Guljag Industries Limited

Personal Detail Declaration Form

Personal Detail

Name Sex

Address

Permanent Present

Mobile Email

Date of Birth
01.09.1983 / Place of Birth
FATEHPUR SHEKHAWATI / Identity Mark
Marital Status
MARRIED / Date of Marriage
07.02.2011 / Blood Group
0 POSITIVE / Nationality
INDIAN
Languages Known
HINDI , ENGLISH / Height
5.7 FEET / Weight
56 Kg
Hobbies
PLAYING CRICKET,LISTENING MUSIC / Spectacle Lens
Left
Right / P F A/C No
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. / PAN No.
Know Driving? / Mention Vehicle Name / License No. / Renewed on

Educational Profile

Basic Qualification

School/College Attended / Examination Passed
Year / Name of School/College / Date / Degree/ Certificate / Subject / %
2008
2005
2000
1998 / UNIVERSITY OF RAJASTHAN
TECHNICAL BOARD JODHPUR
RBSE AJMER
RBSE AJMER / B.Tech
DIPLOMA
12th
10th / ECE
ECE
PCM / 64%
63%
57%
74%

Professional Qualification

University/College Attended
Year / Name of Institute / Qualification Obtained / %
2008
2005 / UNIVERSITY OF RAJASTHAN
TECHNICAL BOARD JODHPUR / B.Tech
DIPLOMA / 64%
63%

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
6.02.2012
10.12.2009
01.09.2008 / Till date
30.01.2012
6.12.2009 / Suzlon Energy Ltd.
BECIL
E TV Rajasthan / O & M Engineer
Project Engineer
Jr. Engineer / Change Industry / 16000
11000
9000

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:

Name / Age / Relationship
Poonam / 23 / Wife

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
Hiyashi / 3 Month

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

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