Personal Education Work Experience Training & Self-Assessment Additional Languages Known References Other Details RemunerationPersonal Details First Name* Middle Name* Last Name* Date of Birth(dd-mm-yyyy)* Gender* SelectMaleFemale Email ID* Birth City* Birth State* Mother Tongue* Nationality* Religion* Position Applied For* Location* Upload Photo* jpg / png file. File size should be less than 2 MB AddressCurrent Address Flat No* House Name* Street* Landmark* City* State* Pin code* Landline* Mobile No* Permanant Address Same as Above Flat No* House Name* Street* Landmark* City* State* Pin code* Landline Mobile No* Family InformationNote: Put Not applicable (NA) if necessary. (If the applicant does not have a brother/sister) Marital Status* SelectSingleMarriedDivorceWidow Date of Marriage (dd-mm-yyyy) Spouse First Name Spouse Middle Name Spouse Last Name Spouse Occupation/Study No. of Children No. of dependents (Other than Spouse & Children)* Father's First Name Father's Middle Name Father's Last Name Father's Occupation/Study Mother's First Name Mother's Middle Name Mother's Last Name Mother's Occupation/Study Brother/Sister's First Name Brother/Sister's Middle Name Brother/Sister's Last Name Brother/Sister's Occupation/Study Brother/Sister's First Name Brother/Sister's Middle Name Brother/Sister's Last Name Brother/Sister's Occupation/Study Emergency Name Emergency Relation Emergency Mobile Emergency Address Current Address Permanent Address Flat No House Name Street Landmark City State Pin code Landline Mobile No Next Education DetailsPost-Graduation Name of Institute / University Location Specialization Year of passing Month / Year - From Year of passing Month / Year - To % of Marks Class / Rank Graduation Name of Institute / University Location Specialization Year of passing Month / Year - From Year of passing Month / Year - To % of Marks Class / Rank Diploma/ITI Certification Name of Institute / University Location Specialization Year of passing Month / Year - From Year of passing Month / Year - To % of Marks Class / Rank Pre-University / 12th Std Name of Institute / University Location Specialization Year of passing Month / Year - From Year of passing Month / Year - To % of Marks Class / Rank School / 10th Std Name of Institute / University Location Specialization Year of passing Month / Year - From Year of passing Month / Year - To % of Marks Class / Rank Others Name of Institute / University Location Specialization Year of passing Month / Year - From Year of passing Month / Year - To % of Marks Class / Rank Please give reasons for Gaps/Failures/Dropouts (if any) Previous Next Professional work experience (Current employment) Fresher/Experianced FresherExperianced Company Name Company Address Employee ID Current Designation Date of Joining(dd-mm-yyyy) Last drawn salary/Current Salary Supervisor’s Name & Designation Type of employment (Temporary/Contractual/Permanent) TemporaryContractualPermanent Are you under any bond agreement? if yes share the tenure. Key responsibilities Any gaps if any Mention Reason for seeking the change from the Current AssignmentProfessional work experience (Past employment) Add more Experience Employer Name Duration From(dd-mm-yyyy) Duration To(dd-mm-yyyy) Designation On Joining Designation On Leaving Gross CTC On Joining Gross CTC On Leaving Reason for Change Previous Next Training / Development Program / Certification (Specify date in dd-mm-yyyy format) Add more Program Program Name & Location of Institution Details From To Self-Assessment Strengths Area of Improvement Life Values Short term career goals (1 to 3 yrs.) Long term career goals (5 to 10 yrs.) Previous Next Additional DetailsProfessional Achievement Tick checkbox If have any Professional Achivement Membership of Professional Association Research Papers / Articles published Patents / License Registered Present Achievement Interests Achievements in Sports, Literary activities etc Awards received Hobbies & Special Interests Health Height (cm) Weight (kg) Blood Group Physical handicaps, if any, please provide details Have you suffered from any major illness / Surgery / accident in the last five years? Chronic illness if any (high blood pressure, diabetes, etc) Information on major surgical operations if any Information on most recent illness, if any Habits (Please tick)YesNoSometimesSmoking Drinking Tobacco Usage KYC details UAN Account Number PAN Number AADHAR Card Number Driving license Number Passport Number Previous Next Additional DetailsLanguage ProficiencyLanguage(Please tick) Can SpeakCan ReadCan WriteProfessional CorrespondenceEnglish Hindi Gujarati Foreign Language Add more Language Previous Next ReferencessDetails of persons under whom you have either worked or who know you professionally for at least 6 months Add more Reference Name Organization & Designation Duration Nature of Association Email ID Phone No (with STD code) (Residence) Phone No (with STD code) (Office) Details of friends / relatives employed in Milacron Add more friends at Milacron Name Organization & Designation Duration Nature of Association Email ID Phone No (with STD code) (Residence) Phone No (with STD code) (Office) Previous Next Other Details Tick checkbox If have other details Have you been interviewed by Milacron before? (If yes, provide details (Division / Location / Month / Year)) Have you ever been arrested, prosecuted or convicted for any criminal offence, other than minor traffic offences (If Yes, provide details) Do you have any commitment to another employer or organization that might affect your employment with us? (If Yes, provide details) I certify that the statements made by me above are true, complete and correct. I agree that in case the company finds at any time, the information provided by me in this application form is not correct, true or complete, the company will have the right to withdraw, if selected, the letter of appointment before I join the services or to terminate my appointment at any time without notice or compensation after I have taken up service.I authorize ‘Milacron India Private Limited’ or its agency to verify my credentials. I will cooperate and facilitate the process of verification of my credentials / antecedents Name of Applicant Date(dd-mm-yyyy) Place Signature Previous Next Remuneration Details: (Annexure I )Please furnish your present remuneration detailsCompensation ElementAmount (Rs.)1 Salary Components per monthBasic Salary (Including D.A.) House Rent Allowance Medical Allowances/Reimbursement Conveyance Allowance/Transportation Uniform Allowance (Tax Free) Special Allowance Books & Periodicals Allowance (Tax free on submission of bills) Yearly BenefitsExgratia Leave Travel Allowance Leave Encashment 2.Statutory ContributionsProvident Fund (@12% of Basic Salary Incl. D.A.) Gratuity (@4.81% of Basic Salary Incl. D.A.) 3. Monthly ReimbursementsTelephone Reimbursement Data Card MONTHLY ON-HAND INCOME MONTHLY GROSS INCOME ANNUAL COST TO THE COMPANY EXPECTED CTC PER ANNUM NOTICE PERIOD I want to subscribe to the quarterly e-Newsletter - MILACRON News Previous Submit Website Design and Website Development by TISQuick Query [contact-form-7 id="461" title="Quick Query Form"]
