Personal Profile Form

Candidate Information & Employment History Confidential
Candidate Photograph
A. Personal Data
Language Read Write Speak
B. Educational & Professional Details
Institute (from Final School Year) Board / University Year & Month of Entering Year & Month of Leaving Degree / Diploma Specialisation Marks / Grade (%)
Organisation From To Nature of Work
Course Title Organisation / Institute Date Duration
C. Employment Record

1. Current / Last Employment

2. Past Employment Records

Beginning with your current appointment and working backwards.

Sr. No. Employer Name Designation From To Salary p.a. (Starting) Salary p.a. (Leaving / Present) Reason for Change
1
2
3
Annual CTC Fixed Variable CTC (If applicable) Monthly Take Home Salary (Bank Credited)
Reference

Provide details of two referees, not related to you, whom we may contact.

Name Occupation Address Telephone
Other Particulars
Declaration

I certify that the foregoing information is correct and complete to the best of my knowledge and belief and that nothing has been concealed. I am not aware of any circumstances that may impair my fitness for employment. If I am at any time found to have concealed any material information or given any false details, my appointment shall be liable to summary termination without notice or compensation.