Name of Candidate : _______________________________________

: _______________________________________
Father's Name : _______________________________________
Contact Number :
E-mail address : _______________________________________
Work Location : _______________________________________
Choose any two work locations from the following :
(Chandigarh, Noida, Delhi, Gurgaon, Jaipur, Lucknow, Ahmedabad, Indore, Surat, Mumbai, Pune,
Goa, Cochin, Chennai, Bangalore, Secunderabad, Bhubneshwar, Kolkatta, Ranchi, Guwahati)
Qualification : Diploma in Electronics Electronics & Communication
Current Postal Address: __________________________________________________________
_____________________________________________________________________________
________________________________________________________PIN Code

DECLARATION

I, myself__________________________, agree to pay half month salary to EzeeFix Services

Pvt. Ltd. as consultancy charges with-in 60 days after my joining.
(Signature)

PAYMENT RECEIPT

Name of the Company : EzeeFix Services Pvt. Ltd.

Name of Bank : ICICI Bank
Account Number : 083105000393
Amount :
Date :

EzeeFix Services Pvt. Ltd. www.menrol.com