Guljag Industries Limited
Personal Detail Declaration Form

Personal Detail

Name Sex

Address

Permanent Present

Mobile Email

Date of Birth - 08.01.1992
/ Place of Birth- Jodhpur / Identity Mark
Marital Status- Unmarried / Date of Marriage- NA / Blood Group / Nationality -
Indian
Languages Known- English, Hindi. / Height- 5.1 / Weight - 53 kgs
Hobbies - Singing, Sketching, Listening music, Reading –Blogs , Books etc. / Spectacle Lens
Left
Right
- NA - / P F A/C No -
No PF Account
Vegetarian/Non-Vegetarian -
Vegetarian / Smoker/Non-Smoker -
Non smoker / Family Doctor / Personal Solicitor
Preference for alcohol (If yes how often do you consume) / Passport No. -
Not yet made / PAN No. -
Not yet made
Know Driving?
Yes / Mention Vehicle Name
NA / License No.
RJ19/DLC/12/441173 / Renewed on -
NA

Educational Profile

Basic Qualification

School/College Attended / Examination Passed
Year / Name of School/College / Date / Degree/ Certificate / Subject / %
2009 / St. Patrick’s Vidya Bhawan Senior Secondary School /
20.05.2009 /
Senior School Certificate Examination /
Commerce- Maths /
81.2

Professional Qualification

University/College Attended
Year / Name of Institute / Qualification Obtained / %
2009-2012 / Jai Narayan Vyas University /
Bachelor of Commerce (Honors) /
61.57

Additional Course

Employment History (Beginning with present or most recent employer)

Date / Name of organization / Post held & Job Responsibilities / Reason for leaving / Salary on leaving
From / To
20.06.2011 / 25.02.2014 / Maheshwari & Jain, CA Firm /
Article Assistant under FCA Anil Maheshwari /
Completiom of Articleship period. /
Stipend as per ICAI norms.

Award/Achievement

Key Skill Set

Your Suitability for the job (e.g. present your strength and weakness)

Family Background

Family Members

Father Name & Occupation Mother Name & Occupation

Brothers Name & Occupation

Sisters Name & Occupation

Family (Joint/Nuclear) Total Members No. of earning members

Dependents: NONE

Name / Age / Relationship

Accomodation (Own/Rented) Rent Amount

Any relative working at any senior position in Government Department or in Private Sector, if any (give detail)

Applicable if married

Spouse Name & Occupation

Father in law - Name & Occupation Mother in law - Name & Occupation

Children

Name / Age / Education

Are you known to any employee of Guljag Industries Limited? If yes (give detail)

S

References

Please give the contact details of two people who will be able to comment on your suitability.

Name Name

Address Address

Telephone Telephone

Email Email

Membership of Professional Institution

Name of Institution / Membership Status / Admission Date

Joining Us

Have you been interviewed in this company before?

For how long, would you commit to work with us?

Period of notice required in the present post

Expected Minimum Salary

I declare that the information given in this form is correct and to the best of my knowledge.

Signed Name

Date

For office use only:

Date of joining: DASD

Salary at the time of joining:

Designation at the time of joining:

Training / Probation period:

Remarks, if any: -

Personnel/ Admin Manager Sr. V P - Works Managing Director

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