Sex: VH* Friend Advertise ment Designation E.Mail Id Contact No

Application Blank
Personal Details (write in CAPITAL letters)
First Name:
Middle Name:
Last Name:
Date of Birth
(dd/mm/yy):
Place of Birth:
Sex:
Male
Female
Please affix passport size
photograph
Hindu / Muslim / Christian / Jain / Budhism / Sikh / Any Other(pls specify)
Religion:
Nationality:
Marital Status:
Unmarried
Married
Please tick(^) the options applicable to you
GEN
sc
ST
OBC
Physically
Ex-Servicemen
Have you ever been interviewed by TPDDL in the last one year?' Yes ' No If
Yes please provide the details of Deptt/Profile interviewed for:
Challenged
Creamy Non
Creamy
*
VH* OH * HH***
How Did you come to know about TPDDL
*VH - Visually Handicapped, **OH- Orthopaedic Handicapped, ***HH - Hearing
Handicapped
Friend
Present Address:
Newspaper
Any Employe of TPDDL
(Pls Specify Name)
Advertise
ment
Any
Other
Permanent Address
Tel No.
Tel No. (Res)
E-Mail Id:
Fax/Mobile No.:
Family Details:
Name
Relationship
Date of Birth (dd/mm/yy)
Occupation
Academic Details (starting from the most recent):
Examination
Passed
Year of
Passing
School/College
/University attended
Main Subjects
Details of Previous Employment(starting from the most recent):
held in an organisation please provide breakup
Organisation
CURRENT SALARY
Are you a member of any social or cultural association? □
Do you have any relatives / friends working with TPDDL? □
From
To
Expected CTC (Rs. Lacs) /%jump
NOTICE
PERIOD(ifany)
Yes
Yes
Division
Total Experience (in Yrs.):
Post/Designation
Present CTC Rs. Lacs
% age
□
□
No .
Regular/ Arrears/B
Part Time / ack
DL
Papers
* if more than one position
Major Responsibilities
If Yes, Please give details.
No
If yes, please give the following details:
Name
Division /
Department
Relative /Friend (Pls Mention
the Exact Relationship)
Contact No.
Designation
Please give 2 References (references shd not be be relatives; pvd. references which are sure to respond)
Name
Division / Department
Designation
Contact No
E.Mail Id
I hereby declare that all the information provided herein above is true to my knowledge and that any misrepresentation by me in this application will disqualify my
candidature.
Date:
Page 1 of 3
Signature:
Your position in present organisation chart (inlcude two levels of reporting above & below):
Time spent in the present role:
No of Employees in the Organisation:
No. & Level of People reporting:
Page 2 of 3
TATA POWER DELHI DISTRIBUTION LIMITED
Particulars of Last Drawn Emoluments
(This form is to be completed by the candidate in detail)
Name
Qualification
Designation
Experience
yrs
I Salary ` p.m.
Basic salary
Dearness Allowance
Total ` p.m,
II Allowances ` p.m.
House Rent Allowance
(In case of Company leased premises indicate
the rent borne by you)
Conveyance (If not provided Co.Car)
If Car provided by Company, then
*Fuel limits
*Driver Allowance
*Car Maintenance Allowance
Food Allowance
Total ` p.m.
III Annual Benefits (` p.a.)
Leave Travel
Bonus/Ex-gratia/Performance Pay
Medical
Total ` p.m.
IV Retirement Benefits
Provident Fund
Superannuation Fund
Gratuity
Total ` p.m.
(
(
(
) % of (
) % of (
) % of (
)
)
)
V Any other benefit not covered above:
Total ` p.m.
Staying in
Recognised Hostel
With Relatives
No.s
No.s
Present cost to Company (`per annum) (I to V)
Expected cost to Company (` per annum)
Date:
Page 3 of 3
Signature:
Age
yrs