Eastern Book Company

† Required entries

Name ^†:

Position Applied for ^†:

Present Address ^†:

Telephone ^†:

Permanent Address ^†:

Telephone ^†:

Date of Birth^†:

Present Age (years+month)^†:

Place of Birth^†:

Place of Origin^†:

Religion^†:

Your Academic Record/Qualifications (State from High School onwards and the courses being pursued presently or those you intend to pursue)^†:

Exam. Passed Name of School/College/Univ. Year Division Marks in English

^†

Your Past And Present Employment Record^†:

Organisation and Period of Service Last Salary Designation Reason for its Address From To Drawn Leaving

Are you familiar with computers ? : If Yes, then please give details of course done, work experience etc. ^†

Do you know typing ? : ^† Yes No

Speed on Manual Typewriter Typing Speed on Computer English (WPM) Hindi (WPM) English (WPM) Hindi(WPM)

Any other talent/quality/skill or knowledge that you are proud to possess :

Marital Status ^†:

Your Father's^†:

(a) Name :

(b) His occupation & last designation :

Your Husband's/Wife's^†:

(a) His/Her Name :

(b) His/Her occupation & last designation :

Children :

Name Age Occupation

Sons

Daughters

Brothers/Sisters :

Name Age Occupation

Brothers

Sisters

Dependents : (excluding Wife & Children)

Relationship Age Address where Their Occupation and Employed/working monthly income(if any)

Source/Amount of any other income :

Height

Weight

You would like to work in our organisation because : ^†

Salary Expected :

What recent serious illness have you had, if any and when :

Are you presently taking medicines for any illness/disease, give details :

Do you smoke? If yes how many cigarettes a day ? :

What are your personal ambitions? Please state in a few lines : ^†

Competitive exams you are now preparing for or have appeared in with expected dates of result :

How many day's notice would you require to join :

Have you been interviewed by us before :

If you have been involved in any Courts Proceedings, give particulars :

Give below names and full address with telephone nos. of two prominent persons who know you well and state nature of relationship :^†

Name Address Phone Relationship

Declaration^†

I hereby declare that all the statements made in my application and the attached bio-data form are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false or incorrect at any stage, my application is liable to be rejected and if already appointed, my services are liable to be terminated.

I accept the above declaration.

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