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Recent
Photograph (in
professional
attire)

Godrej & Boyce Mfg. Co. Ltd.


APPLI C AT I O N

FORM

POST APPLIED FOR : _______________________________


FULL NAME

: Mr. SHARMA MANISH

ADDRESS FOR COMMUNICATION (Local)

PERMANENT ADDRESS ( Native Place)

C/O- PRAKASH SHARMA

C/O- PRAKASH SHARMA

NEAR GREAT INDIA TRANSPORT, RICE MILL ROAD

NEAR GREAT INDIA TRANSPORT, RICE MILL ROAD

JOBRA, CUTTACK(ODISHA)

JOBRA, CUTTACK(ODISHA)

Mobile No.:9439708282

Mobile No.:9439708282

E-mail ID: 14202087@ksom.ac.in

Phone :

DATE OF BIRTH :10/ 05 /1991 PLACE OF BIRTH : ODISHA NATIONALITY : INDIAN


DO YOU BELONG TO: SC ______ ST _____ OBC _____ OTHERS: GENERAL
LANGUAGES KNOWN : ( Communication Skills )
Languages

Speak

Read

Write

HINDI

YES

YES

YES

ENGLISH

YES

YES

YES

ODIYA

YES

YES

NO

EDUCATIONAL QUALIFICATION:
Qualification
(Starting from
SSC)

Full-time /
Part-time or
Corres.

Duration of Course

Month &
Year of
Passing

From
MM/YY

To
MM/YY

SSC

FULL TIME

03/2007

03/2009

MARCH
09

B.COM

FULL TIME

05/2009

05/2012

MAY 2012

MBA

FULL TIME

06/2014

06/2016

JUNE
2016

Name & Location of


School/College/Usity/Board
(City & State)
CHRIST
COLLEGE,CUTTACK(ODISH
A)
RAVENSHAW
UNIVERSITY,CUTTACK(ODI
SHA)
KIIT SCHOOL OF
MANAGEMENT,BBSR

Class /Grade &


Percentage
of marks
71.50
60.10
67

Was there any break in your studies? No


KNOWLEDGE OF COMPUTERS: Yes (Tally, Ms office)
Contd. ( 2 )

WORK EXPERIENCE: (- Including practical training, if any.


- Please write in chronological order ending with present employment)
Period
From

To

(DD/MM/
YY )
01/06/
2012

(DD/MM/
YY)
31/05
/2014

Experience
( in
months )
23

Name & Location of


Employer / Self Employment
Surendra Kumar Toshniwal
Kolkata

Annual
Cost to
Company

Designation and
Nature of Work
Proprietor

201510

Reasons
for
Leaving
For
higher studies

BREAKUP OF THE PRESENT / LAST SALARY, BENEFITS & PERQUISITES :


Components
Monthly Benefits

Rs. ( p.m.)
9000

Basic Salary
House Rent Allowance

4500

Medical Expense Reimbursement

Education Allowance

Lunch / Canteen

Conveyance Allowance

1500

Telephone Expense Reimbursement

Terminal Benefits

Other Allowances:

Provident Fund

a)

Components
Annual Benefits

Rs. (p.m.)
-

Leave Travel Allowance (LTA)


Mediclaim / Hospitalisation Insurance
( Coverage Amount Rs. __________)
Any Other

TOTAL ( B ) :

b)

Gratuity

72105( for 23
months)
-

c)

Superannuation

d)

Any Other

TOTAL ( C ) :

72105

TOTAL ( A ) :

15000

Cost to Company ( p.a.) : ( A + B + C ) X 12 Rs. 201510 /-

PAN Card No. : GGNPS3147F

Expected Remuneration : Monthly Gross : Rs. 35000 Cost to Company ( p.a.) : Rs. ________________
REFERENCES : ( Name of the relatives / acquaintances in any of the Godrej establishments )
Name

Division/Plant, Department & Location


(Specify State & District )

Relationship with
the applicant

3
Contd ( 3 )

SOURCE OF RECRUITMENT (DETAILS OF YOUR INTRODUCTION TO US):


Self / Placement Consultant / Advertisement (Newspaper / Godrej Website / Any other Job Portal) / Campus Interview /
Employee Reference / Job Fair / Walk-in / Employees Son / Daughter / Ex-Trainee (Summer / Project / In-Plant) / Temp. Staff.
Please mention the exact detail here: CAMPUS INTERVIEW (For example, if you are referred by a Placement Consultant, please
mention the name of the Firm / Agency).
Please explain in brief why you consider yourself suitable for the position applied for ?

a. First hand experience in handling sales of the organization


b. Understood the market dynamics while working as an intern at Reliance Fresh
c. Handle the sales for my family business
Which functional area do you prefer ? Sales
( List in order of preference. E.g. Sales, Service, Production, Quality Control, Design, Maintenance etc)
Are you planning for higher studies ? If yes, please specify _______________________________________
Weekly off day(s) in your present employment : 1
Have you been previously tested / interviewed by us ? If yes, state when & for what post ? No

_________________________________________________________________________
How soon would you be able to take up the new appointment, if selected ? As Soon As Possible
DECLARATION
I declare that the foregoing information is correct and complete to the best of my knowledge and belief and nothing has been concealed.
I accept that the statement made by me and the information supplied by me shall form the basis of my employment / traineeship with
the Company. If at any point in time in future, I am found to have concealed any material information or given false details against any
of the above particulars, my appointment / traineeship shall be liable to summary termination without notice or payment in lieu of
notice.

Date

: ___/ ___/ ________

_________________________

Place : ________________

(Signature of the Applicant)

Note:
1.

If appointed, you are liable to be posted and/or transferred to any of the Companys Establishments
within the Territories of India.

2.

All appointments are subject to the candidate being declared medically fit by the Companys Medical
Officer or a Medical Practitioner of Companys choice. The Managements decision in this regard is final.
(For office use only)

GI Raw ________ GI Stanine _________ MC Raw _______ MC Stanine ________ Written English: __________
1-2-3 Raw ____________________ 1-2-3 Stanine ___________________________ 16 PF _____________________
Date of Test: ___________________ Conducted by: _______________________ Signature: ____________________
Special approval (if any) by Head - HR _______________________________________________________________

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