BURNPUR CEMENT LTD.

Name of Post:
1. Name (in full)
2. Date of Birth (dd-mm-yyyy)
3. Complete Mailing Address
4. Father/pouse!s Name
5. Natonality "# e$ (M/F)
%# &du'ational (ualifi'ation (Matri'lation on)ards)
Full name of
'ourse/degree
'hool/College/*nstitutio
n
Board/+ni,ersity -ear of
Passing
Per'entage
of mar.s
Ma/or su0/e'ts/ Area
of pe'ialisation
1# &$perien'e
2rganisation 3
Address
Designation 3
Department
Date of 4oining Date of
eparation
Nature of
duties/responsi0ilities
5# 6alid &-Mail *D Conta't telephone Nos
td 'ode: 7ele No:
Mo0ile No:
89# Current alary and Cost to Company:
88# &$pe'ted alary
:
8;# <eferen'e: 8# Name 8# Name
;# Designation ;# Designation
=# Company =# Company
># 7ele# No#/Mo0ile ># 7ele# No#/Mo0ile
Date: ignature of Candidate
Note: 8# 7here should 0e t)o (9;) referen'es 0ut none of these should 0e your relati,es#
;# +se Additional sheets )here,er re?uired for e$pressing fully and 'learly#
Affix recent
passport
size
photograph