(3) Date of Birth * :
(4) Gender * :
(5) Marital Status * :
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
YYYY
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
1: Male
2: Female
1:Unmarried
2:Married
3:Divorced
4:[UNDISCLOSED]
(6) Your Present Location:
(a) City:
Agra
Ahmedabad
Ajmer
Allahabad
Amritsar
Aurangabad
Bangalore
Bharatpur
Bhopal
Bhubaneswar
Calicut
Chandigarh
Chennai
Cochin
Coimbatore
Cuttack
Dehradun
Solapur
Kolhapur
Durgapur
Delhi/New Delhi
Faridabad
Ghaziabad
Goa
Greater Noida
Gurgaon
Guwahati
Hoshiarpur
Hyderabad
Indore
Coorg
Jaipur
Jalandhar
Jammu
Jodhpur
Kanpur
Bhiwadi
Haridwar
Kanchipuram
Ooty
Kolkata
Lucknow
Ludhiana
Madurai
Mangalore
Meerut
Mumbai
Mysore
Nagpur
Navi Mumbai
Nashik
Noida
Patiala
Patna
Pondicherry
Pune
Itanagar
Munnar
Kodiakanal
Mussoorie
Puri
Raipur
Rajkot
Ranchi
Secunderabad
Shimla
Srinagar
Surat
Thane
Thiruvananthapuram
Thanjavur
Tirupati
Udaipur
Vadodara
Varanasi
Vishakapatnam
Guntur
Satara
Rishikesh
OTHER(Plz Mention)
(b) State:
Andaman & Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra&Nagar Haveli
Daman & Diu
Delhi/New Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttaranchal
West Bengal
OTHER(Plz Mention)
(c) Country:
Afghanistan
Africa
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Antilles, Netherlands
Arabia, Saudi
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Rep. of the
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
European Union
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories - TF
Gabon
Gambia, the
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey and Alderney
Guiana, French
Guinea
Guinea, Equatorial
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holland
Holy See (Vatican City State)
Honduras
Hong Kong, (China)
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Ivory Coast (see Cote d'Ivoire)
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, (South) Republic of
Korea, Demo. People's Rep. of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao, (China)
Macedonia, TFYR
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (ex-Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia (Russian Federation)
Rwanda
S. Georgia and S. Sandwich Is.
Sahara
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka (ex-Ceilan)
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste (East Timor)
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
OTHER...
(8) ADDRESSES:
(a) Correspondance Address * :
(b) Permanent Address: (Optional)
(11) Present Profession * :
Agriculture(Farming)
Agriculture(Sale & Purchase)
Agriculture(Food Processing)
Advocate/Barrister
Administrative Officer (State Govt)
Administrative Officer (Central Govt)
Architect
Business (Import/Export)
Bank P.O./Bank Manager
Consultant(Finance/Investment Sector)
Consultant(Property/Realtor)
Consultant(Share/Capital Market)
Director (Business/Company)
Director(Regional/National/International Institution)
Director (Engineering College)
Director (Medical College)
Director (University)
Director (Other Colleges)
Director (Other Institution)
Justice/Judge/Jury
Junior Engineer (State Govt)
Junior Engineer (Central Govt)
Junior Engineer (Public Sector)
Junior Engineer (Others)
Engineer (IT/Software)
Engineer (IT/Hardware)
Engineer(Manufacturing Sector)
Engineer(Design/Development)
Engineer/Sr.Engineer (State Govt)
Engineer/Sr.Engineer(Central Govt)
Engineer/Sr.Engineer(Public Sector)
Engineer/Sr.Engineer(Others)
Manager(IT/Software)
Manager(IT/Hardware)
Manager(Manufacturing Sector)
Manager(Design/Development)
Manager(Finance/Investment)
Manager(Others)
Medical Officer
Medical Practitioner
Pharmacist
Retailer
Lecturer (Engineering)
Lecturer (Medical)
Lecturer (Others)
Reader (Engineering)
Reader (Medical)
Reader (Others)
Professor/Asst.Professor(Engg)
Professor/Asst.Professor(Medical)
Professor/Asst.Professor(Others)
Research Scholar
Undergraduate Student(Engg)
Undergraduate Student(Medical)
Undergraduate Student(Others)
Postgraduate Student(Engg)
Postgraduate Student(Medical)
Postgraduate Student(Others)
SELF EMPLOYED
NON-Working
NON-Working(Looking for Job)
Other
NONE
(Mention,if Other)
(12) Company/Institution Name * :
(13) Salary Package (in INR/Annum )* :
(14) Monthly In-Hand Salary (in INR )* :
(15) Past Work Experience (if any): [ From(Month-Year)-To(Month-Year)/ Post Held/ Company Name/ Other Details(if any) ]
COMMENTS & SUGGESTIONS
(16) Plz write whatever you could not express in the above section : (if any)