Application Blank Trident-1

of 5

APPLICATION FOR THE EMPLOYMENT(To be filled in by Applicant in his / her own handwriting)

Affix Recent Passport-Size Photograph

POSITION APPLIED FOR :

1. PERSONAL DATAFULL NAME IN BLOCK LETTERS :Dr./Mr./Mrs./Miss = MR MOHAMED EBRAHIM.A

(First Name) (Middle Name) (Surname)

Own House / Rented House (Please tick appropriately)

Own House / Rented House(Please tick appropriately)

ADDRESSPresent : Permanent:Dr/no 24 , narashimapuram 2nd cross street ,

near maduvankarai bridge , guindy, Chennai

600028

2/426, poonganagar 2nd cross street , zuzuwadi checkpost, Hosur 635126

Tel. No. _______________ Mobile No 9003386608E-mail : [email protected]

Tel. No. _______________ Mobile No 9003386608

Date of Birth:12-04-1991 Place of Birth: PUDUKOTTAI (TN)

State of Domicile:

Height (Cms):176 Weight (Kg):65 Marital Status: Yes/No

PAN No.: Blood Group : B+ve Passport No.:L7006085

LANGUAGES Read Write SpeakMother Tongue: URDU

Other Languages 1 TAMIL

2 ENGLISH

3 HINDI

4 TELEGU

5 KANNADA

Hobbies & Interests: Playing Pc games, surfing internet , and Cooking is my hobbies. Photography, learning speaking languages, board designing is my interest .

Professional Scholarships, if any: Till now i have not received any scholarships.

of 5

2. FAMILY BACKGROUNDName Date of

BirthAge Occupation

Father: MR ABDUL GAFFORE.I 24-03-1958 57 EMPLOYEE IN ASHOK LEYLAND

Mother: MRS RAZIYA BEGUM.A 29-03-1962 52 HOME MAKER

Husband/Wife: (spouse) -- - - -

Brother(s):1.MR MOHAMED RAFFI.A

03-02-1987 27 WORKING IN FTI BANGLORE

2.3.

Sister(s):1.2.3.Children:1.2.

3.

3. ACADEMIC RECORD Examination

passedDegree /Diploma

Year of passing

Board /University

Name & Location of Institution

Principal Subjects /Area of specialization

Part Time /Full Time / Distance Education

% Marks

Grade / Class / Division

SSC / SSLC SSLC 2007

CBSE MAHARISHI VIDYA MANDIR SSC , HOSUR.

FULL TIME 62%

1ST CLASS

HSC / PUC HSC 2009

STATE BOARD

MAHARISHI VIDYA MANDIR HSS , HOSUR

FULL TIME 67%

1ST CLASS

Graduation:1st Year2nd Year3rd Year4th Year

Post Graduation:

1st year2nd year

Any Other Technical Qualifications1235Any other:

of 5

Please account for any break in education / year lost etc.4. ARTICLESHIP / SUMMER TRAINING / SHORT COURSES ATTENDEDName & Address of Employer / Institution

PeriodNature & Purpose

From To1. ASHOK LEYLAND

PVT LTD

2. ISM

2-04-2007

AUGUST 2013

12-04-2007

JANUARY 2014

PERSONALITY DEVELOPMENT CLASS.

ADVANCE DIPLOMA IN EMBEDDED SYSTEMS.

5. CURRENT EMPLOYMENTName & Address of employer :

Date of joining:

Designation : Reporting to: No. of Subordinates :

Em

olu

ments

(C

alc

ula

te p

m)

Salary 15000 Organisational Chart(Draw a brief schematic diagram indicating your position in relation to your department and indicate only one level of subordinate relationship & two level of superior relationship)

Basic …………..DA……………..HRA ………….Conveyance……Incentives……..Any other(specify)…….TotalPerksMedical ………LTA ………….PF…………….Bonus ………..Gratuity ……….Personal accidentInsurance (premium paid by company)Any other(specify)……..Grand Total

Responsibilities (use additional sheets, if necessary) giving details of area of expertise:

Reason for seeking change:

Minimum salary expected (all inclusive):

of 5

Joining time required:

Preference for location of work (if

any) :

6. PREVIOUS EMPLOYMENT HISTORY (Starting with the latest employment)1. Name and address of Employer: From: To:

Designation: Reporting to:

Responsibilities: (Name & Designation)

No. of Subordinates: Emoluments drawn :

Reason for leaving:

2. Name and address of Employer: From: To:




Reason for leaving:

3. Name and address of Employer: From: To:




Reason for leaving:

7. OTHER PARTICULARS 1 Names of Persons known to you in any of our Group

Companies, if any

2 Have you ever applied to any of our Group Companies? If yes, give details

3 Do you have any location preferences/Constraints? If any, give reasons

4 What are your salary expectations?

5 If selected, how much notice would you require to join?

of 5

Reference of two responsible persons not related to you (Atleast one referee should be one of the ex-bosses) :

Name Occupation Telephone No. Address

Any other information you would like to furnish in support of your candidature:

DECLARATION:I certify that the statements made by me above are true, complete and correct. I agree that in case the Company finds at any time that the information give by me in this application is not true, correct or complete, the Company will have the right to terminate my appointment without notice or compensation at any time.

Date: ………………………….

Place:………………………….. Signature……………………………..

8. FOR COMPANY USE

PRELIMANY INTERVIEWRemarks:

Date: Outcome:

Name (s) & Signature (s) of Interviewer

FINAL INTERVIEWRemarks:

Date: Outcome:

Name (s) & Signature (s) of Interviewer

Application Blank Trident-1

Documents

Transcript of Application Blank Trident-1