Guljag Industries Limited
Personal Detail Declaration Form

Personal Detail

Name Sex

Address

Permanent Present

Mobile Email

Date of Birth
2/12/1989 / Place of Birth
NOKHA(BIKANER) / Identity Mark
BLACK DOTTMARK ON LEFT CHEEK
Marital Status
SINGLE / Date of Marriage
-NOT APPLICABLE- / Blood Group
B-NEGATIVE / Nationality
INDIAN
Languages Known
HINDI, ENGLISH / Height
5’6” / Weight
64 KG.
Hobbies
PAINTING AND COOKING EXPERIMENTS / Spectacle Lens
Left -1.20
Right -1.00 / P F A/C No
Vegetarian/Non-Vegetarian
VEGETARIAN / Smoker/Non-Smoker
NON -SMOKER / Family Doctor
DR.BHAGULAL SADH / Personal Solicitor
ADV.MAHADEV PRASAD SOLANKI
Preference for alcohol (If yes how often do you consume)
-NOT APPLICABLE- / Passport No.
-NOT APPLICABLE- / PAN No.
AHFPN2118N
Know Driving?
YES / Mention Vehicle Name
MOTORBIKE / License No.
RJ-19/DLC/08/280661 / Renewed on
17/01/2008

Educational Profile

Basic Qualification

School/College Attended / Examination Passed
Year / Name of School/College / Date / Degree/ Certificate / Subject / %
2007
2005 / SARDAR SR.SEC.SCHOOL(RBSE)
BAL-NIKETAN SCHOOL(RBSE) / CERTIFICATE
CERTIFICATE / COMMERCE
ALL COMPULSORY SUBJECTS / 60
77

Professional Qualification

University/College Attended
Year / Name of Institute / Qualification Obtained / %
2012
2010 / JODHPUR NATIONAL UNIVERSITY
JAI NARAIN VYAS UNIVERSITY / FINANCE & MARKETING
COMMERCE / 72
54

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
2ND APRIL,2009 / 5TH JANUARY,2010 / SHRI AUTOMOBILES / SUPERVISOR / DISCONTINUITY IN EDUCATION / 6000 PM

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

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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