PERSONAL INFORMATION

FIRST MIDDLE SURNAME

NAME

GENDER PHOTO
DATE OF BIRTH
DD MM YY AGE (M/F)
MARITAL TOTAL YEARS
STATUS SINGLE / MARRIED OF
EXPERIENCE
ADDRESS
(Correspondence)

PIN

CONTACT
E-MAIL
NUMBER

QUALIFICATION DETAILS
QUALIFICATION YEAR OF
%AGE NAME OF COLLEGE/ INSTITUTE
S.No DESCRIPTION / BRANCH PASSING
MARKS & PLACE
(X th ONWARDS) (DURATION)

1 10th Standard

XIIth
2
(SCIENCE / COMMERCE / ARTS)

DEGREE / DIPLOMA
(WITH BRANCH)

POST GRADUATION

ANY OTHER COURSE OR TRAINING OR SEMINARS

1
 WORK EXPERIENCE
CURRENT ORGANIZATION

NAME

DESIGNATION Since:

DATE OF JOINING

CURRENT CTC / Annum

CURRENT LOCATION

JOB DESCRIPTION

DEPARTMENT HIERARCHY
/ FLOW CHART

2
 SALARY DETAILS
CURRENT SALARY DRAWN
DETAILS DETAILS
EARNINGS
(PER MONTH) (PER ANNUM )
BASIC
DA(IF ANY)
HRA
CONVEYANCE
MEDICAL
LTA/LTC
BONUS
ANY OTHER COMPONENTS or BENIFITS

TOTAL ANNUAL CTC

EXPECTED CTC
EXPECTED DESIGNATION
WHETHER NEGOTIABLE? YES / NO
NOTICE PERIOD FOR JOINING
PREVIOUS EXPERIENCE

3
 DESIGNATION
NAME OF ORGANIZATION CTC
AT THE TIME JOB DESCRIPTION FROM TO
WITH LOCATION (SALARY)
OF LEAVING

1. Whether appeared for any interview under Jindal Group Of Companies?

_________________________YES
YES / NO___________________________________
NO

2. Whether appeared for any interview for JSW Steel Ltd on any earlier date?

__________________________YES/
YES/ NO__________________________________
NO

3 Whether related or known to any JSW employee? If yes mention name, relation and code of the employee.

_______________________________________________________________________

References: List references who have knowledge about your employment and personal information for the past
four years (DO NOT LIST RELATIVE OR JSW EMPLOYEE). Kindly fill the references from the present
employer only.

FULL POSTAL OCCUPATION/ TEL/MOBILE NO* EMAIL ID*

NAME* ADDRESS* DESIGNATION

*Mandatory

I hereby confirm that the information /statements given by me in this application from are true. I accept that I
shall be liable for dismissal from candidature if the same are found to be misrepresentation of facts any time.

Place:
Date: Individual’s Signature