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APPLICATION FORM
EDUCATIONAL QUALIFICATION:
Examination Full-time / Duration of Course Month & Name & Location of Class /Grade &
Passed Part-time or From To Year of School/College/U’sity/Board Percentage
Corres. MM/YY MM/YY Passing (City & State) of marks
SSC Bihar secondary examination
Full-time 2002 2003 4/2003 72%
board
Bihar intermediate examination
HSC Full-time 2004 2006 6/2006 56%
board
B.Sc Full-time 2006 2009 6/2009 Jiwaji University,Gwalior,M.P 64%
School of management
(66% 1st &2nd
PGDM- Full-time 2009 2011 5/2011 sciences,Varanasi U.P (AICTE
Sem.)pursuing
Marketing approved)
Was there any break in your studies? No / Yes (If yes, please mention the reason for the same)
Contd. ( 2 )
Period
Experience Annual Reasons
From To Name & Location of Designation and
( in Cost to for
(DD/MM/ (DD/MM/ Employer / Self Employment Nature of Work
months ) Company Leaving
YY ) YY)
Expected Remuneration : Monthly Gross : Rs. _____________ Cost to Company ( p.a.) : Rs. ________________
Contd… ( 3 )
Self / Placement Consultant / Advertisement (Newspaper / Godrej Website / Any other Job Portal) / Campus Interview /
Employee Reference / Job Fair / Walk-in / Employee’s Son / Daughter / Ex-Trainee (Summer / Project / In-Plant) / Temp. Staff.
Please mention the exact detail here: _______________________godrej website_______________________ (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) ____________________________________________________________________________________
b) ____________________________________________________________________________________
c) ____________________________________________________________________________________
Are you planning for higher studies ? If yes, please specify ______No_______________________________
Have you been previously tested / interviewed by us ? If yes, state when & for what post ? Yes / No
_________________________________No______________________________________
How soon would you be able to take up the new appointment, if selected ? _______________________
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.
Note:
1. If appointed, you are liable to be posted and/or transferred to any of the Company’s Establishments
within the Territories of India.
2. All appointments are subject to the candidate being declared medically fit by the Company’s Medical
Officer or a Medical Practitioner of Company’s choice. The Management’s decision in this regard is final.
GI Raw ________ GI Stanine _________ MC Raw _______ MC Stanine ________ Written English: __________