CorePeelers Employment Application Form

Employment Application Form:
Personal Information:

Please fill all details as per your Government Records
Please upload your latest Passport Size Photograph*

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Full Name*

First NameMiddle NameLast Name
Father's Name*

First NameMiddle NameLast Name
Current Residential Address for Communication*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is this your Permanent Address?*

YesNo
If Not, please share your Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Personal E-mail*
Birth Date*

DayMonthYear
Current Country of Citizenship*

IndiaUnited StatesOther
Do you have a Valid Passport?*

YesNo
Valid Passport Number*
Write NA if you do not have a valid passport
Upload Passport Copy

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IT PAN Number*
Upload PAN Card*

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Social Security No. / Aadhar Number (whichever applicable)*
Upload Aadhar Card*

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Address Proof Number*
Driving License / Electricity Bill / Telephone Bill
Attach Address Proof*

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Emergency Contact Details

Please Enter Details of a Family Member Only
Full Name*

First NameMiddle NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Details of Family Members

Please fill complete details of blood relations
Write Details of Family members*
Employment Details for Joining CorePeelers:
Position Applying For*
Date of your Joining CorePeelers*

MonthDayYear
Have You Worked Here Before?*

YesNo
Have You Applied Here Before?*

YesNo
Educational Qualifications:
High School (Grade 10)*
Name of High School Attended
Board*
Name of Board
Date / Year of Passing*

MonthDayYear
Date
Percentage of Marks Obtained*
Upload Grade-10 Marksheet / Certificate*

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Senior Secondary School (Grade 12)*
Name of College/University Attended
Grade-12 Board*
Name of Board
Date / Year of Passing*

MonthDayYear
Date
Percentage of Marks Obtained*
Upload Grade-12 Marksheet / Pass Certificate*

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Graduation / Equivalent*
Name of Graduate School / Equivalent Attended
Area of Study/Degree Specialization*
Date / Year of Passing*

MonthDayYear
Date
Percentage of Marks Obtained*
Upload Graduation Degree *

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Post-Graduation / Professional Degree - Course
Name of Institution from where you have acquired this degree
Area of Study/Degree Specialization
Date / Year of Passing

MonthDayYear
Date
Percentage of Marks Obtained
Upload Professional Degree

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Any Other Certification / Awards / Achievements
Name of Institution from where received
Area of Achievement
Date / Year of Achievement

MonthDayYear
Date
Percentage of Marks Obtained
Upload Certificate

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Employment Details:

Please fill correct information
Most Recent Employer*
Name of Current Employer or NONE if not Employed
Position*
Employee Code*
Provident Fund / UAN No.*
Write NA if not available
ESIC No.*
Write NA if not available
Salary*
Please write in Lacs
Reason for Leaving?*
Start Date*

MonthDayYear
End Date*

MonthDayYear
Date
May We Contact?*

YesNo
Mention Key Responsibilities*
Upload Relieving Certificate / Resignation Letter Acceptance*

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Upload Last Drawn 3 Pay Slips*

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Previous Employment:
Previous Employer 1*
Name of Previous Employer write NA if not applicable
Position*
Write NA if not applicable
Employee Code*
Write NA if not applicable
Salary*
Write NA if not applicable
Reason for Leaving?*
Write NA if not applicable
Start Date

MonthDayYear
End Date

MonthDayYear
May We Contact?

YesNo
Mention Key Responsibilities
Previous Employer 2
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Mention Key Responsibilities
References:
Reference 1*
Name of Reference
Relationship*
Years Acquainted*
Phone*
Email*
Reference 2*
Name of Reference
Relationship*
Years Acquainted*
Phone*
Email*
Reference 3
Name of Reference
Relationship
Years Acquainted
Phone
Email
Cover Letter & Resume (Optional):
Cover Letter

Upload a File

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Resume

Upload a File

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Legal Proceedings & Declaration
Do you have any Legal Proceedings against you?*

YesNo
If Yes, please share full details
Any other information that you would like to share with us?
Declaration and Authorization for Background Verification

I understand that my Service Association with CorePeelers Private Limited is conditioned upon positive responses from my references, bonding eligibility, continued adherence to CorePeelers’ policies and procedures, applicable rules and regulations and job performance satisfactory at all times to CorePeelers.

I consent to take any pre or post-employment examinations as may be required by CorePeelers or its representative, and release CorePeelers Private Limited from any liability that may arise from such examination.

I authorize an inquiry to be made on the information contained on this application. Former employers and officials of education institutes, named on this application are authorized to give information about me and I release them from all liability for issuing such information.

I hereby attest and warrant that all my answers on this application as well as on all forms completed in conjunction with my employment are true and accurate. I understand that my misrepresentation of facts, failure to disclose information required on this application or material change in my information provided which is not reported to Human Resource Department shall be cause for Dismissal / Termination of my services regardless of when ever discovered by CorePeelers Private Limited
Send Application:
By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Signature*

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Employment Application Form:

Personal Information:

Emergency Contact Details

Details of Family Members

Employment Details for Joining CorePeelers:

Educational Qualifications:

Employment Details:

Previous Employment:

References:

Cover Letter & Resume (Optional):

Legal Proceedings & Declaration

Send Application: