Application For Employment

Position Applying For Registration No. 12347

Designation : GET Application source

Function : Technical Services Medium : Direct
Employment Type : Fresher Instrument :

Name
Title Mr First Name Saiyed Middle Name Last Name Iqbal

Date Of Birth 29-Jul-1998 Age 21

Mother Tongue Hindi Nationality Indian

Photo
Phone 01412525936 Mobile 8954587507

Email [email protected] Gender Male

Present Address Guleria pg Bidholi Dehradun

City Dehradun State UTTARAKHAND Pin 248007

Contact No. 01412525936 Native

Permanent Address A-345 Malviya Nagar Jaipir

City Jaipur State RAJASTHAN Pin 302017

Contact No. 01412525936 Native

In case of emergency contact

Name Saiyed Athar Relationship Father Contact 9829067926

Family Details Marital Status : Single

Name Age Education Profession Organization Designation Annual Income Health History(Diabetes, BP, etc)

Father

Mother

Education Record

Start End Course No. of

Category Certificate Specialization Institute University/Board Grade/CGPA
Month Month Type Attempts

University
of University of
July July
Graduation BE/B.Tech. Other Petroleum Petroleum and 7.6 Full-Time 1
2016 2020
and energy energy studies
studies

St. Anselm
Under July April
HSC Science Pink City CBSE 90 Full-Time 1
Graduation 2015 2016
School

St. Anselm
Under July April
Old SSC Any Pink City CBSE 9.2 Full-Time 1
Graduation 2013 2014
School
Major Cerfication Course Details

Course Name Institute Start Date End Date Grade

No Records Found

Yes No Reason
Is there any gap in your education?

Medical History

Have you suffered any major ailment / accident? OR Have you undergone any major surgery or are you undergoing any treatment? (Yes/ No)

No

Are there any hereditary diseases in the family? (Yes/ No)

No

Do you have any physical limitation or have any irreversible medical condition? (Yes/ No)

No

Have you ever been involved in any misconduct or disciplinary case or criminal case? (Yes/ No)

No

If offered, how many days do you require to join ?

Language Proficiency

Read Write Speak Read Write Speak

English Gujarati

Hindi Urdu, Marwadi

Other Information

Have you ever been interviewed by any of the Torrent Group companies earlier?
If Yes, Please specify the details :

Do you have any relatives who are working or have worked in the past with Torrent Group?
If Yes, Please specify the details :

Do you have contract/bond agreement with the present employer?

If Yes, Please specify the details :

Willing to work at any location?

If Yes, Please specify :

References

Professional 1 Professional 2

Name Name

Designation Designation

Organization Organization

Contact No Contact No
 Email Email

Additional Information
Please provide any other information which is relevant to your application.

I hereby declare that all the details furnished above are true to the best of my knowledge and belief. I further declare that my appointment may be cancelled,
at any stage, if i am found ineligible and/or the information provided by me is found to be incorrect.

01-02-2020 ,
Signature Of Candidate Date & Place