(FIRST)
PLEASE AFFIX
YOUR RECENT
PASSPORT SIZE
PHOTOGRAPH
(MIDDLE)
CELL:
9034093209
sandeep.singhroha209@gmail.com
E-MAIL :
BIRTH DATE
14/01/1989
AGE (YRS)
JIND
PERSONAL DATA
GENDER
CELL:
MARRIAGE DATE
MARITAL STATUS
MALE
(If Married)
MARRIED
SC
CASTE
DT
NT
SBC
ENGLISH
HINDI
9034093209
JIND
RELIGION
NATIONALITY
STATE OF DOMICILE
HARYANA
HINDU
INDIAN
HARYANA
OBC
SPEAK
BIRTH PLACE
NATIVE STATE
2/9/2012
ST
27
GEN.CAT
READ
WRITE
PASSPORT NO.
PASSPORT ISSUE DATE
VALID UPTO DATE
ODIA
COUNTRY OF ISSUE
689469521801
AADHAR NO.
PAN NUMBER
20290669547(SBI)
RELATIONSHIP
DATE OF BIRTH
QUALIFICATION
OCCUPATION
INDRAWATI
MOTHER
10/9/1962
NIL
HOUSE-WIFE
PHOOL CHAND
FATHER
5/4/1957
BROTHER
8/5/1985
SATISH
HEALTH DATA
NAME
ADDRESS
RELATION
FATHER
B.A
POST GRADUATE
WEIGHT (kg)
BLOOD GROUP
182
69
0+
GOVT. EMP.
EMPLOYEE
PHOOL CHAND
TELEPHONE NO.
HEIGHT (cms)
9466891085
Left
EDUCATION
EXAMINATION PASSED
SPECIALISATI
ON
SCHOOL / COLLEGE /
INSTITUTION
UNIVERSITY/
BOARD
WHETHER
FULLTIME /
PARTTIME/
CORRES.
DURATION OF
COURSE
(Yrs & Mths)
MONTH &
YEAR OF
PASSING
GRADE %
MARKS
DISTINCTIONS /
SCHOLARSHIPS / PRIZES
WON
SSC OR Equivalent
School leaving Certificate
MATH,
SCI.,ENG,HIN SAINT VIVEKANAND HIGH
DI,SS,MUSIC
SCHOOL
HBSE
FULL TIME
1YR
2005
64
COMPUTER
ENGG
HSBTE
FULL TIME
3YR
2009
69.3
ELECTRICAL
ENGG
INDUS INSTITUTE OF
ENGG. AND TECH .
KUK
FULL TIME
4YRS
2012
72
B.TECH
DEGREE (S)
DIPLOMA POLYTECH
PERIOD
DURATION OF MEMBERSHIP
FROM
TO
TRAINING / CERTIFICATIONS
NAME OF THE TRAINING COURSE
DURATION
YEAR
INSTITUTE / ORGANISATION
WHETHER CERTIFICATE
AWARDED
MAINTANCE
6 WEEKS
2010
YES
MAINTANCE
4 WEEKS
2012
YES
EXTRA CURRICULAR ACTIVITY (E.G. Sports, Social & Literary activities etc.)
ACTIVITY
INSTITUTION/ASSOCIATION/SOCIETY/CLUB
YEAR
POSITION HELD
PRIZES WON
SKILLS SUMMARY
(Give brief details for the projects you have worked on)
PROJECT TITLE
ROLE
CAN PROVIDE AUTOMATIC VOLATGE REGULATION
IN CIRCUIT
TEAM SIZE
DURATION
LANGUAGE / PLATFORM / OS
2011
2012
WORK EXPERIENCE
In unbroken chronological order starting from your present employment and ending with first employment
(Please account for all the periods of time not covered by education / training) [Please attach extra sheet if required]
EMPLOYER'S NAME
& ADDRESS
DURATION
PERIOD(Yrs.)
NATURE OF DUTIES
SENIOR ENGINEER
TO
Employee Code
EMPLOYER'S NAME
& ADDRESS
Details of Current
Emoluments
DURATION
PERIOD(Yrs.)
BASIC (P.M.)
FIXED (P.A.)
VARIABLE (P.A.)
GROSS (P.A.)
NATURE OF DUTIES
FROM
NAME & DESIGNATION OF IMMEDIATE SUPERIOR
TO
Employee Code
GROSS EMOLUMENTS Rs.
Per month
EMPLOYER'S NAME
& ADDRESS
DURATION
PERIOD(Yrs.)
LAST DRAWN
NATURE OF DUTIES
FROM
NAME & DESIGNATION OF IMMEDIATE SUPERIOR
TO
Employee Code
GROSS EMOLUMENTS Rs.
Per month
EMPLOYER'S NAME
& ADDRESS
DURATION
PERIOD(Yrs.)
LAST DRAWN
NATURE OF DUTIES
FROM
NAME & DESIGNATION OF IMMEDIATE SUPERIOR
TO
Employee Code
GROSS EMOLUMENTS Rs.
Per month
EMPLOYER'S NAME
& ADDRESS
DURATION
PERIOD(Yrs.)
LAST DRAWN
NATURE OF DUTIES
FROM
NAME & DESIGNATION OF IMMEDIATE SUPERIOR
TO
Employee Code
GROSS EMOLUMENTS Rs.
Per month
EMPLOYER'S NAME
& ADDRESS
DURATION
PERIOD(Yrs.)
LAST DRAWN
NATURE OF DUTIES
FROM
NAME & DESIGNATION OF IMMEDIATE SUPERIOR
TO
Employee Code
GROSS EMOLUMENTS Rs.
Per month
LAST DRAWN
DRAW IN BRIEF THE ORGANISATION STRUCTURE OF THE COMPANY WHERE YOU ARE PRESENTLY EMPLOYED INDICATING TWO
LEVELS ABOVE AND ONE LEVEL BELOW YOUR POSITION (PLEASE ALSO INDICATE THE TOTAL NUMBER OF PERSONS UNDER YOU)
WHAT ARE YOUR SIGNIFICANT ACHIEVEMENTS AND EXPLAIN WHY YOU CONSIDER YOURSELF SUITED FOR THE POSITION :
HAVE YOU EVER BEEN INTERVIEWED BY SHYAM INDUS POWER SOLUTIONS PVT. LTD.?
YES
NO
DATE/YEAR
POSITION
COMPANY
If Yes, give
details
RELATIONSHIP
POSITION
GENERAL DATA
NA
BY CAMPUS OF IIET
NO
NO
if YES,
indicate nature of
business
if YES,
Give Details
CRIMINAL
RECORD
NAME
TELEPHONE NOS.
E-MAIL ID
HAVE YOU EVER BEEN INVOLVED IN ANY CRIMINAL PROCEEDINGS / CONVICTED OF ANY OFFENCE? IF YES, GIVE DETAILS
DECLARATION UNDER SECTION 314 OF COMPANIES ACT, AS AMENDED IN 1974 (Tick whichever is applicable)
I hereby declare that I am not connected with any of the Directors of the Company as his partner or his relative as defined under section 6 of the
Companies Act 1956
I hereby declare that I am a partner or relative of
as
I declare that the information given above is true to the best of my knowledge. I am aware that any false or incorrect information by me may result in termination of
my service with the Company. I have no objection to your inquiring from any of my previous employers on any matters pertaining to me, if I join your Company.
PLACE
JIND
DATE
7-Apr-16
Applicant's Signature