EmployABILITY 2019
TUESDAY 17 DECEMBER 2019, CHENNAI

ELIGIBILITY CRITERIA:
·       Candidate should be a person with disability as per the Persons with Disabilities Act.
·       Candidate must be at least a graduate from recognised educational institution with knowledge of English and basic computer skills.
 
INSTRUCTIONS TO CANDIDATES:
1.     Please fill this application in ENGLISH ONLY
2.     Questions marked with * are compulsory.
3.     Please ensure that the application form is complete.
4.     Completed applications must reach on or before Saturday 8 December  2019.
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1. PERSONAL DETAILS
Name *
Date of birth (dd/mm/yyyy) *
Gender *
Qualification *
Father /Mother's Name *
Address for communication   *
City / District   *
Pincode *
State *
Permanent address - same as above *
If no, your address
City / District  
Pincode
State
Telephone number (with STD code)
Candidate's mobile number   *
Alternate number (family / friend's number ) *
E-mail id of the candidate *
Alternate e-mail id   *
2. EDUCATIONAL QUALIFICATIONS
Class X
Name of School and Location *
Board (Eg: Matric / CBSE / ICSE) *
Month & year of completion (mm/yyyy) *
Percentage of marks (%) *
Medium of Instruction *
Class XII
Name of School and Location
Board (Eg: State / CBSE / ICSE)
Month & year of completion (mm/yyyy)
Percentage of marks (%)
Medium of Instruction
Diploma
Have you completed Diploma (Eg: DME/ DCSE)? *
If yes, mention the degree (Eg : DME / DCSE)
If yes, mention the specialisation (Eg: Electrical/ Computer Science/ Hotel Management/Multimedia)
Name of college and location
Name of university
Month & year of joining (mm/yyyy)
Month & year of completion (mm/yyyy)
Percentage of marks (%)
Medium of instruction
Undergraduate Degree (UG)
Have you completed an undergraduate degree (Eg : BA / BSC/ BCOM/BE) *
If yes, mention the degree
Mention the specialisation (Eg: History/ Chemistry/ Mechanical / Electrical & Electronic)
Name of college and location
Name of university
Month & Year of joining (mm/yyyy)
Month & year of completion (mm/yyyy)
Duration of the course (in years)
Percentage of marks (%)
Medium of instruction
Postgraduate Diploma
Have you completed a postgraduate diploma  (Eg: PGDCA/ PGDHRM etc) *
If yes, mention the degree (Eg: PGDCA/ PGDHRM etc)
If yes, mention the specialisation (Eg: Computer/ HR / Multimedia/ Labour Law)
Name of college and location :
Name of university
Month & year of joining (mm/yyyy)
Month & year of completion (mm/yyyy)
Duration of the course (in years)
Percentage of marks (%)
Medium of instruction
Postgraduate Degree
Have you completed a postgraduate degree *
If yes, mention the degree
Mention the specialisation (Eg: Psychology/ Finance/ computer/ History/ English)
Name of college and location
Name of university
Month & year of joining (mm/yyyy)
Month & year of completion (mm/yyyy)
Duration of the course (in years)
Percentage of marks (%)
Medium of instruction
Other Degrees
Have you completed any other degree (Eg: CA/ MBBS / BDS / M.Phil/ Doctorate) *
If yes, mention the degree
Mention the specialisation (Eg: Economics/ History/ Homeopathy)
Name of college and location
Name of university
Month & year of joining (mm/yyyy)
Month & year of completion (mm/yyyy)
Duration of the course (in years)
Percentage of marks (%)
Medium of instruction
Brief details of Academic Projects (if applicable):
In case of computer based projects, please indicate in ‘Description’ the front end and back end applications used
Project 1
Academic year (1st year, 2nd year ....)
Title of the project
Name of the organisation
Duration of the project (in weeks)
Description
Project 2
Academic year (1st year, 2nd year ....)
Title of the project
Name of the organisation
Duration of the project (in weeks)
Description
Project 3
Academic year (1st year, 2nd year ....)
Title of the project
Name of the organisation
Duration of the project (in weeks)
Description :
Other projects if any
3. Computer Skills
MS Word *
MS Excel *
MS Power Point *
MS Access *
Others
4. Advanced Computer Skills
a) Programming Languages : *
If yes, give details (Eg: C, C++, etc.)
b) Operating Systems *
If yes, give details (Eg: Windows, Linux, etc.)
c) Software Packages *
If yes, give details (Eg.Tally, SAP, RDBMS, etc.)
d) Web Programming Languages *
If yes, give details (Eg: HTML, Adobe softwares, Java Script, CSS, etc.)
e)  Hardware & Networking *
If yes, give details (Eg: Troubleshooting, LAN / WAN, etc.)
Others
5. Additional Qualifications
a. Languages known (click below box )
English *
Required
Tamil
Hindi
Other Languages
b. Typewriting  
English typing speed
Tamil typing speed
Hindi typing speed
Others (specify language and typing speed)
c. Any other qualification
Give details of any other qualification
6. WORK EXPERIENCE
Do you have any work experience *
Current employment details
Company name
Designation
Nature of work
Date of joining (dd/mm/yyyy)
Last salary drawn (per month)
Previous employment history
1.Company name
Designation
Nature of work
Date of joining  (dd/mm/yyyy)
Date of leaving (dd/mm/yyyy)
Total duration in months
Last salary drawn (per month)
2.Company name
Designation
Nature of work
Date of joining (dd/mm/yyyy)
Date of leaving(dd/mm/yyyy)
Total duration in months
Last salary drawn (Per Month)
3.Company name
Designation
Nature of work
Date of joining (dd/mm/yyyy)
Date of leaving (dd/mm/yyyy)
Last salary  drawn (Per Month)
7.  DETAILS OF DISABILITY:
Type of Disability *
i) If blind or low vision
Describe the degree of vision (power) you have in one or both eyes.  
Left eye
Right eye
Do you know braille?
Clear selection
Do you use computers?    
Clear selection
Do you use any assistive device / technology to use computers? (Eg:  Magnifier/ JAWS ).
Clear selection
If yes, please specify.
Do you use any assistive device for reading? (Eg:  Magnifier )
Clear selection
If yes, please specify
ii) If hearing impairment or speech & language disability
Level of hearing loss
Do you  
 Do you use hearing aid?  
Clear selection
iii) If locomotor disability :
Give details of disability
Do you use any assistive device for mobility? (Eg: calipers, crutches, wheelchair etc)
Clear selection
If yes, please specify.
For all other disabilities
Specify the disability
Accommodations received from your educational institutes (Eg: extra time during exams / scribe) *
Give details of your disability in not more than 50 words *
Additional information
Are you willing to work in night shifts? *
Are you willing to relocate as per the job requirement ? *
Do you need any extra assistance / assistive device / assistive technology in the work place? *
If yes, please specify
DECLARATION
I declare that all the information given in this form is true
Place *
Date (dd/mm/yyyy) *
Note
1. Candidate whose application form has been accepted will receive venue entry form by email within 5 working days.
2. Only registered candidate with venue entry form will be permitted to enter the job fair.
3. For more details please contact: employability@abilityfoundation.org  or call  044 24520016 / +91 8939675544

Disclaimer
·   The organisers do not guarantee job placements
·   The organisers do not charge/accept money for assisting candidates.
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