BELTRONIX, Nepal

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| Job Application Form |


		ONLINE JOB APPLICATION FORM


	Post:
1.	Applicant's Full Name:
	First Name:
	Middle Name:
	Last Name:

2.	Date of Birth:

3.	Age:

4.	Sex:		Male Female

5.	Contact Phone No:

6.	Residence Phone No:

7.	Nationality

8.	Citizenship No:

9.	Permament Address
	Zone:
	District:
	Municipality:
	Place:
	Ward No:
	Block No:
	PO Box No:

10.	Local Address(if different)
	Zone:
	District:
	Municipality:
	Place:
	Ward No:
	Block No:
	PO Box No:

11.	Academic Qualification
	SLC
		Year:
		Division:
		Total Marks:
		School:
		English:
		Math:
		Science:
	Intermediave Level / 10+2
		Year:
		Division:
		Total Marks:
		Campus / University:
		Major Subjects:
	Bachelor Level
		Year:
		Division:
		Total Marks:
		Campus / University
		Major Subjects:
	Master Level
		Year:
		Division:
		Total Marks:
		Campus / University
		Major Subjects:

12.	Language:
		Spoken:
		Understood:
		Written:

13.	Computer Knowledge (Software Package, Programming Language, Internet & Hardware with details)


14.	Extra Curricular Activities:


15.	Work Experience (If candidate has worked previously, completes listing of office, job responsibility, work period, salary drawn and reason for leaving.


16.	Driving License:
		for Motorbyke	Since
		for Car	Since

17.	Availability of Personal Transport(Bike):
		Yes No

18.	If Candidate is from outside Ktm:
		Number of Years residing in KTM

19.	If Candidate educated outside Nepal,
		Number of years since return

20.	Living in
			own house

21.	Plans for further study when where and why:

22.	Plans for HMG/ Corporation/ Private Job:

23.	Have applied / planning to apply at:

24.	Medical (Describe any recurring health issues that you may have)


25.	How did you come to know about Beltronix? Have you heard of Beltronix before applying for job ? What products and services does "Beltron" deal in that you know of ?


26.	REFERENCE: Give the following details of 2 non-relatives who can vouch for you and take the responsible for the information provided in this form.
	1.	Name:
		Occupation:
		Relationship:
		Address
		Phone:

	2.	Name:
		Occupation:
		Relationship:
		Address
		Phone:

27.	Family Background:
		Brothers Sisters
		Father
		Name:
		Age(approx.):
		Education:
		Occupation:

		Mother
		Name:
		Age(approx.):
		Education:
		Occupation:

		Brother/Sister 1:
		Name:
		Age(approx.):
		Education:
		Occupation:

		Brother/Sister 2:
		Name:
		Age(approx.):
		Education:
		Occupation:

		Brother/Sister 3:
		Name:
		Age(approx.):
		Education:
		Occupation:

		Brother/Sister 4:
		Name:
		Age(approx.):
		Education:
		Occupation:

28.	If married, spouse's name, number of children & age/education of each:
		Spouse Name:
		Number of Children:

		Child 1:
		Age:
		Education:

		Child 2:
		Age:
		Education:

29.	Expected salary:(tick and fill as appropriate)
		Not less than	per month
		About	per month
		Between	and per month

30.	Willing to sign a bond for (Click on appropriate figure)
		Two years
		Three years
		Five years