Please fill out the electronic form below. If you don’t want to fill out this form electronically, click here to print a PDF version and fill it out prior to your Employment Application. Thank you.
Date of Application:
Designation Select DesignationAccount Executive - Accounts DepartmentHR Recruiter - HR DepartmentIR Executive - HR DepartmentJr. Engineer - Mechanical DepartmentSr. Engineer - Mechanical DepartmentJr. Engineer - Electrical DepartmentSr. Engineer - Electrical DepartmentMIS Executive - Reporting Department
First Name
Middle Name
Last Name
Date of birth
Age
Nationality
Mobile No
Alternate No
Email Id
Father’s / Husband’s name
Guardian’s name / Occupation
Marital status MarriedUnmarried
Family Details
Select GenderMaleFemale
Select RelationFatherMotherSpouseSonDaughterBrotherSisterOther
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Present Address:
Permanent address:
Source of information about this vacancy: Select Source of informationJob PortalCall from Polaad GroupReference by SomeoneOther Source
Please Specify Other Source
Physical disability (If any)YesNo
Specify Physical disability
Any major illness, operation or accident YesNo
Give details of major illness
Details of Educational / Technical qualifications (Matriculation onwards)
Details of any distinction achieved in studies
Do you plan to pursue your studies further?YesNo
Pursue studies details
Languages Known:
English
SpeakReadWriteUnderstand
Hindi
Marathi
In case of Typing / Computer Operator / Stenographers, state speed in typewriting and shorthand with perfect accuracy of transcription
Whether you know driving Car / Scooter / Motorcycle?YesNo
Driving Licence No:
Ever interviewed by us before for any position?YesNo
Specify position
Have you ever been convicted by any Court of LawYesNo
Details of convicted by any Court of Law:
Have you ever been connected with any political activities?YesNo
Details of Political activities
Is notice period negotiableYesNo
Minimum salary expected (Monthly/CTC)
Period required to join (If selected) (In Days)
State your interest / hobbies / sports etc, if any including distinction achieved
Particulars of membership / position of authority in professional / cultural organization
Space for additional information about your suitability for this post:
Experience Details: FresherExperienced
Total Experience (In years):
Give details of previous Employment
Give reference of two distinguished persons residing in this region who can be referred to about you
Reference persons 1
Reference persons 2
Contact 1
Contact 2
I , hereby certify that the aforesaid information is correct and complete to the best of my knowledge and belief and nothing has been concealed therein. I authorize Company verify these details themselves or by any third party agency hired by them. I am not aware of any circumstances, which might impair my fitness for employment. If at any time, I am found to have concealed any material information or given any false details my appointment shall be liable to summary termination without notice or compensation.
Signature of Applicant
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