L & T CONSTRUCTION

Employment Application Form - DETPosition applied for : Diploma Engineer Trainee

: MECHANICALDiscipline

P.O.Box: 979, Chennai - 600 089.

: 1201523624Reference No

PERSONAL DETAILSName in Full GURDEEP SINGH

EDUCATIONAL DETAILS

Name of the Institute GOVERNMENT POLYTECHNIC AMBALA CITY - HARYANA

Name of the Degree / Diploma with Specialisation

DIPLOMA IN MECHANICAL ENGG.

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 400 500 201103 ARMY PUBLIC SCHOOL,AMBALA CANTT.,HARYANA

Intermediate or Equivalent 1st Yr.

2nd Yr.

Degree or Diploma 1st Yr. 1885 2550 DET- RANK SCHOLARSHIP

2nd Yr. 1674 2275

3rd Yr. 853 1275 201506GOVERNMENT POLYTECHNIC AMBALA CITY - HARYANA

Average of the Diploma / Degree marks (in percentage) 72

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) 183

Right Eye Weight (kg) 60

Sex Date of Birth Marital Status Nationality Category

Male 15 Apr 1995 UnMarried INDIAN BC

Present Address - Valid Until Permanent Address

#1875-B,BALDEV NAGAR, AMBALA CITY, AMBALA CITY, HARYANA. #1875-B,BALDEV NAGAR, AMBALA CITY, AMBALA CITY, HARYANA

Email ID gurdeepsingh0031@gmail.com Phone No. 7404397767 Mobile No. 7404397767

Title of the project work submitted for Diploma YET TO BE SUBMITTED....GAMMA TYPE STIRLING ENGINE

What are your future plans regarding higher studies? I AM NOT VERY KEEN AT HIGHER STUDIES,.........I WANT TO FACE THE INDUSTRY FIRST.

FAMILY DETAILS

Name of your family members DOB Relationship Occupation

SH. LAKHVINDER SINGH 21-05-1965 FATHER ARMY

SMT. SURINDER KAUR 20-04-1969 MOTHER HOUSEWIFE

JASPREET SINGH 10-12-1993 ELDER BROTHER B.TECH

GENERAL DETAILSExtra curricular activitiesPlease 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)

CRICKET (SCHOOL LEVEL) , FOOTBALL ( 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