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Recent
Photograph (in
professional
attire)

Godrej & Boyce Mfg. Co. Ltd.


APPLI C AT I O N

FORM

POST APPLIED FOR : SR. BILLING ENGINEER


FULL NAME : Mr. GUPTA VAIBHAV
ADDRESS FOR COMMUNICATION (Local)

PERMANENT ADDRESS ( Native Place)

SEC - 51

577/35 ,

HOSIYARPUR

JANTA COLONY

NOIDA , U .P .

ROHTAK

Mobile No.:9654470672

HARYANA

E-mail ID VAIBHAVGUPTA.NITKKR@GMAIL.COM

Phone :9654470672

DATE OF BIRTH : 09 / 11 /1987 PLACE OF BIRTH : ROHTAK NATIONALITY : INDIAN


DO YOU BELONG TO: SC ______ ST _____ OBC _____ OTHERS :- GENERAL
LANGUAGES KNOWN : ( Communication Skills )
Languages

Speak

Read

Write

HINDI

YES

YES

YES

ENGLISH

YES

YES

YES

EDUCATIONAL QUALIFICATION:
Examination
Passed

Full-time /
Part-time or
Corres.

SSC

FULL TIME

HSC
BTECH
MTECH
-

Duration of Course
From
MM/YY

To
MM/YY

Month &
Year of
Passing

Name & Location of


School/College/Usity/Board
(City & State)

2002

2003

2003

FULL TIME

2004

2005

2005

FULL TIME

2007

2011

2011

NIT KURUKSHETRA

62%

FULL TIME

2012

2014

2014

M.D.U.UNIVERSITY

76%

VAISH PUBLIC SCHOOL,


ROHTAK, CBSE BOARD
M.S. SARASWATI SR SEC
SCHOOL, ROHTAK, CBSE
BOARD

Class /Grade &


Percentage
of marks
56%
60%

Was there any break in your studies? No / Yes (If yes, please mention the reason for the same)
YES , I WAS PREPARING FOR IIT .
KNOWLEDGE OF COMPUTERS: M.S.OFFICE , AUTOCAD , ERP .
Contd. ( 2 )

WORK EXPERIENCE : (- Including practical training, if any.


- Please write in chronological order ending with present employment)
Period
From

To

(DD/MM/
YY )
10TH
JULY
2011
May
2012

(DD/MM/
YY)
14TH
APRIL
2012
Dec
2013

25TH
JAN
2014
29TH
AUG
2015

28TH
AUG
2015
TILL
DATE

Experience
( in
months )

Name & Location of


Employer / Self Employment

Designation and
Nature of Work

Annual
Cost to
Company

Reasons
for
Leaving

09

D.S. CONSTRUCTION

TRAINEE ENGINEER

25000/-

PROJECT
CLOSED

20

P.C.R.

Site Engineer

30000/-

Salary was
not on time.

19

AMRAPALI GROUP

BILLING ENGINEER

4,37,760/-

N.A.

01

AMRAPALI GROUP

SR. BILLING ENGINEER

4,37,760/-

Searching
new
opportunity

BREAKUP OF THE PRESENT / LAST SALARY, BENEFITS & PERQUISITES :


Components
Monthly Benefits

Rs. ( p.m.)
14000/-

Basic Salary
House Rent Allowance

7000/-

Medical Expense Reimbursement

Education Allowance

Lunch / Canteen

750/-

Conveyance Allowance

1600/-

Telephone Expense Reimbursement

500/-

Terminal Benefits

Other Allowances:

a) Project allowance

1050/-

Provident Fund

1680/-

b) Personal P

5400/-

Gratuity

c) CONVEYANCE

2000/-

Superannuation

Any Other

TOTAL ( C ) :

1680/-

0
2500/-

TOTAL ( B ) :

32,300/-

Cost to Company ( p.a.) : ( A + B + C ) X 12

Rs. (p.m.)
0

Leave Travel Allowance (LTA)


Mediclaim / Hospitalisation Insurance
( Coverage Amount Rs. __________)
Any Other (FESTIVE BONUS)

d)
TOTAL ( A ) :

Components
Annual Benefits

2500/-

Rs. 4,37,760/-

Expected Remuneration : Monthly Gross : Rs. 51072/- Cost to Company ( p.a.) : Rs. 6,50,000/REFERENCES : ( Name relatives / acquaintances in any of the Godrej establishments )
Name
-

Division/Plant, Department & Location


(Specify State & District )
-

Relationship with
the applicant
-

3
-

Contd ( 3 )

SOURCE OF RECRUITMENT (DETAILS OF YOUR INTRODUCTION TO US):


Self / Placement Consultant / Advertisement (Newspaper / Godrej Website / Any other Job Portal) / Campus Interview /
Employee Reference / Job Fair / Walk-in / Employees Son / Daughter / Ex-Trainee (Summer / Project / In-Plant) / Temp. Staff.
Please mention the exact detail here: SELF
(For example, if you are referred by a Placement Consultant, please mention the name of the Firm / Agency).
Please explain in brief why you consider yourself suitable for the position applied for ?
a)

This position is suitable


job
are exactly what I'm looking for in a job .

for

me

b)

I am a team player and I know how to lead my team .

because

its

responsibilities

Which functional area do you prefer ?


SR. BILLING ENGINEER
( List in order of preference. E.g. Sales, Service, Production, Quality Control, Design, Maintenance etc)
Are you planning for higher studies ? If yes, please specify :YES , I WANT TO DO MBA IN PLANNING
Weekly off day(s) in your present employment :
1 DAY OFF IN A WEEK.
Have you been previously tested / interviewed by us ? If yes, state when & for what post ? Yes / No

NO
How soon would you be able to take up the new appointment, if selected ? :WITHIN A MONTH .
DECLARATION
I declare that the foregoing information is correct and complete to the best of my knowledge and belief and nothing has been concealed.
I accept that the statement made by me and the information supplied by me shall form the basis of my employment / traineeship with
the Company. If at any point in time in future, I am found to have concealed any material information or given false details against any
of the above particulars, my appointment / traineeship shall be liable to summary termination without notice or payment in lieu of
notice.

Date

: 15 / 09/ 2015

Place : NOIDA

(Signature of the Applicant)

Note:
1.

If appointed, you are liable to be posted and/or transferred to any of the Companys Establishments
within the Territories of India.

2.

All appointments are subject to the candidate being declared medically fit by the Companys Medical
Officer or a Medical Practitioner of Companys choice. The Managements decision in this regard is final.

(For office use only)


GI Raw ________ GI Stanine _________ MC Raw _______ MC Stanine ________ Written English: __________
Date of Test: ___________________ Conducted by: _______________________ Signature: ____________________
Special approval (if any) by Head - HR _______________________________________________________________

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