Sri
Srimathi Sundaravalli Memorial Educational Trust

Chromepet, Chennai - 600 044
Application Form
 
Note:
*   No column should be left blank.
*   Each candidate one application only.
 Department      :      
 Designation      :       
Known through :       
 
1.   Name (as in Certificates) :  
2.   Date of Birth  :    (DD-MM-YYYY)
3.   Age  :  
4.   Gender  :    
 
5.   Present Contact Address  :  
         
         
           
         
6.   Permanent Address  :  
         
         
            
7.   Living Place  :  
8. a)  Academic Qualification       
 
Class School Name & Place Medium Year of Passing % of Marks

  b)   Higher Education (Diploma & Degree)
 
   
S.No.Degree/DiplomaUniversityRegular/CorrespondenceInstitutionMediumYear of Passing% of Marks
1
2
3
4
5
       
9.     Highest Qualification
 
:  
10.     Computer Knowledge -
  by Practice
   
   
Computer Qualification if any
Diploma / Certificate Institution / College Year of Completion
      :  
11.     Language Proficiency  :    
               
S.No.Languages KnownReadWriteSpeak
1
2
3
    
               
12. Experience Details - Including Present Employment:
               
S. No. OrganisationDesignationPeriodDuration of ServicesGross Salary drawn at the time of leavingService CertificateReason for leaving
FromToYearsMonth
1
2
3
4
5
         
13.   Proof for the last drawn salary   :  
14.     Present Employment Status   :  
15.     Marital Status  :  
               
16.     Details of Family Members living in the House  :    
S.No.NameAgeRelationship to the ApplicantOccupation
1
2
3
4
5
    
17.     Mobile No.  :  
18.     Phone No.  :  
19.     E-Mail Id: *  
 
20.     Proof of Identity      
     
S.No.DocumentsDocument Number
1.
Aadhar Card
*
2.
Pan Card
3.
Voter ID
4.
Driving License
5.
Passport
6.
Ration Card
21.     Salary Expected  :    
               
22.     In the event of selection,
Joining Time Required 
:  
               
23.     Commutation to workplace   :  
             
24.     Any Relatives working in SSM?  : *    
        If Yes, Give Details.        
        
25.   If you have appeared for
SSM Test/ Interview earlier, 
If Yes,  Details.
:
26. Reference Details (Holding Responsible position):
      Reference1                         Reference 2
Name :                      
                     
Full Address :                      
                     
Status :                      
                                 
Contact Details :                        
Email Id :                          
                     
Period for which he/
she knows the applicant
     Years    Months                          Years   Months
                     
Nature of Acquaintance :                      
27.     Any other information the applicant wishes to mention in favour of his/her application: