SSM Builders & Promoters

New Perungalathur, Chennai - 600 063
Application Form
 
Note:
*   No column should be left blank.
 Post Applied for :  
 Known through :    
 
1.   Name  :  
2.   Date of Birth  :    (DD-MM-YYYY)
3.   Age  :  
4.   Gender  :    
 
5.   Present Residential Address  :  
         
         
           
         
6.   Permanent Address  :  
         
         
            
7.   Place of Living  :  
8.   Academic Qualification       
  a) (SSLC & HSC)  :    
Class School Name & Place Medium Year of Passing % of Marks
  b)   Higher Education (Starting From Diploma & Degree)
 
     
S.No.Degree/DiplomaRegular/CorrespondenceInstitute/CollegeUniversityYear of PassingMedium% of Marks
1
2
3
4
5
       
9.     Highest Qualification
 
:  
10.     Technical Qualification (Like Computer Typewriting etc.,)  :    
Diploma / Certificate Institution / College Year of Completion
11.     Language Proficiency  :    
               
S.No.Languages KnownReadWriteSpeak
1
2
3
4
5
    
12.     Experience Details - Including Present One:
               
S. No. OrganisationDesignationPeriod FromPeriod ToNo Of Years of ServicesGross Salary drawn at the time of leavingService CertificateReason for leaving
YearsMonth
1
2
3
4
5
         
           Proof for the last drawn salary   :  
13.     Present Employment Status   :  
15.     Marital Status  :  
               
16.     Details of Family Members living in the House  :    
S.No.NameAgeRelationship to the ApplicantOccupation
1
2
3
4
5
    
17.     Mobile No.  :  
18.     Phone No.  :  
19.     E-Mail Id: *  
             
20.     Salary Expected  :    
               
21.     Joining Time Required  :  
               
22.     Commutation   :  
             
23.     Any Relatives in SSM?  : *     If Yes, Give the Following Details.
               
24. Reference Details (Other than relatives) Preferably Supervisor or Senior in your current Organization.:
      Reference1   Reference 2
Name :
Full Address :
Status :
           
Contact Details :  
Email Id :    
Period for which he/
she knows the applicant
     Years    Months    Years   Months
Nature of Acquaintance :
        
25.   If you have appeared for
SSM Test/ Interview Earlier, kindly furnish details
(ie., Date, Place, Position applied for & Final Results)
:
26.     Any other point the candidate wishes to mention: