Application for Employment

Position & Application Details

Date of Application: Position Applying For:

Applying Through: Source Name:

Previously Applied/Interviewed?
Yes
No
If yes, Date of Interview:

Personal Information

First Name: Middle Name: Last Name:

Date of Birth: Age: Gender:

Mobile Number: Residential Number:

Aadhar Number: PAN Card Number:

Email Address: Permanent Address:

Father's Name & Occupation: Mother's Name & Occupation:

Sibling(1): Sibling(2):

Marital Status: If married, Spouse's Name & Occupation: Children (if any) & Age(s):

Work Experience

Prior Work Experience:-

Organisation: Job Title:

Can We Contact?
Yes
No

CTC(Rs): Reason for Leaving:

Total Experience (Years): Expected CTC: Notice Period Required to Join:

Educational & Professional Qualifications

Educational Qualifications:-

Qualification/Degree/Diploma/
Certification Institute/College Name

Year of Passing University/Board Class/Percentage

Language Proficiency

Language	Speak	Read	Write

Other Personal Details

Hobbies & Interests:

Goal in Life:

How would you describe yourself?

What are your strengths?

What are your weakness?

What actions have you taken to overcome your weakness?

Why should we hire you?

Medical & Legal Information

Have you been COVID-19 vaccinated? If yes, Vaccine Name & Doses Taken:

Do you smoke? Yes No If yes / any other addiction, Details:

Any Medical History? Yes No If yes, Details:

Currently receiving medical treatment? Yes No If yes, Details:

Serious injury or illness affecting work? Yes No If yes, Details:

Convicted of a criminal offense? Yes No If yes, Details:

Document Uploads Upload Your Resume (PDF, DOC, DOCX): Upload Recent Photograph: Upload COVID Universal Pass:

Declaration

I hereby certify that the information provided above is true to the best of my knowledge. I understand that if any information is found to be false, incorrect, or suppressed at any stage, I am liable to be terminated from the services of GoEzyLift Tech Pvt. Ltd. immediately, without prejudice to any other legal or disciplinary actions deemed fit by the Management. I also consent to former employers being contacted regarding my work records.

Signature: Date: