-
8/8/2019 Application Form-Fuchsindia Lubricants
1/4
F U C H S L U B R I C A N T S ( I N D I A ) P V T . L
T D .
CORPORATE HEAD OFFICEAtur House, 2nd Flr, 87,Annie Besant Rd.,
Worli,
Mumbai 18, IndiaTel.:91 22 56661046 / 224946841
Fax :(91) (22) 56661049.Email [email protected]
APPLICATION BANKInstructions
1. This application must be filled by the applicant only
2. All information details must be filled in
3. Please fill only in BLOCK letters
Post Applied for :
1. Name:
First Name Fathers / Middle Name Surname
2. Address & Telephone Nos. for Communication
3. Permanent Address & Telephone Nos.
4. Date of Birth 5. Age yrs.
6. Nationality 7. Religion 8. State to which
you belong
9. Marital status 10. If Married
details
11. Details of Academic & Professional Qualification (Please
mention from latest first)
Examination Passed College / Board / University Year of
Passing
Class %
Fuchs Lubricants (India) Pvt. Ltd. Application Bank 1
AFFIX
SNAP
HERE
Address -
Tel. Nos.-Address -
Tel. Nos -
Date :
Spouse : Age :
Child : Age :
Child : Age :
-
8/8/2019 Application Form-Fuchsindia Lubricants
2/4
Examination Passed College / Board / University Year of
Passing
Class %
12. Proficiency in languages (including mother tongue)
Language Only Speak Speak & Read Speak, Read & Write
12. Details of Employment / Training (Start from Present)
Period
From To
Organization &
Address
Position & Job
Resp.
Emoluments
(joining)
Emoluments
(leaving)
Reasons for
Leaving
13. Details of Present Job
14(a). Have you traveled outside India ? Yes No
Fuchs Lubricants (India) Pvt. Ltd. Application Bank 2
Salary Basic DA CCA HRA
Perks / Allowances (if any)
Job Responsibilities
Positions in Present Organization (Please draw an organogram
indicating your own position)
-
8/8/2019 Application Form-Fuchsindia Lubricants
3/4
14.(b) Please give details of passport No. and expiry date
15 Notice period required to join
16 Membership of Professional Bodies
17. Are you a member of any Provident Fund Scheme ? If so,
please give details
18. References (no relations please)
19. Salary Expectations
20. Details of Enclosure(s) & Testimonial(s)
21. DECLARATION
I hereby declare that the information given above is true &
correct to the best of my knowledge and
belief & I understand that I shall be liable to appropriate
disciplinary action, if the information given
above is found to be incorrect.
For Company Use Only
Selected / Not Selected / Kept on hold
Designation :
Place of Posting :
Agreed Salary :
Fuchs Lubricants (India) Pvt. Ltd. Application Bank 3
a. b.
Name :
Occupation:
Address:
Tel. No.:
Name :
Occupation:
Address:
Tel. No.:
Date : Signature :
Date : Signature :
-
8/8/2019 Application Form-Fuchsindia Lubricants
4/4
Fuchs Lubricants (India) Pvt. Ltd. Application Bank 4
