EMPLOYMENT APPLICATION FORM

CIN No. : L25100MH1958PLCO11041

Registration Number: 11041

12-Jan-2022
Date of Application___________

POST APPLIED FOR

Graduate Trainee Engineer

NAME (IN BLOCK LETTERS) : ROHAN ARJUN MALI

DATE OF BIRTH : 28-06-1999

PRESENT ADDRESS: PERMANENT ADDRESS:

Flat No.09 Arambh Residency, Janta Raja
Colony, Makhamalabad Road,
Panchavati, Nashik-422003
TEL: (Land)
(Mobile) 9657257823
E-mail: rohanamali789@gmail.com
Flat No.09 Arambh Residency,
Janta Raja Colony, Makhamalabad
Road,
Panchavati, Nashik-422003
TEL: (Land)
(Mobile) 9657257823
E-mail: rohanamali789@gmail.com

MARITAL STATUS: SINGLE / ---------------

MARRIED NO.OF DEPENDENTS: 2

FAMILY DETAILS :
NAME RELATION AGE OCCUPATION
Arjun Ramachandra Mali. Father 46 Gold Smith
Swati Arjun Mali. Mother 43 Housewife
Aniket Arjun Mali. Brother 20 Pursuing in 1st year Commerce

QUALIFICATION (ACADEMIC / PROFESSIONAL / TECHNICAL) (10+2 ONWARDS)

DEGREE / DIPLOMA YEAR OF COLLEGE / %AGE MAJOR SUBJECTS
PASSING INSTITUTE OF
MARKS
BE-Mechanical 2021 Pravara College of 75.20% Design Of Machine
Engineering Industrial Engineering
Diploma-Mechanical 2017 Sandip Polytechnic, 67.94% Production Engineering
Nashik Management Industrial
PROFESSIONAL TRAINING:

SAP Basic Training at Diploma Level

p.s. please use additional sheet wherever required.

(Rev. No. 02/02.09.2015)
A. TOTAL EXPERIENCE: 0
---------------------- 0
YEARS ------------- MONTHS

B. DETAILS OF EXPERIENCE:
EMPLOYER’S EMPLOYER’S DESIGNA-TION PERIOD OF GROSS BRIEF DESCRIPTION REASON FOR
NAME & BUSINESS & HELD EMPLOY- SALARY OF FUNCTIONS AND LEAVING
LOCATION ANNUAL TURNOVER MENT DRAWN DUTIES
(P.A.)
PRESENT

PREVIOUS

2nd LAST

3rd LAST

ORGANIZATION CHART: PLEASE GIVE YOUR POSITION IN THE COMPANY STRUCTURE OF THE
CURRENT / LAST EMPLOYMENT.

CURRENT:

PREVIOUS:

ARE YOU PREPARED TO WORK ANYWHERE IN INDIA (YES/NO)

Yes

OUTLINE / MENTION YOUR PERSONAL STRENGTHS

Creative Minded, Hard Working, learn New Things, Strategic
OUTLINE / MENTION YOUR PROFESSIONAL STRENGTHS

Good Knowledge about MS-EXCEL, & PowerPoint, Good Communication skills in English, Hindi,
Marathi ,

DO YOU KNOW OR ARE YOU RELATED TO SOMEONE IN

CEAT TYRES

PRESENT REMUNERATION DETAILS (MONTHLY)

OTHERS
BASIC HRA CONVEYANCE LTA MEDICAL BONUS TOTAL
(Specify)

RETIREMENT BENEFITS (PLEASE CALCULATE ON MONTHLY BASIS)

ANY OTHER
PROVIDENT FUND GRATUITY SUPERANNUATION TOTAL
PERKS (Specify)

TOTAL SALARY (COST TO THE COMPANY)

(INCLUSIVE OF ALL PERQUISITES & BENEFITS PER MONTH) Rs.

EXPECTED SALARY (COST TO THE COMPANY) Rs. 3,20,000

NOTICE PERIOD TO BE GIVEN TO PRESENT EMPLOYER DAYS 15

CAN WE MAKE REFERENCE TO YOUR PAST EMPLOYERS YES NO

EXCEPT YOUR PRESENT ONE

REFERENCES: Please give names, address, telephone numbers & E-mail ID of two references.

TEL: TEL:
E-mail: E-mail:
PLACE: Nashik DATED: 12-01-2022 SIGNATURE:

FOR USE BY HUMAN RESOURCES ONLY

POSITION OFFERED /
LOCATION / COMPANY

SALARY OFFERED
TENTATIVE JOINING DATE:

REMARKS:

DATE:

SIGNATURE: