Untitled Document

EMPLOYMENT APPLICATION FORM

Position Applied For :

Date of Application:

Name of Applicant

Date Of Birth

Age

Place Of Birth

Marital Status

Nationality

Religion

Citizenship

Residential Address

Residential Phone

Mobile

e-mail

Permanent Residential Address

Proficient Software applications

Language proficiency

English
French
Tamil
Hindi
Malayalam

Educational Qualifications

Employment History

What is your expected monthly salary?

How soon can you join us?

Have you any objection to reference being made to your present / previous employer?

Yes No

Have you been discharged or dismissed from the service of your previous employers?

Yes No

Have you been or are you suffering from any mental disorder or physical impairment?

Yes No

Have you been or are you suffering from any disease / illness / major medical condition
in the last 6 months?

Yes No

Are you currently on any medication?

Yes No

Have you taken any illicit drugs?

Yes No

Have you been convicted in a court of law in any country or detained under the
provisions of any written law?

Yes No

Have you ever been declared a bankrupt?

Yes No

Do you have any share in any business undertaking other than that in a public-listed
company?

Yes No

Are you holding a directorship or other appointment in any company?

Yes No

Do you have any relatives/friends working in Titanium Tantalum Products Ltd?

Yes No

Have you applied for any employment in Titanium Tantalum Products Ltd?

Yes No

If your answer yes to any of the above is yes, please give detail

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