
Date

No
Signature of the Candidate

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