MAHA

CEMENT
MYHOME INDUSTRIES PVT. LTD.
Talent Acquisition form
(or Tresh Guduates)
"ERSONAL DETAILS
Iull Nanne ANECL kUNAR
(In block letters)
Date of Birth 2 os Root Age: 2) Place of Birth: kAkADA Gender NALE

Natimality INDAN Religion H(wpU lleight s6" Weight 6kision:(L}) (R)

Blood Group: A Mother Tongue eu Marital Status. Single / Married

Details ot Prolonged or Serious illness, if any
Physical Disability, it any
Present Address: DNO 64, BC PetA, Permanent Address:
hoRUruec, knvapa (n kakivoADA
Email id:
paltvela ail kuna 41dgmoi|intact Numbers 30943a513
PAN. MSt PKop44IC UAN: Aadhaar:

ACADEMICS:
Name of Month Month &
Course Percentage &Year of Year of Subjects
Schoo/College/University entry Passing
lota 831o o|291o3(2ol6
Nhyayana enor R4102 06l25|6 o3/201 M P
coLle CMPU
kakinada 6(20 Cevil cgie

ACHIEVEMENTS:
Personal

Actdei

(OMPUIER SKLLS:

My Home Hub, Block-3, Hi-Tech City,Madhapur, Hyderabad - 500 081.

 MAHA
CEMENT
MY HOME INDUSTRIES PVT. LTD

Brief about Academic Projects (if any)

A
hin coDd Fibre Relnarud conrek

FAMILY DETAILS:
Father Name Palivela Venkatu laraOecupation aner Mobile No. 1248OrIrC
Mother Name Palvela Vecmaua Occupationouiewik Mobile No.

Spouse Name Occupation Mobile No.

No. of Children

No. of Brothers Occupation_ Shudent

No. of Sisters Occupation
EMERGENCY CONTACT DETAILS:
Name: Rsalibabu Relationship: Mobile Number. 666251 176
Address:

Areyou related or known to any of the employees in My Home Industries Pyvt. Ltd.? Yes /No
If yes please mention:

Name of the Employee

Designation & Contact No.

Relationship
Yes / No
Have you been interviewed in the past in our company, if so, please furaish detaits:

Position Applied for: Month & Year

Outcome

Have ever been convicted of a crime? Yes / No

If yes,please furnish details

Hyderabad - 500 081.

My Home Hub, Block-3, Hi-Tech City, Madhapur,
 MAHA
CEMENT
URO t SEROMC
MY HOME INDUSTRIES PVT. LTD.
LANGUAGES PROFICIENCY:
Language Speak Read Write

What are the attributes you feel makes you a perfect fit for
the Company's (MHIPL) requirement?

REFERENCES: (Two references other than friends & relatives, but preferably connected to your profession)
Name
Company Designation Contact Details

Notice period required, if selected: Expected CTC:

DECLARATION

Ihereby certify that the particulars mentioned in the application form are correct to the best of my knowledge &
belief and in case of any information is proved to be factually incorrect, my services are liable to be terninated
without assigning any reason or notice therfor.

Place: koupale
Date: L3loalanas Signature of the applicant
- FOR OFFICIAL USE ONLY
COMMENTS:

Date:
Signature of the HR Coordinator

My Home Hub, Block-3, Hi-Tech City,Madhapur, Hyderabad - 500

081.