Guljag Industries Limited

Personal Detail Declaration Form

Personal Detail

Name Sex

Address

Permanent Present

Mobile Email

Date of Birth
14/10/1985 / Place of Birth
MERTA CITY / Identity Mark
RIGHT HEND FINGER SOME CUT
Marital Status
MARRIED / Date of Marriage
07/05/2009 / Blood Group / Nationality
INDIAN
Languages Known
HINDI, ENGLISH / Height
5’6” / Weight
52 KG
Hobbies
Playing Chase and to learn about new TEACH. / Spectacle Lens
Left
Right / P F A/C No
Vegetarian/Non-Vegetarian
VEGETARIAN / Smoker/Non-Smoker
NON-SMOKER / Family Doctor / Personal Solicitor
Preference for alcohol (If yes how often do you consume)
NO / Passport No. / PAN No.
BQKPS5976A
Know Driving?
YES / Mention Vehicle Name
HERO HONDA CD DELUX / License No.
RJ-21/DLC/08/50469 / Renewed on

Educational Profile

Basic Qualification

School/College Attended / Examination Passed
Year / Name of School/College / Date / Degree/ Certificate / Subject / %
2002
2004 / BOARD OF SEC. EDU., RAJ.
BOARD OF SEC. EDU., RAJ. / 10Th PASS MARKSHEET
12Th MARKSHEET / HINDI, ENGLISH, S.S.,SANSKRIT, METHES, SCIENCE.
HISTORY, POLITICAL, DROWING / 49%
59.38

Professional Qualification

University/College Attended
Year / Name of Institute / Qualification Obtained / %
2008
2011
2012 / AGARWAL COLLEGE, MERTA CITY
(MDS UNIVERSITY)
M.A. (PRE.) POLITICAL SCIENCE
JAI NARAYAN VYAS UNIVERSITY,
JODHPUR
APPIEAR M.A.(FINAL) POLITI. / 1800/1001
400/180 / 56%
45%

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
FEB.2006
JAN.2007
JULY 2010 / DEC.2006
MAR.2008
DEC.2011 / J.K. VAISHNAV,
ADDVOCAT SELTAX, INCOM TAX IN MERTA CITY
JAGANNATH TELICOM, (AIRTEL DISTRIBUTER), MERTA CITY
JWALA MEDICAL AGENCE, MERTA CITY / Office Assistant
Office Assistant & Accountent
ACCOUNT ASSISTANT / NEW JOB FOUND
PRIPAIRING FOR B.A. FINAL EXAM
NO INCREASE
SALATY TO LONG TIME / NO SALARY
4500/-
8000/-

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
KIRAN DEVI
PRIYANKA
PREETI / 52
20
22 / MOTHER
SISTER
SPOUSE

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
NOT APLICABAL

Are you known to any employee of Guljag Industries Limited? If yes (give detail)

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
Not aplicable

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