7/26/2019 New Glen Rose Petroleum Application and Interview Form

1/3

.

Glen RosePetroleum Corporation1210 w clay street # 5 Houston,TX 77019 !"career$%lenrose&petroleum'comHr Contact( )15*0+*5*+0

pplication an- .nter/iew orm

Application for the Post of: _________________________________________________________________

PERSONAL DETAILS:

Full name in block letters

Surname First name Second name

Age Date of birth Place of birth with state Passport Number

Nationality Category Gender Marital Status Physically

Challenged

M / F YES / NO

Address for correspondence:

(in block letters )

Phone No: E-mail:

ACADEMIC DETAILS:

Page 1 of 3

Afx Sel-AttestedPhotograph

7/26/2019 New Glen Rose Petroleum Application and Interview Form

2/3

.

Qualification College, University,

Institution

Examination Passed

/ Appeared

Year of

passing

Division, Percentage

of Marks etc.

Matriculation

(10thstd.)

Higher (+2)

Secondary

Graduation

PG

Other

Qualification

OTHER INFORMATIONS:Family Background Any Certificate Awarded Reason For Joining With Us

WORK EXPERIENCE (if any): Total Length of Service

Years: Months:

Date Name and Address of

Organization

Detail of position/grade/

responsibilities etc

Present

SalaryFrom To

Time required for joining, if selected:

Skype Id for oral interview (if any):

Page 2 of 3

7/26/2019 New Glen Rose Petroleum Application and Interview Form

3/3

.

Time available on Skype :

I hereby certify that the information provided above is true to the best of my knowledge and in

case any information as above is found to be false or in-correct or suppressed at any stage, I

understand that I am liable to be terminated from the services of GLEN ROSE PETROLEUM

CORPORATION, USA forthwith without prejudice to any other legal and disciplinary action as

deemed fit by the Management.

Date:.

(Signature of Applicant)

Page 3 of 3