FR/HR/FE/I/30 July 2011

For Internal Use Only

Application for Employment



Full Name :_______________________________________________________________



Position Applied for:________________________________________________________________


Thank you for your interest in Yalamanchili. This form is intended to enable you to record important
points about yourself, your experience, your achievements and your plans for the future. Please
complete the form in full and use additional sheets if necessary.


Kindly Affix a Passport
Size Photograph here

FR/HR/FE/I/30 July 2011
For Internal Use Only



EDUCATION
(Begin with the most recent qualification and end with Std. X)
Course/Degree Specialization Name of Institute /University Location
Graduation
(Month/Yr.)
Aggregate
Marks
(%or CGPA)



TRAINING
Training/Development Programmes attended / IT Skills
acquired
Institute / Organization Location
Dates attended
From To


TECHNOLOGY SKILLS(like ERP, JAVA, PRO C etc)
Personal Information


Full Name

Date of Birth E-mail :
d d m m y y y Y

Current Address :
City State PIN
Phone (with
STD code)
Office


Res.


Permanent Address :
City State PIN Phone(with STD
code)

Mobile
PAN Number :
Marital Status :

FAMILY DETAILS

S. No Members Date of Birth Relationship Occupation
d d m m y y y y
d d m m y y y y
d d m m y y y y
d d m m y y y y
d d m m y y y y
d d m m y y y y


FR/HR/FE/I/30 July 2011
For Internal Use Only



WORKEXPERIENCE
PRESENT / LAST EMPLOYMENT
Name of the Employer Address :


Phone :
Number of Employees Turnover
Dates Employed From To Notice Period :
Your Designation Employee Code Responsibilities
Reason For Leaving

Supervisors Name & Designation & EMAIL ID

Can we take reference from your supervisor? Yes No
MONTHLY EMOLUMENTS
Fixed Salary Variable / Perks Deferred benefits
Basic

Housing PF, Pension, Gratuity etc. (C)
Bonus/Incentives

Company car


Allowances

Furnishings Monthly Gross (A+B+C)
Others
(please specify)

Others
(please specify)

Current Annual Gross
Total (A)

Total (B) Expected Annual Gross
PRIOR TO PRESENT / LAST EMPLOYMENT
Name of the Employer Address :


Phone :
Dates Employed FROM TO
Your Designation

Employee Code Responsibilities
Reason For Leaving

Monthly Gross: -
PREVIOUSEMPLOYMENT DETAILS
Name of the organization Location Designation
Employee
Code
Duration Monthly Salary Reason for
Leaving From To Starting Final




ABOUT YOURSELF
The answers to the followingquestions will help us get a better understandingof you as a person.

Your personal strengths? Your personal areas of improvement?
Your career objectives?


Your expectations fromthe job/Yalamanchili?

FR/HR/FE/I/30 July 2011
For Internal Use Only


SIGNIFICANT ACHIEVEMENTS: Distinctions, Honours, Awards ( Academic/extra-curricular ) received

OTHERINTERESTS: Cultural, sports, community work and hobbies from school onwards & details of memberships of association
REFERENCES
Give references under whom you have either worked or who know you professionally for at least 6 months.
Name
Duration &
Nature of
Association
Organization &
Designation
e-mail
Phone (with STD code)
Home Office


Off:
Per:



Off:
Per:

ADDITIONAL DETAILS
Nationality Indian Others
If Others, Specify Nationality :
Do you have work permit to work in India? Yes No
Do you hold a valid Passport? Yes No
(for Indian citizens only)
If Yes, Passport No :

Valid till :
Have you been denied VISA to any country? Yes No
If Yes, Details

Have you worked on overseas assignments? Yes No
If yes, provide details on countries visited and type of Visas held
Have you attended any selection process at Yes No
Yalamanchili before?
If Yes, Division : Location :
Month/Year: Status :
Are you willingto relocate/ travel as may be Yes No
required by the organisation?

Please specify if you have any preference on work location:
Do you have any relative / friend employed
with Yalamanchili? Yes No
If Yes, his/her name :

Division/Location :
Have you suffered from any major illness
/surgery /accident in the last five years? Yes No
If Yes, Details
Have you ever been arrested, prosecuted or convicted for any criminal
offense, other than minor traffic offenses ?
Yes No
In the last ten years, have you been convicted of or plead guilty to any
offence?
Yes No
In the last ten years have you been released from prison on a conviction?

Yes No

If Yes, furnish details includingtype of offense and conviction
Do you have any commitment to another employer or organization that might affect your employment with us? Yes No
Any other information you would like us to know which may have significant bearingon our hiringdecision :



I hereby declare that my statements on this application and on my resume or documents provided by me to Yalamanchili are
correct to the best of my knowledge. I acknowledge and agree that providingany 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 Yalamanchili to institute and
conduct a background check to verify the information furnished by me in this form.

Date: Signature: