L & T CONSTRUCTION
Employment Application Form - DETPosition applied for : Diploma Engineer Trainee
: MECHANICALDiscipline
P.O.Box: 979, Chennai - 600 089.
: 1201523732Reference No
PERSONAL DETAILSName in Full HIMANSHU SHARMA
EDUCATIONAL DETAILS
Name of the Institute GOVERNMENT POLYTECHNIC AMBALA CITY - HARYANA
Name of the Degree / Diploma with Specialisation
DIPLOMA IN MECHANICAL ENGINEERING
Name of Post. Graduation with Specialisation
Exams Passed Marks Year of Pass Name of the InstituteScholastic Achievements (Distinctions / Awards /
Scholarships)
Scored Maximum
SSC or Equivalent 74 100 201205 P.K.R JAIN SR. SEC. PUBLIC SCHOOL
Intermediate or Equivalent 1st Yr.
2nd Yr.
Degree or Diploma 1st Yr. 1877 2550
2nd Yr. 1587 2275
3rd Yr. 856 1275 201505GOVERNMENT POLYTECHNIC AMBALA CITY - HARYANA
BADMINTON STATE LEVEL
Average of the Diploma / Degree marks (in percentage) 71
Passport Number Name as in Passpost Profession as in Passport
Date of Issue Valid Upto Place of Issue Countries valid for
Languages Known Mother Tongue R W S R W S R W S
HINDI ENGLISH PUNJABI
Most Serious Recent Illness No. of Days Ill Nature of Illness
Power of Eye glass Left Eye Physical Disability (if any) Height (cms) 164
Right Eye Weight (kg) 58
Sex Date of Birth Marital Status Nationality Category
Male 10 Jun 1997 UnMarried INDIAN BC
Present Address - Valid Until Permanent Address
#390 PREM NAGAR , AMBALA CITY, AMBALA, HARYANA. #390 PREM NAGAR , AMBALA CITY, AMBALA, HARYANA
Email ID [email protected] Phone No. Mobile No. 9466716106
Title of the project work submitted for Diploma KINEMATIC CAR (HAVE TO BE SUBMITTED)
What are your future plans regarding higher studies? I WANT TO BE SETTELED AFTER DIPLOMA FOR MY BRIGHT FUTURE
FAMILY DETAILS
Name of your family members DOB Relationship Occupation
SH. NARINDER SHARMA 10-10-1964 FATHER GOVT. EMPLOY
MRS. SUNITA SHARMA 20-05-1967 MOTHER TEAVHER
GITESH SHARMA 11-06-1993 ELDER BROTHER B.TECH
GENERAL DETAILSExtra curricular activities” Please give details about extra -curricular activity with Nature (E.g - Sports, Music, Dance, Drama, positions of responsibility, Social services, Others), Level (E.g. International, National, State, District, School level, Others ) and Year (Last 10 years)
BADMINTON (OPEN STATE LEVEL) , BADMINTON (COLLEGE STATE LEVEL) , VOLLEYBALL (SCHOOL LEVEL)
Relatives / Acquiaintences in L & T group of companies
Name Relationship Position Company
Faculty Reference
HITESH CHAWLA
I hereby affirm that my answers to the foregoing questions are true and correct and I understand and agree that misrepresentation or omission of facts called for in this application or other company records shall automatically resigned the contract of employment. I authorize inquiry with regard to my character, ability and habits to any and all persons and agree to hold such persons harmless with respect to any information that may give.
I hereby declare that I am not connected with any director of the company as his partner or his relative as detailed as under section 6 of companies act 1956.
Declaration :
Signature of HR RepresentativeSignature of Candidate
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