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1.
2.
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TCE Website
TCE Employee
Direct Application
Job Website
Placement Consultant
PART A
Personal Data
Name:
(First name)
(Middle Name )
(Surname Name )
Pin Code :
Phone (Res :
Email:
Mobile :
Permanent Address:
Date of Birth:
Age :
Gender :
Male
Height :
Weight:
cm
Phone (Res.):
State of Domicile:
Female
kg
Marital Status:
Caste
SC
ST
OBC
(Please tick or fill ( ) whatever is applicable)
Others
Ex-Serviceman
Yes
(Please tick or fill ( ) whatever is applicable)
No
Physically Challenged
Yes
(Please tick or fill ( ) whatever is applicable)
(If Yes selected please provide brief details
No
Religion
Hindu
Muslim
Christian
)
Others
Medical history: (Please give brief details and dates of serious illness you suffered from and/ or operations
performed on you during the last 10 years)
Read
Write
Computer literacy/proficiency: Indicate proficiency with languages, use of application software, programming
and such other relevant details.
Extra curricular activities/ hobbies:
Membership of Professional Bodies/ Social Organizations/ Clubs & Societies (Please list only the
memberships which are current and valid):
Name of the Organization
Type of membership (Ordinary/ Life)
Educational Data
Degree/ Diploma/
Certificate
(Start with Higher Degree/
Diploma Upto SSC/ SSLC)
Class/
Percentage
From
(Month/ Year)
To
(Month/Year)
Institute &
University
Major
Subjects/
Specialisation
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Year
Duration
Employment History
Period of employment
Name & Address of Employer
From
To
Position/
Designation
Reason for
separation
Organisation Chart
1. Write down the functional relationship, reporting relationship and special contribution by you in
your current/ last employment:
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3. What specific assignment/ responsibility are you handling at present in your organisation?
4. Mention what specific kind of assignment /responsibility you are looking forward to handle in
future? What contribution you can make, if selected: please elaborate.
General Information
1.
Have you previously applied to TCE? If yes, give details (include date & result).
2.
Have you ever worked with TCE? If yes, Give details (include date).
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3.
4.
Have you ever been prosecuted under any criminal proceedings? If yes, please give details:
References
[Give two references to whom you have reported in your current / previous employment. We will
contact them after your selection in TCE]
Name
Designation /
Profession
Telephone/ Mobile /
E-mail address
Family data
Sr.
No
Name
Relationship
Date:
Age
Signature:
Page 5 of 5
Dependent
( Yes/ No )
Profession