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Job Application Form

Please follow the Instructions given below:

1.  Affix one Passport size color photograph (3.5 X 4.5 cm) with light background in

the space provided on right.

2.  Update the details accurately as this information will be used for future

reference.

3.  Carry your updated resume along with the Job Application Form

4.  Carry last 3 months Salary Slips.

1. NAME :_____________________________________________________________

(First Name) (Middle Name) (Surname)

2. FATHER’S NAME  :_____________________________________________________________

3. DATE OF BIRTH :____________________ AGE (in years) :______________

4. NATIONALITY :___________________ GENDER :______________

5. MARITAL STATUS :_____________________________________________________________

6. PAN CARD No. :_____________________________________________________________

7. UID No. :_____________________________________________________________

8. a) ADDRESS (PERMANENT) :_____________________________________________________________

 _____________________________________________________________

 _____________________________________________________________

CITY : __________________________ PINCODE : _________________

b) ADDRESS FOR

COMMUNICATION

: _____________________________________________________________

 _____________________________________________________________

 _____________________________________________________________

CITY : __________________________ PINCODE : _________________

9. CONTACT DETAILS RESIDENCE : __________________ OFFICE : ___________________

MOBILE : __________________ EMAIL ID :___________________

10. LANGUAGES KNOWN READ:

 ____________________

WRITE:

 ____________________

SPEAK :

 _______________

11. HOBBIES/ LIESURE ACTIVITIES : ____________________________________________________________

Please affix yourcolor photograph

with light

backgroundhere.

(3.5 X 4.5 cm)

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Yes No

12.  EDUCATIONAL QUALIFICATIONS : 

(Please mentioned the details from SSC to Post Graduation. Kindly use separate sheet if required.)

Exam

Passed

Year of

 passing

University/Board Name of Institution Speciali

 zation

Regular/Dista-

nce/Part time

%age /

Marks

Are there any gaps in Education ?

If Yes, please mention and give reason for the same below

13. PROFESSIONAL / TECHNICAL QUALIFICATIONS : (Kindly use separate sheet if required.)

Exam

Passed

Year of

 passing

University/Board Name of Institute Main Subject /

 Specilisation

% age /

Marks

14. ROLE APPLIED FOR  : _____________________________________________________________  

15.  EXPERIENCE IF ANY :  (Starting with the Present Employer. Please indicate career progression

within the same institution clearly)

 Sr.

No

Organizational Information

(Starting with the Present

Employer)

From DateTo

Date

Functional

Designation /

Role

Internal

HR Grade

/ Band

Posted at

1.

Name:

On roll Yes  No 

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 Sr.

No

Organizational Information

(Starting with the Present

Employer)

From Date To

Date

Functional

Designation /

Role

Internal

HR Grade

/ Band

Posted at

2.

Name:

On roll

Relieving letter

available

3.

Name:

On roll

Relieving letter

available

4.

Name:

On roll

Relieving letter

available

5.

Name:

On roll

Relieving letteravailable

(Please use separate sheet if required)

Are there any gaps in employment ?

If Yes, please mention and give reason for the same below

16. PRESENT GROSS MONTHLY EMOLUMENT

(Please give break-up and attach last 3 months salary slips)

Basic

Fixed Allowance

HRA

LTC

Medical

Bonus/

Ex-Gratia (Annual)

17. EXPECTED SALARY  : ____________________________________________________

Any Other Benefits:

Yes No

Yes  No 

Yes  No 

Yes  No 

Yes  No 

Yes  No 

Yes  No 

Yes  No 

Yes  No 

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 Yes No

18.  a) HAVE YOU APPEARED FOR ANY : Yes No 

INTERVIEW / WRITTEN TEST IN

AXIS BANK EARLIER? If Yes, when: _________________

b) IF YES, WHETHER SELECTED OR NOT : Yes No 

c) IF SELECTED, REASON FOR NOT JOINING:  __________________________________________________  

19.  DO YOU HAVE ANY RELATIVE WORKING

(or) IN RECRUITMENT PROCESS WITH AXIS :

BANK LTD

IF YES; NAME AND RELATION WITH THE EMPLOYEE: ____________________________________________

20.  RESUME

REFERRED

THROUGH

Directly Applied:

Portal:(tick theright one)

Employee Reference: Employee Name: ______________________

Consultant: Consultant Name: _____________________

21. IN THE EVENT OF BEING SELECTED

APPROXIMATELY WHAT TIME WILL BE : ___________________________________________________REQUIRED TO TAKE UP THE ASSIGNMENT 

22.  ARE YOU WILLING TO SERVE ANYWHERE Yes  No 

IN INDIA : 

If No, Preferred Locations __________________________

23.  HAVE YOU BEEN SUBJECTED TO ANY

DISCIPLINARY PROCEEDINGS BY YOUR Yes  No 

PREVIOUS EMPLOYER (S) AT ANY TIME? :

24.  IF YES, WHETHER YOU WERE PUNISHED : 

OR EXONERATED? PLEASE GIVE A BRIEF

DESCRIPTION OF THE ENTIRE CASE.

(IF REQUIRED, USE A SEPARATE SHEEET)

25.  HAVE YOU EVER BEEN PROCEEDED AGAINST:  Yes  No 

UNDER ANY CIVIL OR CRIMINAL STATUTES

OR IN A CONSUMER FORUM. IF SO WHETHER If yes, (give brief details):

YOU WERE CONVICTED OR ACQUITTED. __________________________________________________

26.  DOES THERE EXIST ANY PENDING CASE(S) Yes  No 

AGAINST YOU OR ANY LEGAL ACTION IS

PROPOSED TO BE INITIATED AGAINST If yes, (give brief details):

YOU. _________________________________________________

I hereby declare that all statements made hereinabove are true, complete and correct and are not false or

misleading. I understand that in the event of any information so furnished being found false or incorrect or

misleading, the Bank shall be at liberty to dismiss me from its services (if selected) besides proceeding againstme for giving false and incorrect statements, under the appropriate law.

NAME : _______________________________ SIGNATURE : ________________________

DATE : _______________________________ PLACE  : _________________________

Job Application form is only a part of selection process and the Bank reserves the right to postpone, cancel or

abandon the process at its own discretion without assigning any reason.

Yes No

Yes No

Yes No Yes No