BURNPUR CEMENT LTD.

Name of Post: 1. Name (in full) Affix recent passport size photograph

2. 3.

Date of Birth (dd-mm-yyyy) Complete Mailing Address

4.

Father/Spouses Name

5.

Natonality

6. Sex (M/F)

7.

Educational Qualification (Matriclation onwards) Full name of School/College/Institutio Board/University course/degree n

Year of Passing

Percentage of marks

Major subjects/ Area of Specialisation

8.

Experience Organisation & Address

Designation & Department

Date of Joining

Date of Separation

Nature of duties/responsibilities

9.

Valid E-Mail ID

Contact telephone Nos Std code: Tele No: Mobile No:

10. Current Salary and Cost to Company: 11. Expected Salary

[

12. Reference:

1. Name 2. Designation 3. Company 4. Tele. No./Mobile

1. Name 2. Designation 3. Company 4. Tele. No./Mobile Signature of Candidate

Date:
Note: 1. There should be two (02) references but none of these should be your relatives. 2. Use Additional sheets wherever required for expressing fully and clearly.