Scribd
Upload
112 views4 pages

IIM Calcutta Job Application Form

This document is a personal details form for an application to IIM Calcutta. It requests information such as name, date of birth, contact details, addresses, education history, work experience, family details, references, and a declaration signed by the applicant. The form is multi-page and asks for details to be written in block letters or indicates if a separate sheet can be attached if additional space is needed.

Uploaded by

saranya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
112 views4 pages

IIM Calcutta Job Application Form

This document is a personal details form for an application to IIM Calcutta. It requests information such as name, date of birth, contact details, addresses, education history, work experience, family details, references, and a declaration signed by the applicant. The form is multi-page and asks for details to be written in block letters or indicates if a separate sheet can be attached if additional space is needed.

Uploaded by

saranya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Indian Institute of Management Calcutta

Diamond Harbour Road, Joka, Kolkata 700 104

PERSONAL DETAILS
[ Do not leave the portion unfilled ; if not applicable, indicate the same ]
[Name and Address should be in Block Letters]

Application for the position

Attested
Photograph

_______________________________.

Name

Date of birth

[Last]

[First]

________
[Day]

___________
[Month]

[Middle]

__________
Year]

Fathers Name/Husbands Name [in case of married women] :


Correspondence Address {Please fill up Block Capital Letters}

Telephone No. with STD


Code [Residence]

Telephone No. with STD


Code [Office]

Mobile

E-Mail

Permanent Address {Please fill up Block Capital Letter}

Sex

Marital Status

Nationality

Religion

Home Town and State

Whether SC / ST / OBC / PH [kindly mentioned OH / HH / VH and attach


attested copy of certificate] / Ex-Serviceman / General, please specify
If SC / ST / OBC, please specify Sub Caste and attach attested copy of
certificate issued by the appropriate authority
Language Known
Language

Read

Write

Speak

-2Continuation Sheet 2.

Educational / Professional Qualification [Starting from School Final [ Class X ] onwards] {Please fill up Block Capital Letters}
[ If space is insufficient, please attach separate sheet]
Examination
University / Board /
From
To
Divn. /
Specialization
Special
Institute [Location]
Grade
achievement

Name of Company and


nature of business

Work Experience [Starting from present organization] {Please fill up Block Capital Letters}
[ If space is insufficient, please attach separate sheet]
Position held
Year of service
Total experience
Gross Annual
From
|
To
in years &
Salary
months
[MM/YY]
MM/YY]

Major responsibilities

Details of present Salary and Benefits & Scale of Pay/Pay Band & Grade Pay (for Government Employees)
[ If space is insufficient, please attach separate sheet]

Expected Salary :

-3Continuation Sheet 3.

Membership of Professional Organization


Name and Address of Organizations

Type of membership

Extra curricular activities / Hobbies / Sports, etc.

Any other information, please specify

FAMILY DETAILS
Name

Sex

Dependants
Date of
birth

Relation
With
applicant

Occupation

-4Continuation Sheet 4.

[Link].

NOTE :

REFERENCES
[Please give name, address and telephone numbers [office and residence] of two
persons under whom you have worked or have had professional interaction ]
Name
Address

Furnishing of false information in the case of a candidate selected and employed will be treated as a
misconduct
DECLARATION

I certify that the foregoing information is correct and complete to the best of my knowledge and belief.

Date

Telephone No.

Signature :

You might also like