APPLICATION FORM 2014

FULL NAME IN BLOCK LETTERS:First Name

SHRUTI
Age
DOB (dd//mm/yyyy)
Email ID
Mobile No.

Middle Name

Last Name
SHUKLA

22
Gender (M/F)
18/01/1991
Nationality
shruts.shukla@yahoo.com
7376794217

F
INDIAN

PERSONAL INFORMATION:Father

Name
Alok Shukla

Occupation
Government
Service

Mother

Nirupama Shukla

Government
Service

Spouse/Sibling

Residence
Address
(Permanent)
Residence
Address
(Temporary)
Project Details:Title
Air separation
units

Ishan Shukla

Shweta Shukla

Student

Organization
Provincial Medical and
Health Services, Uttar
Pradesh
Provincial Medicaland
Health Services, Uttar
Pradesh
Birla Institute of
Technology, Mesra, Ranchi

419 A/257- H BAGHAMBARI HOUSING SCHEME,

ALLAPUR, ALLAHABAD, UTTAR PRADESH- 211006
ROOM NO. 107
GIRLS HOSTEL 4
HARCOURT BUTLER TECHNOLOGICAL INSTITUTE, NAWABGANJ,
KANPUR-208002
Elective

Project Details
Design of equipments.

EDUCATION (Beginning with 10th Standard Exam)

Period
School, College,
Name of the

Div./

% Marks

Scholarship &

From To

University or
other Institution

2006-2007

St. Marys
Convent Inter
College,
Allahabad
St. Marys
Convent Inter
College,
Allahabad
Harcourt Butler
Technological
Institute,
Kanpur

2008-2009

2010-2014

Examination and
Class/ Obtained
Major
Grade
Subject/Specialisation
I.C.S.E
10th
93%

I.S.C

12th

Bachelor of
Technology in
Chemical Engineering

Summer Internship:Dates
Employer Project Outline
15/05/2013- IFFCO,
Study the functioning
8/06/2013 Phulpur
of Ammonia Plant
focussing on the
Haldor Topsoe
ammonia manufacture
process

Overall fifth
position in
school.
Third position in
school in
science stream.

76.23%
Got branch
(upto VI
transfer from
semester) Food
Technology to
Chemical
Engineering due
to academic
excellence.

Emoluments Name of the company

Nil
IFFCO, Phulpur

Prior Work Experience (if, applicable):Dates

Employer
From

90%

Other
Distinctions

Position & Nature of

Work

Emoluments

To

Co- Curricular Activities

Type of Activity
Event coordinator

Role played
(organizer/participant/judge)
Organizer

Poster Presentation

Participant

Significance
Gained experience in overall event
management and it helped me
build my interactive skills.
Won third prize in a crowd of over
100 participants, it helped in
expressing my artistic talent
amounting to a very amusing
experience.

Do You intend to Pursue a Post Graduate / Doctoral Course in the next 12 to 36 months?
If yes Please Specify?
No

Are you willing to work anywhere in India? If not, please state the constraining factors and
your location preferences (current and/or in the next 1 year)
Yes

What are your long term and short term career goals? What has influenced your thinking while
evaluating your career options?
My short term goal is to find a position in your company where I can put to use my technical
knowledge and strengths and commit myself to partake in the growth and success of the
company. My long term goal is to reach a respectable position in the company where I can gain
valuable experience and use my creativity to the fullest.
When it comes to evaluating my career options, the urge to innovate constantly stimulates
me, also I value the wisdom and suggestions provided by my peers and family.