PN-112.1-FRM-1.1.

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APPLICATION BLANK
POSITION APPLIED FOR :

AREA OF APPLICATION (Please tick as applicable)

1. Production
2. Maintenance
3. Quality
4. Finance & Accounting
5. Information Technology Systems
6. Human Resources
7. Supply Chain
8. Logistics
9. Others ( Please Specify)

PERSONAL INFORMATION

Name SAID PRASHANT PANDHARINATH

Last First Middle

Name preferred to be called by PRASHANT

Date of Birth: __21__ / ___02___ / _2011

Sex Male Female Marital Status Married Single

Are you willing to relocate anywhere in India : Yes No

Are you willing to relocate outside of India : Yes No

Are you a passport holder : Yes No If Yes, Pasport No. & Valid upto :

If position requires driving, do you have a Valid driving license Yes No

Permanent Address Current Address
A/P: MAHALUNGE PADWAL ROOM NO. 223, 2ND BLOCK,
TAL: AMBEGAON PG BOYS HOSTEL,
DIST: PUNE UAS, GKVK,
City: PUNE City: BANGALORE
Pin 410 515 Pin 560 065
Telephone No: 09035641598 Telephone No. 09035641598

Father / Spouse Name SAID PANDHARINATH

Father / Spouse Occupation FARMER

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LANGUAGE FLUENCY

Language Speak Read Write

ENGLISH YES YES YES

HINDI YES YES YES

MARATHI YES YES YES

EDUCATION

Please begin with your latest Qualification and detail upto High School

Degre Duration Name of Grade/Division/CGP

Major subjects
e (From/To) Institution A
University of Post Harvest
M. Agricultural Process and
2009-2011 91.19%
Tech Sciences, Food
Bangalore. Engineering
Marathwada
B. Agricultural Agriculture
2005-2009 83.50%
Tech University, Engineering
Parbhani.
MSBSHSE,
HSC 2005 HSC
Pune. 66.33%
MSBSHSE,
SSC 2003 SSC
Pune. 78.66%

OTHER QUALIFICATION/ACHIEVEMENT:

Please detail any Training/Skills/Academic achievements not reflected above

Sr.
Name of Institute Duration of Training
No.
Central Farm Machinery Training and Testing
1 4/6/2007 to 29/5/2007
Institute, Budni (M.P.).
Parag Milk and Milk Product pvt. ltd. (Gowardhan),
2 1/5/2008 to 30/5/2008
Awasari Phata, Manchar, dist: Pune (Maharashtra).

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PROFESSIONAL EXPERIENCE

Please give details of full time work experience beginning with your current job

Name of Duration Designation Major Responsibilities Salary

Organization From - To

SPECIAL ACHIEVEMENTS DURING YOUR PROFESSIONAL CAREER

Please detail any achievements/experiences that you think are special to you.

MEMBERSHIP OF PROFESSIONAL/SOCIAL/CULTURAL ORGANIZATIONS

Are you a member of any Professional/Social/Cultural Organization? If yes, please

detail your position in the organisation.

EXTRA CURRICULAR ACTIVITIES/INTERESTS

Please describe your extracurricular interests in brief

Participation in paper presentation in “JNANARJANA 2010”, A National
Symposium on “Molecular Innovations in Food Processing and Food Safety
Management” & Awareness Programme on Career Prospects and Business
Opportunities in Food Processing, organized by National Institute of Food
Technology Entrepreneurship Management, Haryana, Indian Institute of Crop
Processing Technology, Thanjavur, Ministry of Food Processing Industries,
Government of India And The Oxford Collage of Science, Bangalore.

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PERSONAL PARTICULARS

Blood Group : O +ve

Name & Address of Person to be contacted in any emergency:

Said Pandharinath Maruti,

A/P: Mahalunge Padwal, Tal: Ambegaon, Dist: Pune,
Pin: 410 515.
Mobile no: 09689491203

Have you been ever been tried in any civil/criminal court? If yes, please detail below.

NO

Any known medical Problems / Handicaps : Yes No. If yes, please detail below.

DECLARATION

I, Mr. Said Prashant Pandharinath hereby declare that the information provided in
this application for employment is factual and correct to the best of my knowledge
and I understand that any false of wrong information makes me liable for dismissal
from employment at a later stage also.

Signature:____________________ Date & Place: ________________________

Please mail this back to :

Manager HR- Ops,

Human Resources
Coca-Cola India
Enkay Towers, Udyog Vihar V
Gurgaon, Haryana 122 106

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