Harrisons Malayalam Ltd : Rubber, Tea, Tissue Culture, Engineering

Job Posting

Full Name of the Applicant*

Age and Date of Birth*

Place of Birth/Home Town*

Address

Permanent*
Telephone / Contact No*
Mobile
Email ID*

Present (For Communication)
Telephone / Contact No

Marital Status*

Blood Group

Upload Photo

MEDICAL HISTORY

a) Are you sure at present in good health?

b) Give details of any major illness or accident together with dates

Weight Kgs.

Height (Centimeters/ Inches)

Details of Academic/Technical and Professional Qualifications (Matriculation onwards). Specific mention should also be made in case you are continuing studies.
Period of Study	Examination Passed	School / College / University / Institute	Year of Passing	Marks(%)	Subjects Studied
*	*	*	*	*	*

(Parents, Brothers, Sisters, Spouse, Children, etc.)
Name	Age	Relationship	Employment / Occupation

Particulars

Latest/ Present Job

Previous Job

Period

From:

To :

From:

To :

From:

To :

From:

To :

Name & Postal Address of Employer/ Company

Place of posting

Designation

Reporting to

No.of persons reporting to you

Major responsibilities/ achievements

Total Salary

Starting

Rs.

Leaving

Rs.

Resons for leaving

A. MONTHLY SALARY :	Rs.
1. Basic Salary/ Consolidated Pay
2. Dearness Allowance
3. Additional D.A
4. City Compensatory Allowance
5. House Rent Allowance
6. Leased Accommodation
7. Special Pay/ Allowance
8. Conveyance Allowance
9. Conveyance Reimbursement
10. Monthly Incentive Pay
Others if any:
11.
12.
13.
Total per month
Total per annum (A)

B. ANNUAL BENEFITS:	Per Annum Rs.
1. LTA
2. Medical Reimbursement
3. Bonus
4. Ex Gratia
5. Medical Insurance
6.
7.
Total per annum (B)
Total per month
Present Gross Annual Package/ Earnings(A+B+C+D)
Any other benefits / facilities - please indicate

C. STATUTORY BENEFITS :	%	Amount Rs.
1. PF
2. Superannuation
3. Gratuity
4.
Total per annum (C)
Total per month

D. PERQUISITES:

Per Annum Rs.

1. Telephone

2. Lunch

3. Entertainment

4. Club Membership

5. Car Loan & Interest

6. Company Car

7. Driver's Salary

8. Periodicals

9. Air Conditioner

10.

11.

12.

Total per annum (D)

Total per month

Increment:

Due Date:

Approximate Amount	Basic	PM	PA
Approximate Amount	Total	PM	PA
LOANS:	Interest	Amount availed	Balance repayable
1. Housing
2. Vehicle
3. Others
Minimum Salary expected if selected

(i) Hobbies, Interests, Sports

(ii) Extra Curricular activities (Please indicate specific achievements)

(iii) Languages known	(mother tongue)
Read
Write
Speak

(iv) Driving License: (Give details)

Have you appeared for an interview in Harrisons Malayalam Limited or any RPG group of companies, before?

Post for which appeared

Date

Yes No If 'Yes'

Relatives working in Harisons Malayalam Limited or any other RPG Group Company

Time required to join duty if selected (enter in days)

Name and address of persons residing in India and holding responsible positions. They should be intimately acquainted with the applicant's character and work, but must not be relatives
1.		2.
Locational Preferences
I here by declare that the information furnished by me is true and correct to the best of my knowledge and if at any time during the period of my employment it is found that either I had furnished false information or suppressed factual information, my services are liable for termination without assigning any reason whatsoever.
I Agree