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Godrej Infotech Ltd.
A P P L I C A T I O N F O R M
POST APPLIED FOR : _______________________________
FULL NAME : Mr. / Ms.
__________________________________________________________________(First
Name) (Middle Name ) (Sur Name)
ADDRESS FOR COMMUNICATION (Local) PERMANENT ADDRESS ( Native
Place)
Mobile No.:
E-mail ID Phoe :
DATE OF BIRT : ___ ! ___ ! _______ PLACE OF BIRT
:_______________NATIONALIT" :_____________
DO "OU BELONG TO: GEN ______SC ______ ST _____ OBC _____ OTERS
______
LANGUAGES #NO$N : ( !ommuicatio S"ills )
La#ua#es S$ea" %ead &rite
EDUCATIONAL %UALIFICATION:
E'amiatio
Passed
Full-time /
Part-time or!orres.
Duratio o !ourse Moth
*ear oPassi#
Name Locatio o
School/!olle#e/+,sit/oard(!it State)
!lass /rade
Perceta#eo mar"s
FromMM/**
0oMM/**
SSC
SC
$&' there &n( )re&* +n (o,r 't,d+e'- No ! "e' If
(e'/ 01e&'e 2ent+on the re&'on for the '&2e3
_____________________________________________________________________________________________________
#NO$LEDGE OF COMPUTERS:
_____________________________________________________________________
Contd. 4 3
1
%ecet
Photo#ra$h (i
$roessioal
attire)
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$OR# E5PERIENCE : (- Icludi# $ractical traii#2 i a.- Please
3rite i chroolo#ical order edi# 3ith $reset em$lomet)
PeriodE'$eriece
( imoths )
Name Locatio o
Em$loer / Sel Em$lomet
Desi#atio ad
Nature o &or"
4ual
!ost to!om$a
%easos
orLeavi#
From(DD/MM/
**)
0o(DD/MM/
**)
BREA#UP OF TE PRESENT ! LAST SALAR"/ BENEFITS 6 PER%UISITES
:
Co20onent' R'. 0.2.3 Co20onent' R'. 0.2.3
Month1( Benef+t'
asic Salar
Ann,&1 Benef+t'
Leave 0ravel 4llo3ace (L04)
5ouse %et 4llo3ace Mediclaim / 5os$italisatio Isurace
( !overa#e 4mout %s. 6666666666)
Medical E'$ese %eimbursemet 4 7ther
Educatio 4llo3ace
Luch / !atee TOTAL B 3 :
!oveace 4llo3ace
0ele$hoe E'$ese %eimbursemet Ter2+n&1 Benef+t'
7ther 4llo3aces: a) Providet Fud
b) ratuit
c) Su$erauatio
d) 4 7ther
TOTAL A 3 : TOTAL C 3 :
Co't to Co20&n( 0.&.3 : A 7 B 7 C 3 5 84 R'.
________________ !9
E0ected Re2,ner&t+on : Month1( Gro'' : R'. _____________
Co't to Co20&n( 0.&.3 : R'. ________________
REFERENCES : ( Name relatives / ac8uaitaces i a o the odre9
establishmets )
Name Divisio/Plat2 De$artmet Locatio(S$eci State District )
%elatioshi$ 3iththe a$$licat
Contd; < 3
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SOURCE OF RECRUITMENT DETAILS OF "OUR INTRODUCTION TO US3:
Sel / Placemet !osultat / 4dvertisemet (Ne3s$a$er / odre9
&ebsite / 4 other ;ob Portal) / !am$us Itervie3 /
Em$loee %eerece / ;ob Fair / &al"-i / Em$loee,s So /
Dau#hter / E'-0raiee (Summer / Pro9ect / I-Plat) / 0em$. Sta.
Please metio the e'act detail here:
6666666666666666666666666666666666666666666666666666 (For e'am$le2
i ou are
reerred b a Placemet !osultat2 $lease metio the ame o the Firm /
4#ec).
Please e'$lai i brie 3h ou cosider oursel suitable or the
$ositio a$$lied or +th
the Co20&n(. If &t &n( 0o+nt +n t+2e +n f,t,re/ I
&2 fo,nd to h&?e conce&1ed &n( 2&ter+&1
+nfor2&t+on or =+?en f&1'e det&+1' &=&+n't
&n(
of the &)o?e 0&rt+c,1&r'/ 2( &00o+nt2ent !
tr&+nee'h+0 'h&11 )e 1+&)1e to ',22&r(
ter2+n&t+on >+tho,t not+ce or 0&(2ent +n 1+e, of
not+ce.
D&te : ___! ___! ________ _________________________
P1&ce : ________________ S+=n&t,re of the
A001+c&nt3
Note:
8. If &00o+nted/ (o, &re 1+&)1e to )e 0o'ted
&nd!or tr&n'ferred to &n( of the Co20&n(@'
E't&)1+'h2ent'
>+th+n the Terr+tor+e' of Ind+&.
4. A11 &00o+nt2ent' &re ',)ject to the c&nd+d&te
)e+n= dec1&red 2ed+c&11( f+t )( the Co20&n(@'
Med+c&1
Off+cer or & Med+c&1 Pr&ct+t+oner of Co20&n(@'
cho+ce. The M&n&=e2ent@' dec+'+on +n th+' re=&rd +'
f+n&1.
For off+ce ,'e on1(3
A0t+t,de Te't Score: __________________________________ D&te
of Te't: ________________________________
Cond,cted )(: _______________________________________
S+=n&t,re: __________________________________
S0ec+&1 &00ro?&1 +f &n(3 )( e&d 9 R
_______________________________________________________________
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