ESSEL SHYAM Communication Ltd

Issue Date 19th April 2012

Review Date 18th April.2012
Approval Date 19th April 2012
Page 1of 4

Job Application Form

Doc. Classification: Internal

Doc. No.: ESCL-ISMS-FO-004

Ver. No.2.0

(PLEASE FILL THE FORM IN OWN HANDWRITING)

Post Applied for :__________________________________________________

Full Name : _________________/_______________/__________________
First

Middle

Photograph

Surname

Fathers/ Husbands Name : ______________________________________

Present Address: _______________________________________________
___________________________________________________________________ (Tick: Owned/ Rented)
Telephone No. (Res.): __________________

Mobile: ___________________

Off: _________________

Permanent (Home Town) Address:_____________________________________________________________

___________________________________________________________________ (Tick: Owned/ Rented)
Date of Birth: DD / MM / YYYY

Age : _______

Marital Status: Single / Married

Date of Marriage: DD / MM / YYYY

Sex: Male / Female

*Educational /Professional Qualification (Starting from 10th Standard)

Year of
Starting

Period
Year of
Completion

Degree/
Diploma

Name & Location of the School/College

Stream/ Branch

Percentage
% obtained

10th
12th

*Reason(s) for Break in Education (if applicable)

Issued by
HR Deptt. ESCL

Reviewed by
Karuna Parmar

Approved by
N.K.Badola

Division

ESSEL SHYAM Communication Ltd

Issue Date 19th April 2012
Review Date 18th April.2012
Approval Date 19th April 2012
Page 2of 4

Job Application Form

Doc. Classification: Internal

Doc. No.: ESCL-ISMS-FO-004
*Employment Detail: Recent to Past
From
Month
& Year

To
Month
&Year

Name & Location of

the Organization

Designation & Brief Job Description

Ver. No.2.0

Gross Salary
Drawn (P.M.)

Reason(s) for leaving

Designation:
Job Description:

Designation:
Job Description:

Designation:
Job Description:

Designation:
Job Description:

Training/ Internship/ Vocational Course attended Specify if any

1.
____________________________________________________________________________________________________
2.

_
____________________________________________________________________________________________________
_

3.

____________________________________________________________________________________

Family Particulars ( Parents information is mandatory)

Sr.
No.

Family Members Name

Issued by
HR Deptt. ESCL

Relationship with
Family Member

Qualification

Reviewed by
Karuna Parmar

Occupation
(Be specific)

Is the Member
Dependent on you?

Approved by
N.K.Badola

Yes

No

Yes

No

Yes

No

ESSEL SHYAM Communication Ltd

Issue Date 19th April 2012
Review Date 18th April.2012
Approval Date 19th April 2012
Page 3of 4

Job Application Form

Doc. Classification: Internal

Doc. No.: ESCL-ISMS-FO-004

Language Known: - Tick the applicable box(es)

Sr. No.

Language

Speak

Ver. No.2.0

Read

Yes

No

Yes

No

Write

Please specify in case of relationship/ acquaintance with any person associated with ESCL / ESTL / Essel Group /
Shyam Telecom

Sr.
No.

Name

Designation & Company

Contact Number

Nature of relation /
acquaintance

Professional Reference: Recent Employer

Fresh applicants may give their college placement officers reference

Sr.
No.

Full Name & Location

Designation & Company

Contact Number

Nature of relation /
acquaintance

Can we check your reference with present employer? - Yes/No

Indicate your reporting relationship & departmental hierarchy through suitable organizational chart. (Mention
any other information which you think should be taken into account for considering your application.

Expected Salary(CTC) ____________________

Issued by
HR Deptt. ESCL

Reviewed by
Karuna Parmar

Approved by
N.K.Badola

ESSEL SHYAM Communication Ltd

Job Application Form

Doc. Classification: Internal

Doc. No.: ESCL-ISMS-FO-004

Issue Date 19th April 2012

Review Date 18th April.2012
Approval Date 19th April 2012
Page 4of 4

Ver. No.2.0

Notice required to join - a) Immediately b) 01 month c) 02 months d) 03 months e) other

___________
Why do you wish to join us?
__________________________________________________________________
I am prepared to sign Service Agreement of two years, if required. - Yes / No
I am prepared to be posted anywhere in India. - Yes / No
Membership of Professional Association/ Political Party:
___________________________________________
Any major illness /surgical operation in last six
years:______________________________________________
Have you participated in any extra curricular activities? Yes / No
a) Students Association
b) Voluntary Organization
c) Youth Organization
d) Clubs etc.
Specify
___________________________________________________________________________________
MAJOR ACHIEVEMENTS

______________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________

HOBBIES

__________________________________________________________________________________________

STRENGTHS

_______________________________________________________________________________________

WEAKNESSES

_____________________________________________________________________________________
PRESENT SALARY DETAILS (Please attach your salary slip)

NAME: ______________________________

CURRENT EMPLOYER: ________________________

DESIGNATION: ______________________

GRADE RANGE: _______________________________

COMPONENTS

1.
2.
3.
4.
5.

EMOLUMENTS (In Rupees)

Monthly
Annually

Taxable

STATUS
Non-taxable

REMARKS

Basic + DA
H.R.A.
Conveyance
Incentives
P.F

Sub Total
LTA/MED.
Bonus
Incentive
Others (Please
Specify)
Grand Total
________________________________________
Issued by
HR Deptt. ESCL

Reviewed by
Karuna Parmar

Approved by
N.K.Badola

ESSEL SHYAM Communication Ltd

Job Application Form

Doc. Classification: Internal

Doc. No.: ESCL-ISMS-FO-004

Issue Date 19th April 2012

Review Date 18th April.2012
Approval Date 19th April 2012
Page 5of 4

Applicants Signature:

Issued by
HR Deptt. ESCL

Ver. No.2.0

Date: ______________

Reviewed by
Karuna Parmar

Approved by
N.K.Badola