VOLTAS LIMITED

HUMAN RESOURCE DEVELOPMENT DEPARTMENT

Voltas House B, T.B.Kadam Marg, Chinchpokli, Mumbai 400 033.

Position applied for: _____________________________

PASSPORT SIZE
Branch of Study at Graduate Level: PHOTOGRAPH

Branch of Study at Post Graduate Level:

NAME (BLOCK LETTERS) DATE OF BIRTH:
MR/MS.
(First Name) (Middle Name) (Surname)

PRESENT ADDRESS: TELEPHONE :Off: PERMANENT ADDRESS: TELEPHONE :Off:

Res: Res:
Mobile: Mobile:

PIN CODE PIN CODE

E-mail: E-mail:

EDUCATION QUALIFICATIONS (BEGINNING WITH THE LATEST)

GRADE/%
MONTH &
NAME OF SCHOOL PRINCIPAL SUBJECTS OF MARKS/
EXAMINATION YEAR OF
COLLEGE,UNIVERSITY TAKEN RANK IF,
PASSING
ANY

Postgraduate
degree/Diploma

First Year
Second Year

Any other
Postgraduate
Degree / Diploma

Graduate
Degree/Diploma

First Year
Second Year
Third Year
Fourth Year
Fifth Year

Any other Graduate

Degree / Diploma

ISC/Intermediate/
12th Standard

SSC/ ICSE/ 10th

Standard

PRIZES/SCHOLARSHIP SECURED FOR ACADEMICS

1
PERSONAL PARTICULARS

Vision Normal / Corrected Lens No Left Right

Do you suffer any physical disability?

Religion: - If you do not wish to disclose tick here

(Tick () whichever is applicable.)

Caste: GEN SC ST OBC Do not wish to disclose

Or If else please specify _________________________

Other Information: Ex Servicemen / Differently abled

PASSPORT PARTICULARS:(Mention details exactly as given in the passport) ECNR/ECR

Passport no.: Date of Issue: Date of Expiry: Place of Issue:

Name: Spouses Name:

Fathers Name: Mothers Name:

PAN No.
(If not, then submit any other document proof of applied for the same at the time of joining.)

If you have applied in the past for employment in our Company please give details:
Position Applied for: _________________________ Division: _______________________
Interviewed on: Place :_________________________

Are you willing to work anywhere in India or abroad? {YES / NO}-

Language known (Excluding English) Speak Read Write

ii

iii

iv

ACTIVITIES AND POSITION OF RESPONSIBILITY

ACTIVITIES SCHOOL COLLEGE ELSEWHERE

Official position held

(Prefect, Class
Representative, office
Bearer, etc)

Dramatics, Debates,
Elocution, etc.
(Indicate Level of
participation Inter school,
Inter State etc & prize
won)

Sports, N.C.C., etc

(Indicate Level of
participation Inter school,
Inter State etc & prize
won)

TRAINING & PROJECT WORK

Industry / Name of
Company Assignment Title, Brief Description & Results Achieved Period

2
WORK EXPERIENCE

Industry / Name of Designation Brief Description of Duties and Responsibilities Period Salary Drawn
Company

What in your opinion is your most significant achievement?

What do you consider are your strengths and weaknesses and why do you think so?

3
STRENGTH:

WEAKNESSES:

What are your short term career objectives? How you plan to achieve them?

4
Do you have any relatives / friends in VOLTAS? Please give details.

FAMILY PARTICULARS:

OCCUPATION AND
MARTIAL WIFES /HUSBANDS DEPENDENT
AGE NAME OF THE
STATUS NAME YES / NO ORGANISATION

CHILDRENS NAMES

OCCUPATION AND
DEPENDENT
NAME YES / NO
AGE NAME OF THE
ORGANISATION
Father

Mother

Brothers

Sisters

REFRENCES (OTHER THAN RELATIVES)

1.NAME: 2.NAME:

OCCUPATION: OCCUPATION:

ADDRESS: ADDRESS:

TEL.NO: TEL.NO:

DECLARATION OF APPLICANT

I DECLARE THAT THE PARTICULARS GIVEN IN THIS APPLICATION ARE CORRECT; AND THAT I HAVE
NOT KNOWINGLY WITHHELD ANY FACT OR CIRCUMSTANCES WHICH WOULD, IF DISCLOSED,
AFFECT MY APPLICATION UNFAVOURABLY.

PLACE: SIGNATURE:-

NOTE: AN INCOMPLETE FORM WILL NOT BE CONSIDERED DATE :

INTERVIEW COMMENTS: DATE : _____________

PLACE:___________________