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DSP Application Form

The document is an information sheet for candidates applying to Rungta Mines Limited, requiring personal details, educational qualifications, work experience, and identity proof. Candidates must fill the form in their handwriting, provide original documents during the interview, and ensure that all information is accurate to avoid disqualification. It also includes sections for expected salary and previous interview history with the company.

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144 views2 pages

DSP Application Form

The document is an information sheet for candidates applying to Rungta Mines Limited, requiring personal details, educational qualifications, work experience, and identity proof. Candidates must fill the form in their handwriting, provide original documents during the interview, and ensure that all information is accurate to avoid disqualification. It also includes sections for expected salary and previous interview history with the company.

Uploaded by

amibzee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

RUNGTA MINES LIMITED

JHADABANDHA, NIMABAHALI, ODISHA- 759121


E-mail: [Link]@[Link]
SPACE FOR
PASTING
PASSPORT SIZE
PHOTOGRAPH

INFORMATION SHEET
•
The information sheet should be filled up by the candidate in his/her own handwriting, with blue ballpoint pen (not in pencil, fountain pen or gel pen) dated and signed at the prescribed places.
•
Application should be filled up in all respect in English with international numerical i.e. 1, 2, 3 etc. Incomplete applications will be rejected.
•
The candidate must bring all original educational certificates, experience certificates, documents in support of identity/residence proof, age proof, recent pay slip of present employer while coming for
interview.
•
Candidate’s Name, Father’s Name, Address & Pin Code, Date of Birth, should be written legibly in English in capital letters.
•
Signatures at the time of application, information sheet and document verification in different style or language may result in cancellation of candidature.
•
Candidates should note that only the Date of Birth as recorded in the Matriculation/High School Examination Certificate will be treated as valid.
1. POSITION APPLIED FOR:

2. NAME OF THE CANDIDATE:

First Name Middle Name Last Name


3. FATHER’S/ HUSBAND’S NAME:

4. DATE OF BIRTH: 5. GENDER 6. MARITAL STATUS:

D D M M Y Y Y Y M F SINGLE MARRIED WIDOW WIDOWER DIVORCEE

7. PERMANENT ADDRESS: 8. PRESENT ADDRESS:

PIN : PIN :

9. PHONE NOs: 10. E MAIL:

11. IDENTITY/RESIDENCE PROOF (AADHAR CARD/VOTER ID CARD/PASSPORT/D.L./BANK PASS BOOK):

DETAILS DATE OF ISSUE ISSUING AUTHORITY VALIDITY

12. EDUCATIONAL/TECHNICAL/PROFESSIONAL QUALIFICATION:

YEAR OF % OF MARKS
SCHOOL/COLLEGE/INSTITUTION EXAM PASSED BOARD/UNIVERSITY SPECIALISATION PASSING

(Enclose self attested xerox copies of certificates) Signature with Date


10. WORK EXPERIENCE: (IN CRONOLOGICAL ORDER)
PERIOD
SL. NAME OF THE ORGANISATION POSITION
No. GROSS PAY PER MONTH
FROM TO

(PRESENT ORGANIZATION) (Enclose copy of pay slip/Bank statement


of last 3 months)

11. NATURE OF WORK IN PRESENT ORGANIZATION:

12. SALARY LAST DRAWN:


CRITERIA AMOUNT

BASIC PAY

D. A.

P.F.

BONUS

HRA

MEDICAL

ALLOWANCES (OTHERS)

TOTAL (CTC)

13. EXPECTED CTC: 14. TIME REQUIRED TO JOIN IF SELECTED:

15. HAVE YOU EVER APPEARED FOR INTERVIEW WITH [Link] GROUP EARLIER? IF YES,

DATE OF INTERVIEW: POSITION APPLIED FOR:

LOCATION: INTERVIEW RESULT:

16. MENTION IF ANY OF YOUR RELATIVES WORKING IN OUR ORGANIZATION:

NAME: DESIGNATION:

PLACE OF POSTING: RELATION WITH THE APPLICANT:

17. HAVE YOU EVER WORKED OR WORKING IN CONTRACTING COMPANIES OF RUNGTAMINELTD? YES NO

CERTIFICATION / DECLARATION

I DO HEREBY DECLARE THAT ALL THE ABOVE INFORMATION FURNISHED BY ME ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. MY SALARY
SHOWN IS SUBJECT TO ONLINE VERIFICATION FROM BANK STATEMENT.
Date:

Place: Signature

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