Employment Application

Your infomration will stay safe with us. PAN & Aadhar # will be required after selection. * indicates mandatory fields.
This questionnaire must be completed by all applicants for employment. Failure to provide complete and accureate information may disqualify an applicant from further consideration or delay the presentation of an offer of employment.
Personal
Last Name * First Name * M.I. *
Position Desired * HomePhone Cell Phone * E-mail address *
Present Address
  Street *
 City * State * Pincode *
Permanent Address(If different)
  Street
 City State Pincode
Job Interest
Vatsal Healthcare Solutions Pvt. Ltd, New Vadaj, Ahmedabad, Gujarat
Position Applied For * Are you available to work *
# Hrs/Wk?  
Are you currently employed? *
Date available to start work *
How were you referred to our company?
Do you have any relatives employed by our company? *
Have you ever interviewed at Vatsal Healthcare? *
Have you ever been employed by Vatsal Healthcare? *
Manager Department/Branch
PLEASE BE ADVISED: BEFORE AN OFFER CAN BE EXTENDED, ALL THE INFORMATION LISTED BELOW WILL BE CHECKED AND VERIFIED FOR ACCURACY.
Education - (At least one entry is required)
List your education background, beginning with High School. Please include technical school and military training, etc.
(If you fill out any row, please enter all the information available in the row or section.)
Name and location of Collage and University Major/Degree Month/Year Percentage Graduate / Passed
List any vocational or business-related courses, college projects, and training.
1. Year
2. Year
3. Year
4. Year
5. Year

.

Employment (Including Internship)
Experience *:

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Reference - (At least one entry is required)
Please list persons whom we may contact who know your employment qualifications, such as present or former supervisors/managers, former teachers or professors, or associates now with our organization. Do not list relatives. (If you fill out any row, please enter all the information available in the row or section.)
Name Company Phone # Email address Title
1.
2.
3.
Pre-Employment Statement

I understand that Vatsal Healthcare may investigate all statements contained in this application, and I authorize VATSAL HEALTHCARE SOLUTIONS PVT. LTD. and/or its representatives to verify all records pertaining to my background. I also agree to release VATSAL HEALTHCARE SOLUTIONS PVT. LTD. and its representatives from any liability arising from such investigation, and I understand that any false statements on this application are ground for dismissal or the withdrawal of any offer of employment.

I understand that any offer of employment made to me by VATSAL HEALTHCARE SOLUTIONS PVT. LTD. whether accepted or not, is contigent upon investigation of this application, including the results of a reference and/or background check. I agree to this procedure. VATSAL HEALTHCARE SOLUTIONS PVT. LTD. may contact my previous and current employers for references with consideration to my preferences as indicated above. I understand that this application for employment will remain active for a period of 90 days following the date of submission.

The Ahmedabad office location is near Akhbarnagar circle in Ahmedabad. You need to live closer (within 5 km radius of the office). If not feasible for any reason, you must be able to reliably commute to the office on a working day.

I understand that my application for employment (including, but not limited, to this application form, the granting of any interview, or the fact or content of any interview) is not intended to- and shall not be construed to-create between VATSAL HEALTHCARE SOLUTIONS PVT. LTD. and me a contract of employment or for the provision of benefits.

I clarify the statements made here are complete and accurate to the best of my knowledge. (A photocopy or fax of this authorization shall be considered as effective and valid as the original.)

Have you ever been discharged or forced/permitted to resign from a job?   *
Name * Signature *  
Date *  
Even though you are submitting the form you have to upload your resume.
Resume * (Only PDF file is allowed)