Wuerth Group India

EMPLOYMENT APPLICATION / PERSONAL PROFILE

Post Applied for :
Name :
Designation :. Dept :
Affix Photo
1. Personal:
1. Date of Birth: Place of Birth:
. !eligion: "aste # "ommunit$:
%. Nationalit$: &ex: Blood Group:.
'. Address for "ommunication
Phone No.
Permanent Address
Phone No.
(. )anguages *no+n ,Please tic- appropriate column. !ead Write &pea-
i. ,/other 0ongue...
ii
iii
i1
1.
1
2. In case of emergenc$ contact

Name..!elationship0el No
3. Do $ou -no+ dri1ing: 0+o Wheeler 4our Wheeler None
If $es5 dri1ing )icence No.6alid up to
7. Do $ou o+n: 0+o Wheeler 4our Wheeler None
8. Do $ou ha1e a Passport: 9es No
If $es5 Passport No6alid upto.
2. Health History:
1. 9our :lood group: ..
. Do $our +ear &pectacles : 9es No
If $es5 What po+er : right e$e )eft e$e
%. An$ *no+n allergies:..
'. Do $ou suffer from !espirator$ Disorder ;eart Disease
Blood Pressure Dia:etes Asthma
<thers = &pecif$:
(. ;a1e $ou suffered an$ aliments in the past> Gi1e details.
.
2. ;a1e $ou had an$ accident in the past>

3. Family Background:
1. Whether married> 9es No
If $es5 furnish date of marriage:..
FAMIL BA!"#$%&'(
Name
,4amil$ mem:ers.
Age ?ualification <ccupation Dependent
9es # No

). *ducational History: +,tarting -rom 1.

th
,td./
'ame o- the
Institution
From 0o
*1am
Passed
,2ecial
,u34ects
5 o-
Marks
0rainings Attended:
66666666666666666666666666666666666666666
66666666666666666666666666666666666666666
66666666666666666666666666666666666666666
Achie7ements:
66666666666666666666666666666666666666666
66666666666666666666666666666666666666666
66666666666666666666666666666666666666666
%
8. A. *m2loyment History 9 !urrent to Pre7ious
1. Pre7ious *12erience 'ame : Address o-
*m2loyer
From 9 0o
+Mo
nth;
ea
r/
(e2t.;
(esignation
#ross ,alary
2. <ork (escri2tion
3. our Achie7ements
). $eason -or =o3 ,hi-t
8. B. *m2loyment History 9 !urrent to Pre7ious
1. Pre7ious *12erience 'ame : Address o-
*m2loyer
From 9 0o
+Mo
nth;
ea
r/
(e2t.;
(esignation
#ross ,alary
'
2. <ork (escri2tion
3. our Achie7ements
). $eason -or =o3 ,hi-t
8. !. *m2loyment History 9 !urrent to Pre7ious
1. Pre7ious *12erience 'ame : Address o-
*m2loyer
From 9 0o
+Mo
nth;
ea
r/
(e2t.;
(esignation
#ross ,alary
(
2. <ork (escri2tion
3. our Achie7ements
). $eason -or =o3 ,hi-t
8. (. *m2loyment History 9 !urrent to Pre7ious
1. Pre7ious *12erience 'ame : Address o-
*m2loyer
From 9 0o
+Mo
nth;
ea
r/
(e2t.;
(esignation
#ross ,alary
.
2
. <ork (escri2tion
3. our Achie7ements
'. $eason -or =o3 ,hi-t
>. Additional In-ormation %n your Present ; Latest *m2loyment:
3
Appointment Dt

!eporting to
9our !eportees
Annual &ales turno1er
,Per month.
Basic
DA
;.!.A
"on1e$ance
<ther allo+ance
&pecif$
0otal per month
0otal per
annum,A.
Amt. ,Per annum.
)0A
@ducational
Bonus
/edical
<ther allo+ance
&pecif$
0otal per annum ,B.
Amt. <ther Benefits
,per annum.
@P4
Gratuit$
&uperannuation
<thers
0otal per annum,".
Gross per annum
,AABA".
Amt.
?. %ther In-ormation:

1. ;a1e $ou applied to #inter1ie+ed :$ us in the past> 9es No

If $es5 please state position applied for.. Inter1ie+ed on..
. &alar$ @xpected:
%. ;o+ soon +ould $ou :een a:le to Boin us>
'. Willingness to !eClocate if reDuired> 9es No
(. Do $ou ha1e an$ relati1es emplo$ed in this compan$> If $es5 gi1e details:
2. ;o+ did $ou get to -no+ a:out the 1acanc$>
3. ;a1e $ou e1er :een con1icted under an$ court of la+> If $es5 furnish details:
7
8
@. <%$"I'# I'0*$*,0
1. a. What is $our aspiration in the career>
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:. !eason for encouraging $ou to appl$ to this compan$>
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c. What is $our +or-ing program for this compan$ if $ou are Boining>
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d. 9our short term purpose in $our career ,% = ( $ears ahead.
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e. &pecific expertise # s-ills $ou ha1e ,related to the Bo:. >
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2. <rite 3rie-ly a3out yoursel-:
a. What do $ou expect in $our life>
1F

B. An$ "i1il # "riminal proceedings pending against $ou in an$ court of la+>
9es No. If $es please clarif$.
!eferences ,No relati1e please. "ontact No. G
Address
1.
.
!eferences from the "urrent @mplo$er C "ontact No.
G Address
1.
.
Name and Address of person to :e contacted in case
of @mergenc$:
1. .
9our extra curricular acti1ities5 if an$ please specif$
Pla$ing Games , &pecif$...
"inema 06 !eading Boo-s )istening to /usic
&tamp "ollections &ocial ser1ice <thers..
Declaration: I here:$ affirm that the foregoing statement and ans+er to Duestions are true to the :est of m$
-no+ledge and :elief and +ithout conseDuential omissions of an$ -ind +hatsoe1er and
understand that an$ +rong statements and suppression of facts +ill if I am emplo$ed5 su:Bect
me to immediate dismissal.
Date:
Place: &ignature
%FFI!* &,*
Date of Inter1ie+ EEEEEEEEEEEEEEEEEE Place of Inter1ie+: EEEEEEEEEEEEEEEEEE

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A22ro7als
G/: Appro1ed # Not Appro1ed EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE
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