Gujarat Alkalies and Chemicals Limited

Page: 1/3

Application Form

Application for the post of:

Full name of candidate

Date of birth

(DD/MM/YYYY)

Stick your

recent

Photograph

here

Present Address

City: Pin code:

Dist: State:

Permanent Address

City: Pin code:

Dist: State:

Contact Number Mobile : Landline with

STD code :

e-mail Address

Educational Qualification details:

Degree Year of

Passing

Name of University and location Perce-

ntage

%

Type (full time /

part time

/distance)

Gujarat Alkalies and Chemicals Limited

Page: 2/3

Work Experience:

Name of

Organization

Date of

Joining

Designation

at the time of

Joining

Date of

leaving

Designation

at the time of

leaving

Job Description /

Key

Responsibilities.

Please mention your Key Areas of expertise:

Current CTC details Per annum:

Particulars Basic Pay Other cash

Allowances in

salary

Incentive Total CTC Non-cash

benefits /

Perks

Present

Expected.

Gujarat Alkalies and Chemicals Limited

Page: 3/3

Key Achievements:

Professional:

Academic :

Personal :

Please elaborate your Strength and weakness, if any:

References:

Name Contact Address with

mobile no.

Relationship Duration know

from

Declaration:

I hereby declare that the details mentioned above are true and correct. Further, I will submit the

additional / supplementary information, whenever required by the management of GACL. I

understand that any false information or concealment of relevant information will disqualify my

candidature at any stage of recruitment & selection process.

Date : _________ Signature :_________________________

Place :___________________ Name :____________________________

Note: Please do not attach any documents with the application form.