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CLP Power (I) Private Ltd.
Paguthan Combine Cycle Power Plant,
Bharuch Palej Road, Village: Paguthan,
Dist Bharuch – 392 015, Gujarat, India.
Employment Application Form
Note: Please fill up this application form in your own handwriting. Please attach copies of
certificates/testimonials in support of the information furnished.
POST APPLIED FOR: - ___GET_____________________
I. PERSONAL DETAILS :-
a) Full Name: Mr./Mrs./Miss : VISHAL PANDEY
b) Father’s/Husband’s Name : ASHOK KUMAR PANDEY
Present Address: Permanent Address:
ROOM NO-138 ,HOSTEL NO-7, 1/423,VISHAL KHAND-1,
NIT-KURUKSHETRA GOMTI NAGAR
KURUKSHETRA LUCKNOW -226010
Tel. No. / (R) 9034165458 Tel. No. / (R.) 0522-2302777
Mobile: 9034165458
Email ID: [email protected]
c) Date of Birth: 09-02-1989 State/Place of Birth:_LUCKNOW_____________________
d) Nationality: ___INDIAN________________
II. ACADEMIC DETAILS :-
e) Academic / Professional Qualification (Begin with Matriculation / SSC) :-
School/ College/ Institute &
Location
Board /
University
Year of Exam/
Degree
Course/Degree
/ Specialization% of Marks
Entering Passing
RANI LAXMI BAI SCHOOL ,LUCKNOW
CBSE 2004 2005 10TH 89.6
RANI LAXMI BAI SCHOOL ,
LUCKNOW CBSE 2006 2007 12TH
PCM 86
Photograph
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III. EMPLOYMENT DETAILS(If any) :- ***
f) Particulars of Experience (Please start from Present Job) :-
Name & Address
Of the Organization Position held
Period (MMYY to MMYY) Brief
Responsibilities Reason for leaving
From To
g) Details of training programmes attended :-1)Undergone 4 weeks Summer Training at Hindustan Aeronautics Limited (HAL) , Lucknow.
2)Summer Internship at Indo Gulf Fertilizers(A unit of ADITYA BIRLA NUVO LTD), Jagdishpur
(UP).
IV. OTHERS :-
Academic or professional awards/honours if any.--> Won First Prize in “Roller Coaster” event of
Technical Fest Literati`10 .
Won First Prize in “Junkyard Wars” event of Pangea`10 of the Institute.
Won First Prize in “Junkyard Wars” event (organised by ASME) of Technical Fest Literati`11
Attended engine overhaul workshop “AUTO-KRITI” organized by SAE INDIA NIT
KURUKSHETRA COLLEGATE CLUB .
Attended scooter overhauling workshop “AUTO-KRITI 2.0” organized by SAE INDIA NIT
KURUKSHETRA COLLEGATE CLUB .
h) What are your personal interests / pursuits and hobbies?SURFING INTERNET
i) Have you ever been interviewed by us in past? If yes, please give details.
j) References (People under whom you have worked and who know you professionally)
Sr. No Name & Address Position / OccupationContact
Phone No. and email id
1
ER D.K.PANDEY
SE-37, INDO-GULF
TOWNSHIP,INDUSTRIAL AREA ,CSM
NAGAR , JAGDISHPUR(UP)-227817
SENIOR ENGINEER
MOBILE NO-09415091514
EMAIL ID – -> devendra
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k) Have you ever been convicted or dismissed, removed or compulsorily retired from service? If yes,
please give details.
…………………………………………………………………………………………………………………………..
Declaration:-
I hereby certify that particulars as furnished by me in this application form are true, correct and complete in all respects. I agree and accept without reservation that any misrepresentation by me in this application will
disqualify my candidature and lead to termination without notice if appointed.
______________ _______________ ___________________________
Date Place Signature of Applicant
