THE INSTITUTE OF COMPANY SECRETARIES OF INDIA
APPLICATION FOR EMPLOYMENT SERVICE (For Students Only) _____________________________________________________________________________ 1. Name Mr./Ms: _____________________________________________________________________________ 2. Student Registration No: 3. Date of Birth: _____________________________________________________________________________ 4. Addresses for Correspondence:
Contact Telephone No. Off: _____________________ Res:___________________________ _____________________________________________________________________________ 5. Qualifications: (a) Education (Graduation onwards) (b) Professional: _____________________________________________________________________________ 6. Passed Company Secretaryship Examination [indicate (? )] Month & Year Of Passing Examination Intermediate Group I Intermediate Group II Final Final Final Group I Group II Group III Roll No.
7. Experience: Name & address Of employer(s) Exact Designation Job contents in brief Period To
8. Emoluments drawn per month as on date of application: Scale of pay Basic DA HRA CCA Other Allowances Total emoluments drawn in each month
9. Details of perquisites, if applicable: ____________________________________________________________________________ 10. Languages known including mother tongue : (a) Mother tongue: (b) Other known languages (read, write and speak): ____________________________________________________________________________ 11. Are you prepared to serve anywhere in India: if not Please indicate preference: _____________________________________________________________________________ I declare that the above statements are true and correct Place : Signature of Student Date : _________________________________________________________________________ *Category in which a candidate will normally be sponsored is the next salary range slab as given below :...