Fill in the form given below to apply for a job with Rajkot Milk Union. Please note that all the details requested below are mandatory. If however some of the details are not applicable to you simply type in NA wherever required.

* Required  
Apply For: *
Name: *
Surname: *
Second Name:
Communication Details
Address: *
Pin Code: *
Phone No: *
E-Mail: *
Personal Details
Date of Birth: *
Age: *
Gender: * Male Female
City: *
State: *
Religion / Cast:
Father Name:
Marital Status:
No of Children:
No of Dependents:
Local Address
Local Address:
Pin Code:
Phone No:
Permanent Address
Permanent Address:
Pin Code:
School/College University Period spent at the Institute Degree/ Diploma/ Certificates Class/Division or other Distinctions (percentage)
From Year To Year
Employer's name Type of Industry Date Designation Emoluments Reason for Leaving or wishing to leave
From To Basic Allowances
Expected Salary:
Language Known:
Language Speak Read Write
Describe briefly your responsibility & results achieved in your present job. If required you may attach separate sheet for details.
Other Details
Extra-Curricular Activities & Achievements:
What medals, prizes or other distinctions have you won?
Have you been prosecuted in a criminal court? Yes No
Are you insured under the Employees' State Insurance Scheme? Yes No
If "Yes", give your Insurance Number.
Are you a member of Employees' Provident Fund Scheme? Yes No
If yes is selected this option is presented to them Provident Fund Number:
Are you related to anyone already employed by this Company? Yes No
If yes is selected this option is presented to them
Name : Dept.: Relationship:
Record of previous employment, if any, in this Company:
Designation From Date To Date Reason for Leaving
Reference : (Person mentioned should hold responsible position and should not be relatives.)
Name Address Designation / Place / Oraganisation Years of Acquaintance
When can you join if selected?
Any other information which in your opinion, may be of interest in considering this application.
Attach CV: *
  (Attach Microsoft Word File - .doc, .docx, .pdf)
File Size limit : 2MB
I certify that the facts stated by me in this application are true. I understand that any misrepresentation or suppression of material information will render me liable to be dismissed by the Company.

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