EMPLOYMENT APPLICATION FORM

INSTRUCTIONS

This form has been designed to provide us with basic information for easy processing of your application for employment with us. It also serves as our personnel record should you be employed.
All relevant parts of this application form must be completed.
Titanium Tantalum Products Ltd reserves the right to terminate the employment of the applicant if any of the information in this application form is found to be untrue after engagement.
If you are sending us this form via post, please attention it to:
86/1 Vengaivasal Main Road, Gowrivakkam, Chennai 601302. TAMILNADU. INDIA

Position Applied For:

Date of Application:

I. PERSONAL PARTICULARS

Name, as in Passport/NRIC:

(Title: Dr / Mr / Mrs / Miss / Ms)

Name in Native Script,
if applicable:

NRIC number:

Passport number:

Sex: Male / Female

Place of Birth:

Date of Birth:

Age:

Marital status: Single/ Married /

Divorced / Widowed

Nationality:

Race:

Ethnic Group:

Religion:

Citizenship:

Contact information

Residential address:

Residential telephone number:

Email:

Office telephone number:

Mobile number:

Pager number:

II. FAMILY PARTICULARS
Please give details of your spouse, children, parents and siblings.

Name	Relationship	Nationality	Date of Birth	Occupation	Company

III. CONTACT PERSON / next of kin – In case of emergency

Name:			Relationship:
Residential address:			Residential telephone number:
Office telephone number:	Mobile number:	Pager number:	Email:

IV. NATIONAL SERVICE (if applicable)

Service Status: Part-time / Full-time / Deferred / Exempted	Vocation:
If exempted, state reason:
Enlistment Date:	ORD:
Rank at ORD:	NS Status: Active / Inactive ORD
NS Unit	Next reservist date:

V. Scholarships / awards / BONDS

Year of Award	Description	Value of Award	Start Date of Bond	End Date of Bond

VI. PROFESSIONAL MEMBERSHIPS

From (mm/yy)	To (mm/yy)	Association / Society / Company	Position Held

VII. Computer Literacy & OTHER skills

Software applications that you are proficient in:
Shorthand: wpm	Typing: wpm

VIII. Language proficiency
Please indicate Good, Fair or Poor

Language / Dialects	Written	Spoken

IX. Hobbies / Interests / Games

X. EDUCATIONAL AND OTHER PROFESSIONAL QUALIFICATIONS
Please attach your educational certificates/ transcripts if you are short-listed for the interview.

From (mm/yy)	To (mm/yy)	Name of Institution / Country	Highest Qualifications Attained

XI. Employment History
Please start with your current or most recent employment. Please use additional sheet(s) if space below is insufficient.

Name & Address of Employer
From	To	Current /Last Drawn Monthly Salary	Allowance & Bonus (if any)

Job Title & Brief Description of Duties
Reason(s) for Leaving

Name & Address of Employer
From	To	Last Drawn Monthly Salary	Allowance & Bonus (if any)

Job Title & Brief Description of Duties
Reason(s) for Leaving

XII. CHARACTER REFERENCES

Name	Occupation & Name of the Organisation	Period Known	Address	Contact No.

XIII. Additional Information

What is your expected monthly salary?

How soon can you join us?

XIV. DECLARATION

1. Have you any objection to reference being made to your present / previous employer?	Yes / No
2. Have you been discharged or dismissed from the service of your previous employers?	Yes / No
3. Have you been or are you suffering from any mental disorder or physical impairment?	Yes / No
4. Have you been or are you suffering from any disease / illness / major medical condition in the last 6 months?	Yes / No
5. Are you currently on any medication?	Yes / No
6. Have you taken any illicit drugs?	Yes / No
7. Have you been convicted in a court of law in any country or detained under the provisions of any written law?	Yes / No
8. Have you ever been declared a bankrupt?	Yes / No
9. Do you have any share in any business undertaking other than that in a public-listed company?	Yes / No
10. Are you holding a directorship or other appointment in any company?	Yes / No
11. Are you holding any shares in Titanium Tantalum Products Ltd?	Yes / No
12. Do you have any relatives/friends working in Titanium Tantalum Products Ltd and/or its subsidiary?	Yes / No
13. Have you applied for any employment in Titanium Tantalum Products Ltd and/or its subsidiary before?	Yes / No
If your answer to any of the above is yes, please give details in the space provided or on a separate sheet.
I declare that all the information given herein is true and correct. I understand that a misrepresentation or omission of facts will be sufficient cause for cancellation of consideration for employment or dismissal from the Company’s service if I have been employed. I understand that completing this application is not a promise of employment from the Group or its subsidiaries. I authorize Titanium Tantalum Products Ltd and/or its subsidiaries to confirm any of the statements above and also give the company the right to investigate my background at any time. I hereby declare that all information provided in this application and on the attached resume is true, complete and accurate. I understand that the submission of false information or misrepresentation in this application, may result in the immediate termination of my employment should I be employed by the Company. Signature of applicant: