Baldota Group of Companies

Baldota Enclave, Abheraj baldota road,

HOSPET-583203.
Ph: (08394) - 232003,232004

Affix passport
size
photograph

POST APPLIED FOR:____________________________________

1. PERSONAL DETAILS:
Name (In Block Letters)

: _______

Praveen kumar D.V.

Name of Father/Husband

: ________

Vitthal H Dhongadekar

Date of Birth

______/_______
11

12

1992 Sex : MALE / FEMALE

Marital Status : Single / Married / Divorced / Widowed.

single

Present Address :

Permanent Address :

#1642/11/A, 15th cross

s/o Vitthal h dhongadekar

anjaneya layout

Haladakatta, post:kondli

Davangere-577004

siddapur(U.K)-581355

Phone No :

Phone No :

Email id :

9964997540

male

No. of Dependent Children : _____

dvpraveen15@gmail.com

2. EDUCATIONAL QUALIFICATIONS:
(Starting from the last to Xth Standard)
Qualification

Year of
Passing

School/College

University

% / Class

Xth standard

2008 P.E.N. high school, siddapur(U.K)

76.32%

XIIth standard

2010

67.50%

M.G.C. college,siddapur(U.K.)

3. TECHNICAL / PROFESSIONAL QUALIFICATION :

Qualification
B.E.(chemical engineering)

Year of
Passing

School/College

University

% / Class

Bapuji2014
institute of engineering and technology Davangere
V.T.U. Belgaum

65.14%

Accademic Awards (If any) : ____________________________________________________________

4. WORK EXPERIENCE :
(Starting from the present job) Pls attach extra sheet if required

Name and Address of

Employer

Period of Service
From
To

Job Title

Salary
Drawn

Reasons for leaving

5. Languages Known

Language

Mother Tongue:________

6. BRIEF ORG CHART

Read

Write

Speak

English

yes

yes

yes

Kannada

yes

yes

yes

Hindi

yes

yes

yes

Marathi

(indicating reporting relationship, peer levels and reportees to the position)

7. EXPECTED SALARY

8. MEMBERSHIP OF ANY PROFESSIONAL BODY :

2.5-3.0 lacks p.a.

No

(If Yes what is the office held)

_________________________________________________________________________________________

9. PROFICIENCY IN SPORTS & OTHER EXTRA CURRICULAR ACTIVITIES :

Volly ball

High jump

kho kho

_________________________________________________________________________________________

Hobbies

swimming

body building

photograghy

Strengths

Positive attitude

honest

confident

2)___________________

3)___________________

Weakness 1)___________________

Did you apply to us previsouly : Yes/No If Yes, what post, If appointed give the date of leaving & Reasons

Are you know or related to

any employees of this company
Are you member of Employee
Provident Fund

no

If Yes give details

: Yes / No

no
If Yes give Account No.

: Yes / No

no

10. REFERENCE (Two reference compulsory)

Name

11.

Occupation

Are You Phisically Handicap

: Yes/No

Have you ever suffered from

any contagious disease

: Yes / No

Have you ever been Prosecuted

: Yes / No

Contact Details

Acquaintance Period

( email id & Mobile No)

If Yes, give breif details

If Yes give brief details

If Yes, for what offence

no

no

no

DECLARATION :
I hereby declare that the above said information is true to my knowledge. If any information is found wrong.
I shall be liable to dismissed from the service.
Date : ____

7/8/2014

___________________________________
Signature of the Applicant

______________________________________________________________________________________

For Office use only

APPOINTED / NOT APPOINTED

Department

SALARY

Designation

W.E.F

Signature
of
Director