L & T CONSTRUCTION

P.O.Box: 979, Chennai - 600 089.

Employment Application Form - DET
Position applied for

: Diploma Engineer Trainee

Discipline

: AUTOMOBILE

Reference No

: 1201611864

PERSONAL DETAILS
Name in Full

DIVYA DINESH BIRDI

Present Address - Valid Until

Permanent Address

HNO.1195/3 BOOTAN PIND P.O MODEL TOWN, JALANDHAR, PUNJAB.

HNO.1195/3 BOOTAN PIND P.O MODEL TOWN, JALANDHAR, PUNJAB

Email ID

dinesh.birdi@gmail.com

Phone No.

01812461103

Mobile No.

7837417667

Sex

Date of Birth

Marital Status

Nationality

Category

Male

25 Aug 1994

UnMarried

INDIAN

SC

Passport Number

Name as in Passpost

H9671386

Profession as in Passport

DIVYA DINESH

STUDENT

Date of Issue

Valid Upto

Place of Issue

20-09-2010

19-09-2020

JALANDHAR

Languages Known

Mother Tongue

PUNJABI

ENGLISH

Most Serious Recent Illness

Power of Eye glass

Countries valid for

-2.7

Right Eye

-3

HINDI

No. of Days Ill

Left Eye

Nature of Illness

Physical Disability (if any)

Height (cms)

171

Weight (kg)

59

EDUCATIONAL DETAILS
CT POLYTECHNIC - JALANDHAR - PUNJAB

Name of the Institute

Name of the Degree / Diploma with
Specialisation

AUTOMOBILE ENGG

Name of Post. Graduation

with Specialisation

Exams Passed

Marks

Year of Pass

Name of the Institute

Scholastic Achievements
(Distinctions / Awards /
Scholarships)

201106

ST THOMAS SCHOOL

MEDALS IN SPORTS EVENTS

Scored

Maximum

10

1st Yr.

1273

1750

2nd Yr.

675

925

SSC or Equivalent
Intermediate or Equivalent

1st Yr.
2nd Yr.

Degree or Diploma

3rd Yr.

Average of the Diploma / Degree

marks (in percentage)

201605

CT POLYTECHNIC JALANDHAR - PUNJAB

73

MODIFIED BICYCLE WITH ENGINE

Title of the project work submitted for Diploma

I WANT TO B.TECH

What are your future plans regarding higher studies?

FAMILY DETAILS
Name of your family members

DOB

Relationship

Occupation

AMRIK CHAND

08-06-2016

FATHER

FARMER

CHARANJIT KAUR

14-04-1972

MOTHER

HOUSEWIFE

SAJJAN

04-08-1993

BROTHER

CHEF TRAINEE

GENERAL DETAILS
Extra curricular activitiesPlease give details about extra -curricular activity with Nature (E.g - Sports, Music, Dance, Drama, positions of responsibility, Social
services, Others), Level (E.g. International, National, State, District, School level, Others ) and Year (Last 10 years)

SPORTS SCHOOL LEVEL (ATHLETICS)

Relatives / Acquiaintences in L & T group of companies

Name

Relationship

Position

Company

MADAN LAL

UNCLE

SENIOR CONSULTANT

NOVUS GLOBAL SOLUTIONS SINGAPORE

Faculty Reference

MOHIT HANDA

AMNINDER SINGH

Declaration :
I hereby declare that I am not connected with any director of the company as his partner or his relative as detailed as under section 6 of companies act 1956.
I hereby affirm that my answers to the foregoing questions are true and correct and I understand and agree that misrepresentation or omission of facts called for in
this application or other company records shall automatically resigned the contract of employment. I authorize inquiry with regard to my character, ability and habits
to any and all persons and agree to hold such persons harmless with respect to any information that may give.

Signature of Candidate

Signature of HR Representative