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PERSONAL PROFILE FORM

1. Personal Details





















2. Educational Qualification


If any gap in Education Y/N I Reason: ____________________________________________


Examination


Faculty
School /
College
Name,
place
Status :
Regular/
Parttime/
Distance Edu.
Month &
year of
passing
Institute/Coll
ege Place
University
Medium of
Instruction
%
Main
Subject
s
10
th
Std





12
th
Std





Graduation /
Diploma



Post
Graduation /
Diploma


Others



Name : _______________________________
Gender : Male / Female
Date of Birth : ____/____/____
Blood Group :
Age : ____years____months
Marital Status : ___________________
Date of marriage: ___________________
Languages Known:
Spoken: ______________________________
Written: ______________________________
Foreign Languages known:
Spoken: ______________________________
Written: ______________________________

Department called for interview: ___________
Local Address : _______________________
______________________________
______________________________
Telephone: (O) _____________(R)________
Permanent Address : ___________________
______________________________
______________________________

House : Own/Rented
Telephone : __________________________
Mobile : __________________________
Email id: __________________________
Valid passport : Y / N / Applied For
If yes, valid up to : ________________
Passport No ____________ ECNR /ECR
Valid Visa (s) : Y / N
If yes for which Countries: ____________
Overseas Visits / Exp: ________________
PAN card no.: ________________
PHOTO
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3. Computer Awareness / other ProfessionalQualification

Course Year
(From To)
Full Time /
Part Time
Duration
Months /
Years / hrs
Frequency
Specify # of days &
# of hrs per session
Institute
Name &
Location
Grade
Obtained



4. Family Details

Relation Name Age Qualification
Occupation, Designation &
name of the company
Father
Mother
Spouse
Brother /Sister (s)

Children


Do you have any relative (s) working with Megafine Pharma (P) Ltd. / its Group companies (Y/N) if yes, please
specify name, & department _______________________________________________


5. Work Experience (mention all previous Experience;please start with your current employer.

Company &
Location ( City/
Town )
Designation
Period pf
Employment
Month & Year
Duration
Reason for
leaving
Annual Salary
From To






Total Experience: ______Yrs ______ months RelevantExperience : ______Yrs _____ months

Strengths related to the Job applied for _________________________________________________
Expected Salary: ______________________ Total Notice Period Required: ___________________

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6. References

Give two references (other than relatives) of people who have known you personally as well as
professionally, particularly superiors from previous employment. No references shall be made to your present
employer without your consent.

Name &
Address
Company
Designation
Period for
which he/she
knows you
Contact No. E-mail ID




Willingness to work in shifts ( Y/ N ) _______________

I hereby declare that I am not under any service agreement other than the notice period.
If appointed, I would join duty only after properly relived by my current employer.
I also declare that, I have no criminal / legal proceedings pending against me.
I certify that the information furnished above is true to the best of my knowledge and any
mis-representation made by me in this form will render me liable to be terminated from service,
if appointed.


Date : _________________ Place : _________________ Signature : ________________


7. Source : Walk-in / Job Site / Consultant / Referral / Others (if any, please specify)___________


8. Personal Profile

(Career plans, Objectives, Plans for higher education, extra curricular activities, personal strength &
weaknesses in about 100 words)










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(ForOffice UseOnly)


HRD :

1. Performance in tests :
2. Fresher /Experience :
3. Recommendation :
4. FDA Status : Debarred Not Debarred


Position recommended : ________________________ Reporting to : __________

As per policy

Stipend / Salary recommended:__________________ Service Agreement : __________




9. Evaluation:


HRD Dept. :














Name :

Sign & Date









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HOD :-
Functional Head :















Name :


Sign & Date




Director / Sr. V.P. :





















Sign & Date


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Documents required as below:

1. School leaving certificate
2. SSC (Mark sheet and passing certificate)
3. HSC (Mark sheet and passing certificate)
4. Graduation (Mark sheet and passing certificate)
5. Post graduation (Mark sheet and passing certificate)
6. Any other certificate related to extra-curriculum activities.
7. Appointment letter of current employment
8. Current CTC along with the latest pay slip copy

Note: All the above documents duly attested should be accompanied with the original documents for
verification.
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