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Personal Data Form

Post Applied For
Faculty
 
 
Personal Information
Prefix
First Name
Middle Name
Last Name
Date of Birth
Place of Birth
Mobile Number
Email
Present Address
Permanent Address
Present City
Present Pincode
Permanent City
Permanent Pincode
Personal details
Mother Name
Father Name
Nationality
Marital Status
Spouse Name
Spouse's Organization
Blood Group
Gender
Residence Phone
Disability, If any
Language Known
Speak
Read
Write
Details of children/other dependants
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Sr.No.
Dependant's Name
Relationship
Date of Birth

Education History (starting from school):
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Sr.No.
School/College Name & Address
Board/University
Name of Degree/Diploma
Subjects
Year of Entering
Year of Passing
Marks %
Division

Computer Knowledge
Computer Knowledge
Operating System
Software/Application
Extra Curricular Activities
Particulars of any practical training undertaken:
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Sr.No
Particulars Training
From Date
To Date

Employment Record (starting from present employment):
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Sr.No.
Employer Name
Employer Address
Position Held
Employed From
Employed To
Total Starting Salary
Last Drawn Basic
Last Drawn Total
Reason for Leaving

Remuneration Particulars (present employment):
Pay Band
Basic Pay
Dearness Allowance
House Rent Allowance
Transport Allowance
Medical
Others (Please Specify)
Reimbursements
PF Contribution
Total (CTC)
Take Home
Extra Perks
References
Please give the names of two individuals who can comment on your performance, perferably previous employers/Reporting managers.
Name
Designation
Address
Office Number
Res. Number
Email ID
Relatives in this organization
HAVE YOU ANY RELATIVES IN THIS ORGANIZATION?
IF YES, PLEASE GIVE DETAILS
Name
Position
Site
Relationship
ADMISSION FOR YOUR WARD(S) IN THIS ORGANIZATION?
ARE YOU SEEKING ADMISSION FOR YOUR WARD(S) IN THIS ORGANIZATION?
IF YES, PLEASE GIVE DETAILS
1-: Name of Child
1-: Class
2-: Name of Child
2-: Class
expected salary & notice period
Expected Salary
How much notice do you need to give to your present employer?
Have you applied to Learners International before?
Curriculum Vitae