HomeCareer Form
(To be filled up in capital letters)
Post Applied For
Referred By
Interview Date
Candidate Name(As per Aadhar Card)*
Date Of Birth(As per Aadhar Card)*
Blood Group*
Gender* MaleFemaleOther
Contact No*
Email Address*
Vehicle Owned Two WheelerFour Wheeler
Name of Vehicle
Marital Status* UnmarriedMarried
Uan Number*
Aadhar No*
Pan Card No*
Father Name (As per Aadhar Card)*
Contact No
Occupation
Mother Name*
Spouse's Name
Date of Birth
Place of Birth
Name
Gender MaleFemale
Correspondence Address*
District*
State*
Pincode*
City*
Permanent Address*
Nominee Name*
Relationship-Nominee*
Date of Birth of Nominee*
Bank Account No*
Bank Name*
IFSC CODE*
Tax Regime*
Hindi ReadWriteSpeak
English ReadWriteSpeak
Highest Certificate/ DEGREE/ DIPLOMA*
Name of Institution/University*
FROM (YEAR)*
TO (YEAR)*
(%)Percentage*
Organization
Designation
CTC
Reporting Manager
Email Id
Period From*
To*
Reason of Leaving Please SelectFamily IssueSalary GrowthProfessional GrowthAny Other
Total Experience(Years)*
Period From
To
Name*
Relation
Contact*
Address
Relation*
Contact
Have you ever been interviewed by Dhanuka Yes or No / If yes for which position and When?
Do you have any relative or friend employed with Dhanuka Group YES OR NO / If yes , give details
Have you ever been involved in any court cases YES OR NO / If yes , give details
Are you diagnosed with any disability, critical health problem in recent past, which may affect your work? YES OR NO
Mention major Achievement/Awards that you consider are significant in your career path:
Details of training /Seminar/conference/symposium/workshop attended:
Details Name *
PRESENT EMPLOYER
PAST EMPLOYER
Professor (For Fresher)
Designation *
Organization *
Address *
Email-ID *
Contact No *
If Selected can join on or before -
Notice Period -
Salary Expectation -
Ready to work anywhere in India/ Preferred states / Only in these states (Please tick anyone & specify)
I hereby confirm that the particulars and information given are true and correct to the best of my knowledge & belief and nothing has been concealed which would, if disclosed, affected my candidature unfavorable. I hereby authorize Dhanuka Agritech Ltd.to initiate background verification of my credential after my formal joining of the company. I further confirm that if any anomaly is discovered/noticed after joining, company may take appropriate action against me. In event of my appointment, I shall comply with Values, rules and regulations of the company while in the employment of the company .
Date
