World Vision Application Form

World Vision India
Application For
Employment
NAME : Mr./Mrs/Miss/Dr./Prof./Rev.
____________________________________________________________________
(Name in Block letters as per Certificate)
Photograph to
be affixed
Address for Communication : ( in Block letters)

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
City
___________________ State ________________
Postal Code
Home Ph: ________________ Work Phone________________

__________________________
___________________
Fax
Mobile Phone _______________________

Email :
________________________________________
Post applied for
_________________________________________________________________________
Source of information of vacancy
_________________________________________________________
1.
PERSONAL DETAILS
Age
1.1
Date of Birth
years
1.2
1.4 Religion : _____________

_____________
1.5 Marital Status :
appropriate)
1.6
Place of Birth
1.3
Nationality : ____________ Place/State of Domicile :
Single / Married / Divorcee / Widowed /Separated
(Tick as
No. of Children:
1.7 Fathers / Spouses Name

:_____________________________________________________________
1.8 Fathers / Spouses Occupation :
_________________________________________________________
1
1.9 Spouse living in another place

(If applicable), please give details :
_______________________________________________________
2.
EDUCATION (List most recent first)
2.1
Course
of Study
Specialisat
ion
Period of
Study
From - To
University / College /
Institution
Class /
Percenta
ge
2.2Special achievements in academics or co-curricular activities , if any :
2.3
3.
Special skills/(Computer, Area of Expertise etc) obtained by

training/hands-on- experience:
LANGUAGE SKILLS
Languages :
(Tick against the box)
______________
Language
Spoken Fluency
Mother Tongue :
Written Fluency
2
______________
Fair
Good
Fair
Good
______________
Fair
Good
Fair
Good
______________
Fair
Good
Fair
Good
______________
Fair
Good
Fair
Good
______________
Fair
Good
Fair
Good
4.
HISTORY OF EXPERIENCE
4.1
Employment Experience :
Total years of
Experience:_______
(list most recent first)
Year(s)
(month/
Yr to
month/
Yr)
Organisatio
ns Name
and
address
Positi
on or
Title
Reportin
g to
Job
responsibilities
(Brief)
Gross
*
Salar
y
Reason for
leaving
drawn
per
month
* Gross salary means basic and all regular allowances paid in cash
4.2 Present Employer : (or last employer, if not currently working)
4.2.1 Could we contact your present employer at an appropriate time ?
No
Yes
If yes, please mention Supervisors name : _____________________________________________

Phone No. & address :
_______________________________________________________________
3
_______________________________________________________________
e_mail ______________________________________________________________
Your current grade of employment : ________________ (Sub staff / Staff / Supervisory /
Managerial / Senior Management). Tick whichever is applicable
If you hold supervisory or higher position, how many persons report to you ?
_____________
4.2.2
4.2.3 Your Annual gross salary :

(current)________________________________________________________
4.2.4. Break up of your current salary particulars per month in rupees : (Enclose Salary
Slip)
Basic Salary :_____________
HRA :_______________ Transport Allowance
:_________________
All other allowances : _______________________
Gross monthly salary
: Rs.___________
Benefits / perks (state the annual value of each )
Medical
: ____________ LTA:________ Bonus / performance incentive /
gift:____________________
PF:________________ Superannuation
:_____________
:____________Insurance value of cover, specify
Any other, specify :

________________________________________________________________________
5.
CHRISTIAN WITNESS
5.1. Are you presently attending a church?
Yes
No
Name of your Church & Denomination :

____________________________________________________
Church Address :
__________________________________________________________________________
__________________________________________________________________________
__
Pastors Name :
________________________________ Phone No. :
________________________________
5.2 Are you involved in your church programmes in any way? Please give details.
5.3 Please provide a personal statement of your relationship with Jesus Christ and how
it began.
4
CHILD FOCUS
6.
6.1 Do you employ children to carry out work for wages at your home or anywhere? YES /
NO
6.2 What is your opinion on the issue of child abuse / child labour etc.?
6.3 Were you involved in any child related offenses ?
YES / NO
If yes, give details.
6.4 If your job requires that you must stay in a village, would you be willing? If No, Why?
7.
7.1
OTHER ISSUES
Minimum Salary expected (Gross per month)
Rs._________/-
7.2 Why do you want to join in World Vision India?
7.3. Are you prepared to work anywhere in India?

_______________________________________________
7.4. How much time can you spend away from home (travel) in a month?
___________________________
7.5 If selected, how soon you will be able to join?
__________________________________________________
7.6 If you have to relocate your family because of this
employment, how much time you need for the same ?
_____________________________________
5
7.7 Have you applied to World Vision before ?
Yes / No
If yes, When ?_____________________________

___________________________________
Where ?
Post applied for ? _____________________________
Were you interviewed ? Yes / No
If not selected, the reason for the same :

__________________________________________________
7.8 Were you an employee of World Vision / WV Projects?
No
Yes
If yes, please give the details:

Period
Post held
Place of Work
Supervisor
s Name
Reason for
leaving
7.9 Details of relatives or friends in World Vision anywhere or Board/Society members, if

any
7.10 Name :__________________________________
Designation/office____________________________
Relationship :
______________________________________________________________________
7.11 Physical and other disabilities or chronic diseases, if any for which you are being
treated?
___________________________________________________________________________________
7.12 Hobbies and special interests :
______________________________________________________
________________________________________________________________________________________
____
7.13 Research or Publication, if any:
________________________________________________________
7.14
References :
your relatives
S.N
Name
o
From persons residing in India and holding responsible positions other than
Position /
Designati
on
Full Address
Mobile no /
phone nos.
E_mail
Years
Known
(Testimonials can be produced later when asked for).
8.
DECLARATION BY THE APPLICANT
I declare that the information given herein is true to the best of my knowledge and will form
the basis of the contract of employment. I confirm that I am not involved in any offenses or
exploitation, affecting children. I understand that the appointment in the organisation will
be subject to my passing the medical examination by a medical practitioner duly
authorized by the organisation.
If at a future date, it is found that any of the information furnished herein is untrue or
incorrect in any material aspect, the organisation will have the right to terminate my
services without notice or salary in lieu thereof.
Place : ________________ Date : ______________

_____________________
Address:
Signature:
Manager - HR , World Vision India , Program Monitoring Office (PMO) Lucknow , J-325,
First Floor , Ashiana Colony , Lucknow 226012 . Phone No. : (0522) 2425829/ 2425839
Email : [email protected]

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World Vision India

Address for Communication : ( in Block letters)

___________________ State ________________

Home Ph: ________________ Work Phone________________

Mobile Phone _______________________

1.4 Religion : _____________

Nationality : ____________ Place/State of Domicile :

Single / Married / Divorcee / Widowed /Separated

1.7 Fathers / Spouses Name

1.9 Spouse living in another place

EDUCATION (List most recent first)

2.2Special achievements in academics or co-curricular activities , if any :

Special skills/(Computer, Area of Expertise etc) obtained by

(Tick against the box)

If yes, please mention Supervisors name : _____________________________________________

4.2.3 Your Annual gross salary :

:____________Insurance value of cover, specify

Any other, specify :

5.1. Are you presently attending a church?

Name of your Church & Denomination :

6.3 Were you involved in any child related offenses ?

If yes, give details.

7.2 Why do you want to join in World Vision India?

7.3. Are you prepared to work anywhere in India?

7.7 Have you applied to World Vision before ?

If yes, When ?_____________________________

Post applied for ? _____________________________

Were you interviewed ? Yes / No

If not selected, the reason for the same :

If yes, please give the details:

7.9 Details of relatives or friends in World Vision anywhere or Board/Society members, if

(Testimonials can be produced later when asked for).

DECLARATION BY THE APPLICANT

Place : ________________ Date : ______________

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___ State

Home Ph: Work Phone

Place : __ Date :