THERMAX LIMITED, ENVIRONMENT HOUSE PLOT NO.

90-92, BG BLOCK,

M.I.D.C BHOSARI, PUNE-411026, TEL:(020) 67156000 , 67156222

Position / Function Reference / Agency

PERSONAL DATA FORM
Name in capitals
(Underline surname )
Sex Marital status Date of birth Age (yrs.) Place of Nationality Religion
Birth
M /F
Height (cms) Languages Speak Read Write
Weight (kgs)
Languages
ENT PH
known C RA
Power of lens (indicate RE OG
( If you use spectacles ) L. R. whether
HOT
fluent, fair P
Contact Office or poor ;
phone Can we contact you at your underline
number present off. ? Yes/ No mother
Res. tongue)
Physical – Disability / recent illness

Present contact address ( for communication) Permanent address

Tel . : E-Mail : Tel . : E-Mail :

Person to be Name Address :
contacted in Relationship
emergency Telephone No.
Details of family ( Parents / spouse / children / brother / sister)
Name Age Relationship Occupation

Have you been interviewed by the Thermax group

Details of relatives working in this Company
before ? Yes / No
If Yes, by whom ?
For which Division ?
For which Position ?
Approximately when ?
Details of bond / contract
with present employer
( Use additional sheets if necessary )
EDUCATIONAL QUALIFICATION
(Secondary school or equivalent onwards ) Please bring proof at the time of interview.
Examination / Period Main subjects taken % of marks
Institution Board / University
Degree From To / specialisation grade / divn.

MAJOR TRAINING ATTENDED

Name of training course Institute / organisation Duration / Year

MEMBERSHIP OF PROFESSIONAL INSTITUTIONS Type of membership

Name of Institution

PROJECTS UNDERTAKEN / VOCATIONAL TRAINING RECEIVED DURING ACADEMIC CAREER

EXTRA CURRICULAR ACTIVITIES

AWARDS / DISTINCTIONS RECEIVED