Application For Employment

Position Applying For Registration No. 205817

Designation : DET Application source

Function : Transmission & Distribution Medium : Walk in
Employment Type : Fresher Instrument : Walk in

Name
Title Mr First Name Harshraj Middle Name Jivatsinh Last Name Raulji

Date Of Birth 04-Mar-2001 Age 18

Mother Tongue Gujrati Nationality India

Phone 7041240057 Mobile 7041240057

Email harshrajraulji03@gmail.com Gender Male

Present Address C-4 shivaji Nagar opp. Gidc colony Vadodara

City Baroda State GUJARAT Pin 390010

Contact No. 7041240057 Native Vadodara

Permanent Address C-4 shivaji Nagar opp. Gidc colony Vadodara

City Baroda State GUJARAT Pin 390010

Contact No. 7041240057 Native Vadodara

In case of emergency contact

Name Jivatsinh Raulji Relationship Father Contact 9601800261

Family Details Marital Status : Single

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

Jivatsinh Helper in GIDC

Father vikaramsinh 42 9th pass industrial Na Helper 80000 No
raulji estate

Meenaben
Mother 37 12 ASHA varkar Na ASHA varkar 36000 Na
jivatsinh raulji

Kuldeep
Brother 17 ITI running Student Na Student Na Na
jivatsinh raulji

Education Record

Start End Course No. of

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

Electrical July July Shri KJ

Diploma Diploma GTU 8.81 Full-Time 1
Engineering 2016 2019 polytechnic

Under April April Panchsheel

SSC Any GSEB 70 Full-Time 1
Graduation 2015 2016 high 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

Other Information
Have you ever been interviewed by any of the Torrent Group companies earlier? No
If Yes, Please specify the details :

Do you have any relatives who are working or have worked in the past with Torrent Group? No
If Yes, Please specify the details :

Do you have contract/bond agreement with the present employer? No

If Yes, Please specify the details :

Willing to work at any location? Yes

If Yes, Please specify : Ahmedabad,Surat,Dahej,Site Locations

References

Professional 1 Professional 2

Name Snehal purani Name Yogendra rathod

Designation Lecture in kj polytechnic Designation Maintenance engineer in alembic Ind.

Organization Na Organization Na

Contact No 9558826687 Contact No 9512237193

Email harshrajraulji03@gmail.com Email harshrajraulji03@gmail.com

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.

14-07-2019 , Vadodara

Signature Of Candidate Date & Place