Confidential Ref.

No:

FIPCH

Please fill in this form carefully and completely.

(position applied for) Photograph

Compulsory

Name in full : PRATIK ARUN NAVALE

(Block letters please)

Name in brief ( e.g. : B.D.Deshmukh ) P.A.Navale

Date of Birth : 3/11/2001 Age : 23 Yrs Height : 5'10 ft Weight : 65 kg

ADDRESS
Present: AP- BHAIRAV NAGAR, Permanent: AP- Mulanagar, Tal- Rahuri, Dist- Ahmednagar, Maharashtra
DHANORI, ROAD, POST, Pin- 413722
Pune, Maharashtra, 411015

Phone: Office: Phone: 8308614712

Residence:
E- mail - pratiknavale1131@gmail.com

FAMILY BACKGROUND :

Marital status : unmarried No. of Children : NA Ages : NA

Spouse : NA If working Orgn. NA

Father / Mother (Age,Occupation): SHALAN ARUN NAVALE (59) HOUSEWIFE

Brothers / Sisters ( Age,Occupation): NA

ACADEMIC RECORD

Period Course Name of School/College University Name Main Subjects Class

2016-17 SSC SPMV High School MH State Board 10th
2018-19 HSC SPMV Jr. College MH State Board Science 12th
2019-2023 BE SVPM COE Baramati sppu Computer Engineering

Post-Graduate / Professional Record / Training / Seminars :

Duration of Name of College/ % of marks & distinction if

Year Passed Qualifications Univeristy Name Passed at which attempt
Course Institute any

(1) PTO
 DETAILS OF PAST EXPERIENCE STARTING WITH PRESENT EMPLOYMENT WORKING BACKWARDS

Year & Month No. of Brief description of appointment and

Name and Address of Employer Nature of employer's business Designation CTC details
Years responsibility
From To

(2) PTO
Present Appointment :

Name and Address

of employer :

Nature of employer's
business :

Approximate No. of Approximate Annual

employees : turnover :

Position held : Date of Joining :

Date of appointment to
present position

DRAW AN ORGANISATION CHART SHOWING YOUR POSITION

Please outline your present job responsibilities :

Special Achievement / Contribution if any :

(3)
PTO
If you have held your present appointment for less than one year, please describe your previous
appointment detail as possible in an attached sheet.

Please set your any information which you think should be taken into account in considering your
application

Reason for seeking new job :

Language known :

Present State of health :

Please indicate whether we may

Names and addresses of References :
contact them straightway.

(1)

(2)

(3)

Have you been earlier interviewed by us - (If yes, Please give details)

May we refer to your previous employers ?

(No reference will be made to the present
employer without your permission )

How soon would you be free to take up a new

appointment ?

Date :

Signature

(4)
 FIPCH
SALARY DETAILS

Name
PRATIK ARUN NAVALE Post Applied:

Whether Payslip is enclosed : (Yes / No)

(A) DESCRIPTION PER MONTH PER ANNUM

1 Basic Salary
2 Fixed Dearness Allowances
3 Variable D.A
4 House Rent Allowances
5 Education Allowances
6 City Compensatory Allowances
7 Production Incentive
8 Washing Allowances
9 Conveyance Allowances
10 Others:

Total Monthly:

(B) REIMBURSEMENTS EQUATED TO MONTHLY

1 Leave Travel Allowance

2 Medical - Domiciliary
- Hospitalisation
3 Reimbursement of Conveyance Exp.
4 Any Other Reimbursements

5 Furniture Scheme / Soft Furnishing

6 Bonus / Exgratia

Total Reimbursement:

(C) RETIREMENT BENEFITS : P.F % F.P.S. %

Gratuity % Superannuation %

(D) OTHER PERKS / FACILITIES

1 Co. Car :
2 Telephone :
3 Club Membership :
4 Furniture Scheme :

(E) EXPECTED CTC :

'(1) PTO
 Reference Sheet

Name Of Candidate:

Year of
Name Contact details Current Organization Domain Experience