Job Application Form

Please follow the Instructions given below:

1. Affix one Passport size color photograph (3.5 X 4.5 cm) with light background in
the space provided on right.

2. Update the details accurately as this information will be used for future
reference.

Please affix your

color photograph
with light
background
here.
(3.5 X 4.5 cm)

3. Carry your updated resume along with the Job Application Form
4. Carry last 3 months Salary Slips.

1.

NAME

:_____________________________________________________________
(First Name)
(Middle Name)
(Surname)

2.

FATHERS NAME

:_____________________________________________________________

3.

DATE OF BIRTH

:____________________

AGE (in years)

:______________

4.

NATIONALITY

:___________________

GENDER

:______________

5.

MARITAL STATUS

:_____________________________________________________________

6.

PAN CARD No.

:_____________________________________________________________

7.

UID No.

:_____________________________________________________________

8.

a) ADDRESS (PERMANENT)

:_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
CITY : __________________________ PINCODE : _________________

b) ADDRESS FOR
COMMUNICATION

: _____________________________________________________________
_____________________________________________________________
_____________________________________________________________
CITY : __________________________

9.

CONTACT DETAILS

PINCODE : _________________

RESIDENCE : __________________

OFFICE : ___________________

MOBILE

EMAIL ID :___________________

: __________________

10.

LANGUAGES KNOWN

READ:
____________________

WRITE:
____________________

SPEAK :
_______________

11.

HOBBIES/ LIESURE ACTIVITIES

: ____________________________________________________________

12. EDUCATIONAL QUALIFICATIONS :

(Please mentioned the details from SSC to Post Graduation. Kindly use separate sheet if required.)
Exam
Passed

Year of
passing

University/Board

Name of Institution

Are there any gaps in Education ?

If Yes, please mention and give reason for the same below

Speciali
zation

Yes

Regular/Distance/Part time

No

13. PROFESSIONAL / TECHNICAL QUALIFICATIONS : (Kindly use separate sheet if required.)

Exam
Year of
University/Board
Name of Institute
Main Subject /
Passed
passing
Specilisation

14.

ROLE APPLIED FOR

15.

EXPERIENCE IF ANY

Sr.
No

%age /
Marks

% age /
Marks

: _____________________________________________________________
: (Starting with the Present Employer. Please indicate career progression
within the same institution clearly)

Organizational Information
(Starting with the Present
Employer)
Name:

From Date

To
Date

Functional
Designation /
Role

Internal
HR Grade
/ Band

Posted at

1.
On roll

Yes

No

Sr.
No

2.

Organizational Information
(Starting with the Present
Employer)
Name:

On roll

Yes

No

Relieving letter
available

Yes

No

On roll

Yes

No

Relieving letter
available

Yes

No

On roll

Yes

No

Relieving letter
available

Yes

No

On roll

Yes

No

Relieving letter
available

Yes

No

From Date

To
Date

Functional
Designation /
Role

Internal
HR Grade
/ Band

Posted at

Name:

3.

Name:

4.

Name:

5.

(Please use separate sheet if required)

Are there any gaps in employment ?
If Yes, please mention and give reason for the same below

Yes

No

16. PRESENT GROSS MONTHLY EMOLUMENT

(Please give break-up and attach last 3 months salary slips)
Basic

Any Other Benefits:

Fixed Allowance
HRA
LTC
Medical
Bonus/
Ex-Gratia (Annual)

17. EXPECTED SALARY

____________________________________________________

18. a) HAVE YOU APPEARED FOR ANY

INTERVIEW / WRITTEN TEST IN
AXIS BANK EARLIER?

No

If Yes, when: _________________

b) IF YES, WHETHER SELECTED OR NOT

c)

Yes

Yes

No

IF SELECTED, REASON FOR NOT JOINING: __________________________________________________

19. DO YOU HAVE ANY RELATIVE WORKING

No
Yes
(or) IN RECRUITMENT PROCESS WITH AXIS :
BANK LTD
IF YES; NAME AND RELATION WITH THE EMPLOYEE: ____________________________________________
20. RESUME
REFERRED
THROUGH

Portal:
Directly Applied:

Yes

No

Employee Reference:

Yes

No

Employee Name: ______________________

Consultant:

Yes

No

Consultant Name: _____________________

21. IN THE EVENT OF BEING SELECTED

APPROXIMATELY WHAT TIME WILL BE
REQUIRED TO TAKE UP THE ASSIGNMENT
22. ARE YOU WILLING TO SERVE ANYWHERE
IN INDIA

(tick the
right one)

Yes

No

___________________________________________________
Yes

No

:
If No, Preferred Locations __________________________

23. HAVE YOU BEEN SUBJECTED TO ANY

DISCIPLINARY PROCEEDINGS BY YOUR
PREVIOUS EMPLOYER (S) AT ANY TIME?
24. IF YES, WHETHER YOU WERE PUNISHED
OR EXONERATED? PLEASE GIVE A BRIEF
DESCRIPTION OF THE ENTIRE CASE.
(IF REQUIRED, USE A SEPARATE SHEEET)

Yes

No

Yes

No

:
:

25. HAVE YOU EVER BEEN PROCEEDED AGAINST:

UNDER ANY CIVIL OR CRIMINAL STATUTES
OR IN A CONSUMER FORUM. IF SO WHETHER
YOU WERE CONVICTED OR ACQUITTED.
26. DOES THERE EXIST ANY PENDING CASE(S)
AGAINST YOU OR ANY LEGAL ACTION IS
PROPOSED TO BE INITIATED AGAINST
YOU.

If yes, (give brief details):

__________________________________________________
Yes

No

If yes, (give brief details):

_________________________________________________

I hereby declare that all statements made hereinabove are true, complete and correct and are not false or
misleading. I understand that in the event of any information so furnished being found false or incorrect or
misleading, the Bank shall be at liberty to dismiss me from its services (if selected) besides proceeding against
me for giving false and incorrect statements, under the appropriate law.
NAME

_______________________________

SIGNATURE

: ________________________

DATE

_______________________________

PLACE

: _________________________

Job Application form is only a part of selection process and the Bank reserves the right to postpone, cancel or
abandon the process at its own discretion without assigning any reason.