Candidate Application Form

Candidate Application Form

Name DHIRENDRA TOPAL

Date of Birth 05/07/1999 Blood Group O+

Recent
Permanent DHARKOT, BAGNA , NANDPYRAG, CHAMOLI UTTRAKHAND Passport Size
Address Photograph
Pin Code 246449
Sheikh Sarai k 70 pocket top floor near Chirag Delhi
Present Shaheed bhagat Singh College 110017
Address
Pin Code

Mobile Number +918126403309 Nationality Indian

Email Id Dhirendratopal@gmail.com Skype Id NA

Emergency Contact Marital

8126403309 Unmarried
Number Status

Family Details:
Sr. Dependent
Name of Member Relationship Occupation
No. (Y/N)
1 Birendra topal Father EX Manager in NO
KVIC BOARD
2 PARWATI MOTHER HOUSE WIFE NO

Academic Qualifications:
Period of Study
Degree/Diploma Name of the Percentage/
Obtained From To Institution/University CGPA
[MM/YY] [MM/YY]

MATER DEGREE IN RENEWABLE 8.5 CGPA

2021 2022 CVM UNIVERSITY GUJRAT
ENERGY

Candidate Application Form Page 1 of 5

Total Work Experience Years Months

Name of Organisation Period of Work

[In descending order, start from From To Designation Brief Description of Job Role
the latest [MM/YY] [MM/YY]
RESEARCH
AND Working in biofuel analysis
GREEN JOULES PVT LTD 2021 2023
DEVELOPME and search new methodology
NT
MAKE A REPORT FOR CLIENT
RESEARCH FOR FINANCIAL AND
BIO TREND ENERGY 2023 2023
ASSOCIATE TECHNICAL ON RENEWABLE
ENERGY

Reason for leaving current job?

CARRIER GRWOTH AND SALARY NOT RECEIVED ON TIME

Notice Period 10 DAYS

YES
Depen
Last Drawn Salary Expected Salary d on
40,000 45000 Negotiable
(In INR) (In INR) remot
e
work

Hometown/Willingness
No
to relocate
Willingness to travel
Yes
related to work
Passport Status Yes Date of Expiry 2034

Strengths 1.hard work 2. good learner 3. good researcher

Limitations 1. work time 2. 3.

Computer Skills: yes

Candidate Application Form Page 2 of 5

Total Internship Experience Years 2017 Months 2

Details of Internship/Projects:
Period of Work
Name of Organisation From To Brief Description of Internship
[MM/YY] [MM/YY]
CSIR Indian Institute of Petrolium In research area of biodiesel
Dehradun

Details of Workshops/Conferences

Details of Volunteer Work

Candidate Application Form Page 3 of 5

Details of Trainings Attended

Details of Publications / Paper Presentations

Have you been ever interviewed by CUTS no

before? (Y/N)

If yes, please specify year and position

Have you ever been arrested, indicted or no

summoned into court in a criminal
proceeding or convicted or imprisoned?
(Y/N)
If yes, please specify

no
Do you know anyone in CUTS? (Y/N)

If yes, please specify name and designation

Is any relative of you working/has worked no

in CUTS? (Y/N)

If yes, please specify name and designation

Do you suffer with any serious no

illness/epileptic fits/nervous disorder/any
other? (Y/N)

If yes, please specify

Candidate Application Form Page 4 of 5

Details of Professional References
Sr.
Organisation and
No Name Phone No. E-mail
Designation
.

1.

2.

3.

Declaration:
I hereby declare that all statements made in the application are true, complete and correct to the best of my
knowledge and belief. I understand that in the event of any information being found untrue/false/incorrect
or any material omission on this application forms renders me liable for termination/dismissal/
cancellation for candidature.

Dhirendra topal

____________________________________
Signature of Candidate Place: New Delhi

Name: Date 13-12023

:

Candidate Application Form Page 5 of 5