APPLICATION FORM Applied for the post of Personal Information Name Father's/Husband's Name Date of Birth Permanent Address Present Address Contact Phone & Mobile Marital Status Name of Spouse Father's Occuption Family Members:- Name: Relation: Contact No. Age: Occupation: Reference Can these people may take responsibility of your activities/conduct YesNo Write down in brief about your (A) Strength (B) Weekness Why you prefer to join AROSOL PHARMACEUTICALS PVT. LTD.? Are you ready to work in any state of country? YesNo Are you ready to give a Service Bond for 2 Years? YesNo Emergency Contact Inforamtion Full Name: Address: Primary Phone: Relationship: Bank Account Details(For salary transfers) Full Name: Full Account No.: NEFT Code: Branch Address: I hereby declare that all the information given by me in this format are true and I am fully responsible for any fictitious report. Place: Date: Signature of Applicant: Please attach the attested photocopies of your testimonial