Personal Profile Form

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PERSONAL PROFILE FORM

1. Personal Details

2. Educational Qualification

If any gap in Education Y/N I Reason: ____________________________________________

Examination

Faculty

School / College Name, place

Status : Regular/

Part–time/ Distance Edu.

Month & year of passing

Institute/College Place University

Medium of Instruction %

Main Subject

s

10thStd

12thStd

Graduation / Diploma

Post Graduation /

Diploma

Others

Name : _______________________________ Gender : Male / Female Date of Birth : ____/____/____ Blood Group : Age : ____years____months Marital Status : ___________________ Date of marriage: ___________________ Languages Known: Spoken: ______________________________ Written: ______________________________ Foreign Languages known: Spoken: ______________________________ Written: ______________________________ Department called for interview: ___________

Local Address : _______________________ ______________________________ ______________________________ Telephone: (O) _____________(R)________ Permanent Address : ___________________ ______________________________ ______________________________ House : Own/Rented Telephone : __________________________ Mobile : __________________________ Email id: __________________________ Valid passport : Y / N / Applied For If yes, valid up to : ________________ Passport No ____________ ECNR /ECR Valid Visa (s) : Y / N If yes for which Countries: ____________ Overseas Visits / Exp: ________________ PAN card no.: ________________

PHOTO

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3. Computer Awareness / other ProfessionalQualification Course Year

(From – To) Full Time / Part Time

Duration Months /

Years / hrs

Frequency Specify # of days & # of hrs per session

Institute – Name & Location

Grade Obtained

4. Family Details Relation Name Age Qualification Occupation, Designation &

name of the company Father

Mother

Spouse

Brother /Sister (s)

Children

Do you have any relative (s) working with Megafine Pharma (P) Ltd. / its Group companies (Y/N) if yes, please specify name, & department _______________________________________________ 5. Work Experience (mention all previous Experience;please start with your current employer.

Company & Location ( City/

Town ) Designation

Period pf Employment Month & Year Duration Reason for

leaving Annual Salary

From To

Total Experience: ______Yrs ______ months RelevantExperience : ______Yrs _____ months Strengths related to the Job applied for _________________________________________________ Expected Salary: ______________________ Total Notice Period Required: ___________________

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6. References Give two references (other than relatives) of people who have known you personally as well as professionally, particularly superiors from previous employment. No references shall be made to your present employer without your consent.

Name & Address

Company Designation

Period for which he/she

knows you Contact No. E-mail ID

Willingness to work in shifts ( Y/ N ) _______________ I hereby declare that I am not under any service agreement other than the notice period. If appointed, I would join duty only after properly relived by my current employer. I also declare that, I have no criminal / legal proceedings pending against me. I certify that the information furnished above is true to the best of my knowledge and any

mis-representation made by me in this form will render me liable to be terminated from service, if appointed.

Date : _________________ Place : _________________ Signature : ________________

7. Source : Walk-in / Job Site / Consultant / Referral / Others (if any, please specify)___________ 8. Personal Profile

(Career plans, Objectives, Plans for higher education, extra curricular activities, personal strength & weaknesses in about 100 words)

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(ForOffice UseOnly)

HRD :

1. Performance in tests : 2. Fresher /Experience :

3. Recommendation : 4. FDA Status : Debarred Not Debarred Position recommended : ________________________ Reporting to : __________ As per policy Stipend / Salary recommended:__________________ Service Agreement : __________

9. Evaluation:

HRD Dept. : Name : Sign & Date

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HOD :- Functional Head : Name : Sign & Date

Director / Sr. V.P. : Sign & Date

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Documents required as below: 1. School leaving certificate 2. SSC (Mark sheet and passing certificate) 3. HSC (Mark sheet and passing certificate) 4. Graduation (Mark sheet and passing certificate) 5. Post graduation (Mark sheet and passing certificate) 6. Any other certificate related to extra-curriculum activities. 7. Appointment letter of current employment 8. Current CTC along with the latest pay slip copy

Note: All the above documents duly attested should be accompanied with the original documents for

verification.

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Personal Profile Form

Documents

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