Employee Personal Information Form (TGBS)

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TGBS Technologies Pvt Ltd.

AGENT PERSONAL INFORMATION FORM


(TO BE FILLED BY CANDIDATE WITH OWN HAND WRITING)

POST APPLIED FOR


NAME (IN BLOCK LETTERS)
PLACE OF BIRTH
MOBILE NO
EMAIL ID
CURRENT ADDRESS
. PROCESS

I. DETAILS OF PREVIOUS EMPLOYMENT


Please mention the past employment history, starting from latest worked)
Total Working Experience: ________Years
S Employer’s Name Designation Period Total Salary Responsibility Reason
No & Address From To At start When handled for
leaving leaving

II. (a) EDUCATIONAL AND PROFESSIONAL HISTORY


Examination Year Name and Address of Board/University Class/Division
Stream
Passed Passed School/College/Institute Institute % Marks
XII th
Graduation
Diploma/
Certificate/Other
if any

IV. PERSONAL DETAILS:


1. Name Sex
Nationality
2. Father’s/ Husband’s PAN
Name & occupation:
3. Local Address (Owned/ Phone No.

1
Rented) (if any)

4. Permanent Address Phone No.


(if any)

5. Date of Birth Age


6. Do you have any physical
disability? If so, give
details

VI. REFERENCES
Please give the names and Contact Number of any two persons,

Sr. No. Name Designation/ Occupation Contact Number

VII. DECLARATION:

I certify that the statements made by me in this Form are true and complete. If at any time the Company find that any
part of the information given by me as false, or that I have concealed any relevant information. I agreed that, if I am
appointed, my appointment should be liable to summary termination without notice or compensation.

Date: _______________
Place: ______________
Signature of Applicant

For Office Use Only


REMARKS

Sr. No. Interviewed By-Name Designation and Remarks Signature


Remuneration Offered

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