100 Inspiring Years
1910-2010
ADDlication for Em
NOTE: Please do not amend/alter the layout of this application form. You are
requested to use Arial Font size 9 for filling up the form. All questions
need to be fully answered to enable us to process your application.
Please state "NA" only in case a particular question does not relate to
you.
Only those applications which are complele in all respects can be
taken up for further processing.
NAME
N (SHA- -r: gHM/
APPLIEDFOR
POSITION Chartered Accountants "'lfithupto 2 years
Experience
1
PERSONALDATA
FullName in Block Letters ( Please expand initials)
FirstName Middle Name Last Name
N/11- IEJ PA-L- 2HA-H
Date Of Birth Place Of Birth Sex Nationalit
Dav I Month I Year
'2- A-H tv'( ED A 61+.1)
Mailing Address: ( Please specify date Permanent Address:
until when you are available at this
address
Mobile Number - 1 :
Mobile Number - 2 :
Landline Number:
Email:
Soeak Read Write
V '--"
-
I
Name(s) and relationship
with any relative(s) in ITC NO
Limited
Have you applied in the t-.l0
past for a position in any
of the Divisionsor Group
Companies of ITCLimited?
If yes,when and for what
position?
Detailsof any major illness/
Nt)
impairment and/or any
oprations that you have
undergone in the last 5
years
2
FAMILY DATA
Father's Name: ,[?-JPA-L D. HAH Mother's Name: K,RItN T .5lHAH
Occupation : PRACiICJN Occupation : HOtJ.!ElAJ/ FE
(provide brief
description) CA
Address and Telephone
s-o!" .!lH'LP 1 J:.-NNo.:
Df-Rf
, ¥1HA
/2.. f IHL , 0FF- CJoFeEt fDA/) /
MLJL.u N.DLG-) I MVME>AJ
Single/ Date of marriage Others
Married (IfMarried)
Marital status
-- ,-.
£ IN6,LE
Spouse's Name Qualification
Date of Birth Occupation
, Date of Birth Sex
Names of Children .IX
.
REFEREES- (Please provide 3 Mandatory )-
Name and addresses of three referees, other than your relatives, to whom we
may write.
(Please note that all 3 names should not be from the same organization / institution. The referees have to be
persons who are respected and of some repute ego School/college principal, partner of your audit firm, senior
manager with previous employer/ reputed corporate. senior practicing professionals, gazetted officers, judges
etc.
Name & Designation Address & Telephone Nos. Emailld
(AbnwirtikS'
Iqttr@e~'
(erm.
3
EDUCATION
Year Of Grade / Remarks
Passing I %
Academic Achievements & Awards, Scholarships& Distinctions- Please specify in
chronological order.
Month / Year Achievements/ Awards/
Scholarshios/ Distinctions
OTHER QUALIFICATIONS:
Name of the Institute & Qualification & Specialisation GPA/%
Location
4
CHARTERED ACCOUNTANCY
Membership No. :
Month No. of Attemots %
I
\ t
Firm(s) articled with No. of
(Name / Location & Dates Partners I Qualified I Names of significant clients audited
Address) Assistants
Industrial Training Firm Dates
From To Nature of duties
Remarks
5
COST ACCOUNTANCY
Membership No.
Month I Year % Remarks
Location Responsibilities I Projects Done
COMPANY SECRETARYSHIP
Membership No. :
Month I Year Remarks
Detailsof Scholarships and other .DiStinctions (during CAlCostlCS)
Awarded By Remarks
6
WORKEXPERIENCE(Where applicable)
Organisation : Location
Name & Address
Date: From To
CTC : Rs./pa
Position & Nature of Work
Organisation: Location
Name & Address
Date: From To
CTC : Rs./pa
Position & N Reasons for chanae
EXTRACURRICULARACTIVITIES
(Describe your Extra Curricular interests/activities and mention the relevant
achievements , positions and responsibilities held in school/college/social
oraanisation /interest arou
