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<div class="apply-from"><span>Functional Area</span></div>[select* Functional-Area "Head" "Finance" "Director" "Project Manager"]

<div class="apply-from"><span>First Name</span></div>[text* your-name]
    
<div class="apply-from"><span>Last Name</span></div>[text* Last-Name]

<div class="apply-from"><span>Date of Birth</span></div><div class="date-of-birth">[select* day  "Day" "1" "2" "3" "4" "5" "6" "7" "8" "9" "10" "11" "12" "13" "14" "15" "16" "17" "18" "19" "20" "21" "22" "23" "24" "25" "26" "27" "28" "29" "30" "31" ][select* Month  "Month" "January" "February" "March" "April" "May" "June" "July" "August" "September" "October" "November" "December" ] [select* Year  "Year" "2015" "2014" "2013" "2012" "2011" "2010" "2009" "2008" "2007" "2006" "2005" "2004" "2003" "2002" "2001" "2000" "1999" "1998" "1997" "1996" "1995" "1994" "1993" "1992" "1991" "1990" "1989" "1988" "1987" "1986" "1985" "1984" "1983" "1982" "1981" "1980"]</div>

<div class="apply-from"><span>Marital Status</span></div>[select* Marital-Status "Married" "Unmarried"]

<div class="apply-from"><span>Gender</span></div>[select* Gender "Male" "Female"]

<div class="apply-from"><span>Current Address*</span></div><div class="apply-bg">[textarea Current-Address]</div>

<div class="apply-from"><span>Current Location</span></div>[select* Current-Location "Delhi" "Kanpur" "Ahamdabad" "Haryana"]

<div class="apply-from"><span style="line-height:20px">If  "Other" (Please type your<br/> current location)</span></div><div class="apply-content">[text your-subject]</div>
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<div class="apply-from"><span>Pin Code</span></div>[text* Pin-Code]


<div class="apply-from"><span>Telephone/Mobile</span></div>[tel* Telephone-Mobile]


<div class="apply-from"><span>Email</span></div>[email* email-84]


<div class="apply-from"><span>Current Designation</span></div>[text* Current-Designation]

<div class="apply-from"><span>Current Employer</span></div>[text* Current-Employer]

<div class="apply-from"><span>Current Gross Salary</span></div><div class="apply-content">[text* Current-Gross-Salary]<br/>(per annum in Lacs)</div>

<div class="apply-from"><span>Key Skills</span></div>[text* Key-Skills]
<div class="apply-from"><span>Experience</span></div>[select* Year "Year" "1-3 Year" "3-5 Year" "5-7 Year" "7-10 Year" "10 + Year"]



<div class="apply-from"><span>Qualification </span></div>[select* Qualification "Select" "Not Pursuing Graduation" "B.A" "B.Arch" "BCA" "B.B.A" "B.Com" "B.Ed" "BDS" "BHM" "B.Pharma" "B.Sc" "B.Tech/B.E." "LLB" "MBBS" "Diploma" "BVSC" "PG" "Other"]

<div class="apply-from"><span>Short Description</span></div><div class="apply-content">[textarea Short-Description]<p>Examples "12 yrs Finance Experience"</p></div>

<div class="apply-from"><span>Attach Your Resume</span></div>[file* Choose-File]


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<div class="sub-btn">[submit "Submit"]</div>
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