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    Employment Application Form ISO

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    Ajay Iyer
    This document contains an employment application form completed by Ajay V. It includes personal details like name, address, date of birth, education qualifications, work experience, skills and references. Ajay has a bachelor's degree in biology and over 10 years of experience in medical transcription. He is currently a senior quality analyst at Canny Care Solutions and is seeking a new job opportunity with better salary.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Employment Application Form ISO

    Uploaded by

    Ajay Iyer
    128 views6 pages
    This document contains an employment application form completed by Ajay V. It includes personal details like name, address, date of birth, education qualifications, work experience, skills and references. Ajay has a bachelor's degree in biology and over 10 years of experience in medical transcription. He is currently a senior quality analyst at Canny Care Solutions and is seeking a new job opportunity with better salary.

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    Original Title

    Employment Application Form ISO (1) (1)

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    This document contains an employment application form completed by Ajay V. It includes personal details like name, address, date of birth, education qualifications, work experience, skills and references. Ajay has a bachelor's degree in biology and over 10 years of experience in medical transcription. He is currently a senior quality analyst at Canny Care Solutions and is seeking a new job opportunity with better salary.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    128 views6 pages

    Employment Application Form ISO

    Uploaded by

    Ajay Iyer
    This document contains an employment application form completed by Ajay V. It includes personal details like name, address, date of birth, education qualifications, work experience, skills and references. Ajay has a bachelor's degree in biology and over 10 years of experience in medical transcription. He is currently a senior quality analyst at Canny Care Solutions and is seeking a new job opportunity with better salary.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    SYS/HR/ F/Emp. Appl-1.

    1b/Rev02/Date of issue-18 Sep 12


    Format HR / Recruitment / Employment Application Form 1.1b



    1. Name:_ Ajay V._____________________________________________________
    (First Name) (Middle Name) (Surname)


    2. Present Address with phone number Permanent Address with phone number






    3. Date of Birth: 19/04/1985 Sex: Male. Religion: HINDU

    4. Marital Status: Unmarried No; of Children: 0

    5. Do you have your own Vehicle: Yes

    6. Any Medical Disability: NO Eye Sight: 6/6

    7. EDUCATIONAL QUALIFICATION

    Education

    Name of
    School/College
    Institute/
    Division
    Major
    Subjects
    % of
    Marks
    Division/
    Grade
    Year of
    Passing/
    Attempt
    SSC

    D.A.V
    ADAMBAKKAM
    CBSE SCIENCE 70 2000 1
    HSC

    T.V.S.M.,
    COIMBATORE
    TN STATE
    BOARD
    BIO,
    PHYSICS,
    MATHS
    60 2003
    Graduation

    IGNOU IGNOU BIOLOG
    Y
    50 ________
    Post.
    Graduation

    Any Other


    Computer
    Literacy






    Please affix
    your recent
    photo.
    13/17, Shankar Mansion, Nedunchalai Nagar,
    Kasakanoor (Opposite to Sona College), Salem

    Mobile#: 91-8760977483
    MailID: [email protected]
    No. 13, Sri Ramajayam, Rajaji Nagar,
    Lawspet, Pondicherry

    SYS/HR/ F/Emp. Appl-1.1b/Rev02/Date of issue-18 Sep 12



    8. FAMILY DETAILS: ( Dependants)

    Relationship

    Name Age Qualification Occupation
    MOTHER UMA MAHESWARI 51 BA EDITOR E-
    PUBLISHING

    SISTER AISHWARYA 24 MBA STUDENT





    9. .OCCUPATIONAL DETAILS (Please start with present Employment)
    From:
    JAN 2009-

    To:
    AUGUST
    2014


    Name of the
    Company:
    CANNY CARE
    SOLUTIONS

    Business:
    MEDICAL
    TRANSCRIPTION

    Annual
    Turnover:


    Designation: SR.
    QUALITY AN
    ALYST


    Reporting To:

    TEAM LEADER
    Salary at the
    time of
    Joining:
    JANUARY 2009

    Salary at the
    time of
    Leaving
    Reason of
    Leaving

    PERSONAL

    24,000
    From:
    MARCH 2004

    To:

    FEBRUARY
    2008

    Name of the
    Company:
    PHARAOH
    SOLUTIONS

    Business:

    Annual
    Turnover:


    Designation:
    TEAM LEADER,


    Reporting To:
    Salary at the
    time of
    Joining: 6500

    Salary at the
    time of
    Leaving 19000
    Reason of
    Leaving

    CHANGE OF
    PROFILE

    SYS/HR/ F/Emp. Appl-1.1b/Rev02/Date of issue-18 Sep 12
    From:


    To:



    Name of the
    Company:

    Business:

    Annual
    Turnover:


    Designation:



    Reporting To:
    Salary at the
    time of
    Joining:

    Salary at the
    time of
    Leaving
    Reason of
    Leaving





    10. Have you attended any training course(s) workshop, seminars? Please give details
    Training at RND SOFTECH, COIMBATORE, LASTING FOR SIX MONTHS.

    Extra Curricular Activities/Interests T.V. VIEWING

    11. Do you have any relative/ Friends serving in MModal Please give details.
    LATHA, from Salem.


    12. Please describe briefly your major achievements and your Interest in seeking
    employment with MModal
    Achievements including persistent and dedicated efforts to build up quality and work as
    a team and strengthen the entire teams morale in terms of distress. Being available
    when in need.

    13. Do you have any Liability with your Present employer, If Yes, give details.
    No.


    14. If selected, time required to join.

    14 days


    15. Do you have any objection if we refer to your previous Employer, If No, give details?
    YES. Canny care solutions Chennai.

    16. Present Salary: 25000/-

    17. (Proof submitted) _________________


    SYS/HR/ F/Emp. Appl-1.1b/Rev02/Date of issue-18 Sep 12
    18. Basic DA Other Allowance Total


    19. Salary Expected: 28000/-



    20. REFERENCES (Please provide full mailing address with phone No)
    Personal
    1 Gemini Ganesh 09562620330 2




    Professional
    1 2




    DECLARATION
    I declare that all the information and particulars given by me in this form are true to the
    best of my knowledge and belief. I fully understand that if any of the Information given
    above is found to be incorrect or deliberately distorted, my application may be rejected
    or my services may be terminated at any time without notice by MModal.


    Date: 20/08/2014A

    Signature of Applicant

    HR Comments:

    SELECTED / REJECTED : _______________ Joining Date : ________________________

    Department : ________________________ Gross Salary :________________@ annum.

    Remarks :__________________________________________________________________

    Signature: ________________________

    SYS/HR/ F/Emp. Appl-1.1b/Rev02/Date of issue-18 Sep 12

    Format HR / Recruitment / Manpower Requisition Form 1.1c

    Annexure for Employee Application Form
    (Technical positions like MLS, QA, Editors)

    1. Write 100 words about yourself: I am Ajay, I have been working in the medical
    transcription industry for the past 10 years now and have been bread winning for the
    long years now. I am committed, responsible, and take work serious enough to keep
    ethical standards at work high. I am motivated by spirituality and the need for work
    life balance to lead a peaceful and self-sufficient life. My strengths include patience,
    perseverance, and appreciate quality of life and effort dedicated to performing
    duties. My weakness include taking responsibility for the common good.




    2. Details about your Medical Transcription work experience:

    Sr.
    No
    Name of the
    Organization
    (Address /
    Phone no.)
    No. of
    MTs
    Employed
    Kind of
    files that
    exist/
    existed
    Capacity/
    Volume of
    work per
    day in
    hours
    Volume
    of work
    came
    from
    Major
    Clients/TAT/
    quality
    Levels

    1

    CANNY CARE
    SOLUTIONS
    20 HOSPITAL
    AND
    CLINIC,
    MIXED
    2 NUANCE --
    2

    RAM TECH 40 MIXED 2 NUANCE --


    3. Details of your own Training:

    Sr.
    No
    Trained
    at
    Specific
    Training
    (Subjects)
    Duration
    in days
    (hours @
    day)
    Certification
    test
    Experience
    in live
    production
    Any Other
    information
    1


    Rnd
    Softech
    Anatomy
    Physiology
    Language
    of medicine
    Practice of
    transcription
    English


    SYS/HR/ F/Emp. Appl-1.1b/Rev02/Date of issue-18 Sep 12
    language
    and
    grammar











    4. Personal Capabilities:

    Medicine specialties: _________________________________________________________

    Capability of how many lines @day: 1200 +

    Your own Accuracy Level: 98.75

    Your current Designation: SR. QUALITY ANALYST

    Your own Level in the last organization: SENIOR QUALITY ANALYST


    Interviewers assessment:

    Of the Audio
    Test
    conducted on
    Dead file
    Of the
    Grammar Test
    conducted on
    line / written
    Of the Essay /
    100 words
    written on
    self
    Interviewer
    s name and
    signature
    Remarks
    On suitability of the
    candidate:
    Selected / Short listed /
    Active / Rejected

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