Brigade Group

Please Fix your

PERSONAL DATA FORM Recent
Photograph

Please fill in all the details in the form. All information will be treated as strictly confidential.

Position applied : Job Code :

Preferred Location: Bangalore / Chennai / Chikmagalur / Hyderabad / Kochi / Mangalore / Mysore

Preferred Area of work : Apartments & Integrated Enclaves / Offices / IT Parks / SEZs / Clubs & Resorts / Hotels /
(applicable only for Serviced Apartments / Convention Centre / Malls & Multiplexes / Others (please specify)
Engineering position)

A. PERSONAL DATA :
1. Name (Block Letters) :

2. Present Address Permanent Address

3. Contact Details - Landline : Mobile :

Email :

Linked in : Twitter :

Facebook :

4. Date Of Birth : Place Of Birth :

5. Marital Status : Single/Married/Widowed (Tick whichever is applicable

6. Father's / Spouse's /
Guardian's Name :

7. In case of emergency the person to notify:

Name : Relationship :

Address : Phone No. :

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8. Family Details :

Family member Age Place of Stay Retired / In Name of the Company / Designation
(in years) service / School / College
School /
College
Father

Mother

Brother /Sister

Brother/Sister

Spouse

Son/Daughter

Son/Daughter

9. Physical Data :

Height Weight Blood Group

In case physically challenged, please furnish details :

Have you had any major operations/illnesses within the past three years? yes / no. if yes, give details :

10.

Languages Known Speak Read Write

Please tick (underline mother tongue)

11. Educational Qualifications : (Enclose photocopies of certificates)

Course
Name Of School /University Period Attended Degree/ Class Year Of
From To Diploma Rank Passing

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12. Specialized Training (Enclose photocopies of certificates):

Name Of Institution Period Attended Details Of Training

From To

13. Particulars of scholarship or special merit awards received :

14. Extra curricular activities :

15. Miscellaneous Data:

a) Whether in possession of passport/visa ? if so, passport/visa no. and date of validity.

b) Are you staying in rented accommodation or own ?_______________

C) Do you own a two-wheeler or four-wheeler ? _____________________

B. Employment Particulars (Present Employment First)

(Enclose photocopies of previous experience certificates, appointment letter and salary slip of present employer. Please
provide separate sheet if the space provided for employment detail is insufficient)

Name & Address Duration Designation Responsibilities Salary Drawn Reason For
From To CTC / annum Leaving
(MM/YY)

a)

b)

c)

d)

e)

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C. Present Salary Details :
Rs. Per Month
Basic

DA

HRA

Conveyance

EPF (Employers Share)

Medical Allowance

Allowance (Please Specify)

Monthly Gross (A)

Less :
Total Deductions (If any) (B)
Net Salary (A B)

Perks (If any, please specify)

Car/Two wheeler details:

Fuel /maintenance Entitlements (if any specify)

D. General Information :

Have you any relations/acquaintances in the service of the brigade group, if so :

Name : Name :

Designation : Designation :

Relationship : Relationship :

16. Have you attended any interview earlier in our company / group company, if so please furnish the details :

17. Reasons for desiring to join our organisation:

A)

B)

C)

18. Expected salary (CTC / annum) :

19. Minimum Notice Period :

20. If already a member of Provident Fund / ESI, please furnish PF No. & ESI No.

21. How did you come to know about this vacancy?

a) Name of the Newspaper / Edition :

b) Brigade Website
c) Name of the Magazine :
d) Others (please specify)

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E. Reference :
(Please give the name of two persons who know you but are not related to you, preferably superiors from your previous
organisation and one should be from HR Department )

i) Name :

Designation :

Name of the Organisation :

Address :

Telephone No./Contact No.

Landline : Mobile :
Email ID :

How long has he/she known you ? .................................... years.

ii) Name :

Designation :

Name of the Organisation :

Address :

Telephone No./Contact No.

Landline : Mobile :
Email ID :

How long has he/she known you ? .................................... years.

I hereby certify that the above information is true to the best of my knowledge. i understand that incorrect, false
information given in this form will render me liable for immediate termination of employment without any notice pay or
compensation.

Place :

Date : (Signature Of Applicant)

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