India Steam Ship

(A Division of Chambal Fertilisers and Chemicals Ltd.)

COMPANY

FLEET

LINKS

CAREERS

DOWNLOADS/MEDIA

Post applied for	*
Name in Full	*
Name in brief (e.g. G.K. Arora)	*
Present address
Phone
Residence	*
Office	*
May we telephone you directly at office if necessary, Yes/No
Permanent address	*
Email	*
Father’s/Husband’s name	*
Occupation	*
Nationality	*
Religion	*
Identity mark
Date of Birth	*
Place of Birth
Age	*
Height
Weight
Chest
Power of spectacles (if worn)
Left eye
Right eye
Marital status
Age/Sex/Occupation of children(if any)
Other dependents, if any
Have you may physical handicaps, if yes, what
Have you had illness in the last three years which lasted for more than 15 days, if yes, please give details
Are you related to anyone now employed inany of the member concerns of management?
Name of relative	*
Name of concern	*
Department	*
Position held	*
Relationship	*
Academic and Professional qualifications (beginning from school leaving examination)




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