Passport

size Photograph
Contract Candidate Information Form

Please fill in all required fields carefully.

Name of the Candidate

I. Job Information
Intended Job

R&D Sales Marketing

Technical service Finance

Supply chain Others

Job Applied For

Current Salary

II. Personal Information

Last Name

First Name

Date of Birth

Do you have another nationality or are you applying for one? No Yes
If yes, provide details here:

Nationality

Tel. No.

E-mail

Person to Contact in
Case of Emergency

Tel. No

Permanent
Address

Present
address with
PIN

Do you have any relative who is working in this organiization. or its subsidiary or joint venture? No Yes
If so, please indicate the name of the relative, his/her relationship with you, and the company or department
where he/she works:

III. Passport Details

Name as in Passport
Passport No.
Place of Issue
Date of Issue
Expiry Date
Do you hold any other countrys passport? if so
please mention the details

IV. Education and Training

From

Educati
on

To

University

Academic Degree

Major Major

10th

10th

12th

12th

BE/B-Tech/MCA

M-Tech/ME/MS/Phd

Confidential

Marks %

BE/B-Tech/MCA

M-Tech/ME/MS/Phd

Page 1 of 4

Contract Candidate Information Form

From

To

Training
Institute/Organization

Course

Location

Certificate

Training

V.. Languages (Please tick the applicable cell)

Language
Skills

Speaking

Reading

Advanced Intermediate Elementary Advanced Intermediate

Writing
Elementary

Advance
d

Intermediate

Elementar
y

English
Other languages:
Foreign language certificate/score:
Native language:

VI. Skills
List the skills or qualifications that you are equipped with in fields such as computer science and
communication:

VII. Experience (Last/Current Employer First/ Reference Check will be applicable)

Employer 1

From/To

Number of Staff
In Organization

Title

Number of
Subordinates

Main
Product/Line
of Business
Department
Where You
Worked
Income

Monthly base salary:

Name of
Immediate
Director

Other:

Title

City Where You

Worked

Tel. No.

Main job duties and achievements:

Reason for
Leaving
Employer 2

Reference and
Tel. No.
Number of Staff
In Organization

From/To

Main
Product/Line
of Business

Confidential

Page 2 of 4

Contract Candidate Information Form

Department
Where You
Worked
Income

Number of
Subordinates

Title

Monthly base salary:

Name of
Immediate
Director

Other:

Title

City Where You

Worked

Tel. No.

Main job duties and achievements:

Reason for
Leaving
Employer 3

Reference and
Tel. No.
From/To

Number of Staff
In Organization

Title

Number of
Subordinates

Main
Product/Line
of Business
Department
Where You
Worked
Income

Monthly base salary:

Name of
Immediate
Director

Other:

Title

City Where You

Worked

Tel. No.

Main job duties and achievements:

Reason for
Leaving
Employer 4

Reference and
Tel. No.
From/To

Number of Staff
In Organization

Title

Number of
Subordinates

Main
Product/Line
of Business
Department
Where You
Worked
Income

Monthly base salary:

Others:

Confidential

City Where You

Worked

Page 3 of 4

Contract Candidate Information Form

Name of
Immediate
Director

Title

Tel. No.

Main job duties and achievements:

Reason for
Leaving

Reference and
Tel. No.

VIII. Hobbies, and Self-Evaluation

Hobbies
Strength

Weakness

Self- Evaluation

IX Family Details: (Please give full details of Parents, Spouse and Children)
No.
Name
Relationship
Date of Birth Age
Occupation

Commitments

1. I hereby declare that all the information provided in this form and other
documents (including application form, Resume, certificates etc, in the
application process) is authentic. In case of any fraud in the information and
documents, I will accept your decision to disqualify me from the contract job.

2.

I also assure that I will not bring any business secrets or intellectual property
rights (IPR) that I obtained from the former employers to this company. For
any legal or civil dispute over the business secrets or IPR between me and the
former employers, I will be personally responsible for all of the consequences
arising there from.

Signature of applicant:

Date:

Confidential

Page 4 of 4