Indman Application Form

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REQUIREMENT REF CLIENT / AREA / PROJECT POSITION SELECTED REMARKS PERSON BAR CODE PLEASE FILL IN THE COMPLETE DETAILS IN PRI POSITION APPLIED NAME AS PER PASSPORT DATE OF BIRTH AGE PLACE OF BIRTH FATHERS NAME MOTHERS SPOUSE NAME NO. OF CH PASS PASSPORT NUMBER ISSUE DATE EDUCATIONAL / TECHNICAL UNIVERSITY / INSTITUTE DEGREE / DIPL COMPU SOFTWARES USED SECOND CHOICE

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Indman Application Form

Transcript of Indman Application Form

FRONT SIDEFOR OFFICE USE ONLY REQUIREMENT REF SALARY EXPECTED CALLED ON CLIENT / AREA / PROJECT SALARY OFFERED INTV. ON POSITION SELECTED ENTRY DATE REMARKS TESTYESNOPERSONAL APPLICATION BAR CODEPLEASE FILL IN THE COMPLETE DETAILS IN PRINT AND ATTACH PHOTOCOPIES OF CREDENTIALS AND REFERENCESPASTE PHOTO HEREPOSITION APPLIEDSECOND CHOICE NAME AS PER PASSPORT DATE OF BIRTH AGEPLACE OF BIRTH RELIGION CASTE

FATHERS NAME MOTHERS NAME SPOUSE NAMENO. OF CHILDREN PASSPORT DETAILS PASSPORT NUMBER ISSUE DATE EXPIRY DATEISSUED ATECNRECREDUCATIONAL / TECHNICAL QUALIFICATIONS & CERTIFICATIONS UNIVERSITY / INSTITUTE DEGREE / DIPLOMA / OTHERS*YEARGRADEDETAILS

COMPUTER KNOWLEDGE SOFTWARES USED EMPLOYMENT RECORDS EMPLOYERS TITLE FROM TO SALARY

GIVE DESCRIPTION OF DUTIES, RESPONSIBILITIES AND EQUIPMENTS USED -

NOTICE PERIOD REQUIRED TO JOIN ?SALARY EXPECTED

LICENCE # 3173 / MUM / PER / 1000+ / 3 / 5268 / 99 Plot # 8, Shah Industrial Estate, Off Veera Desai Road. Andheri (W), Mumbai - 400 053.Tel : + 91 22 26747160 / 65 / 70 fax + 91 22 26731878 email : [email protected]

ADDITIONAL EXPERIENCE DETAILS EMPLOYERS TITLE FROM TO SALARY

GIVE DESCRIPTION OF DUTIES, RESPONSIBILITIES AND EQUIPMENTS USED

KNOWLEDGE OF LANGUAGESINDICATE GOOD OR FAIRDRIVERS & OPERATORSREADWRITESPEAKTYPE OF LICENCE/SCOUNTRY OF LISC.ISSUE DT.EXP. DT.ORIGINAL / COPYL.M.V.H.M.V.

EQUIPMENT OPERATORS PLEASE SPECIFY EQUIPMENT USED / OPERATEDMAKE OF EQUIPMENT USEDMODEL NO.EQUIP. CAPACITYCAPACITY LIFTEDDETAILS

PLEASE READ CAREFULLYAPPLICANT'S CERTIFICATION AND AGREEMENTMAY WE CONTACT YOUR PRESENT EMPLOYER NOW WITHOUT JEOPARDIZING YOUR POSITION ?

HAVE YOU EVER BEEN ARRESTED OR CONVICTED OF A FELONY? IF YES, PLEASE GIVE FULL DETAILS-I) I HEREBY CERTIFY THAT THE ANSWERS GIVEN AND STATEMENTS MADE ARE TRUE AND CORRECT. IHEREBY AUTHORIZE ALL MY PREVIOUS EMPLOYERS AND REFERENCE TO FURNISH ANY INFORMATION CONCERNING MY PERSONAL CHARACTER, HABITS AND EMPLOYMENT RECORDS.

2) I AM SUBMITTING HEREWITH MY ORIGINAL PASSPORT WITH INDMAN CONSULTANTS BY AUTHORIZING THEM TO PROCESS MY OVERSEAS EMPLOYMENT VISA AND OTHER RELATED TRAVEL DOCUMNTS AS PER AGREED TERMS. I AGREE TO REIMBURSE THE EXPENSES INCURRED BY INDMAN CONSULTANTS TOWARDS PROCESSING OF MY TRAVEL DOCUMENTS IF I WITHDRAW MY DOCUMENTS AFTER PROCESSING MY VISA.

3) I UNDERSTAND THAT ANY MISREPRESENTATION OR MATERIAL OMISSION MADE ON THIS FORM OR ANY OTHER RELEVANT DOCUMENTS, TENDERS ME LIABLE TO DISMISSAL WITHOUT NOTICE AND I HEREBY WAIVE ALL MY RIGHT RECOURSE.

4) I UNDERSTAND THAT INFORMATION AND ANY DOCUMENTS PROVIDED IS WITHOUT OBLIGATION TO INDMAN CONSULTANTS OR TO THEIR PRINCIPAL ARE NOT RETURNABLE.

NAME AND CONTACT NO. IN CASE OF EMERGENCY TEL. NO. PRESENT ADDRESS PERMANENT ADDRESS

MOBILE No. EMAIL TEL. NO. APPLICANTS SIGNATURE DATE