MEDLEY PHARMACEUTICALS LTD.

Medley House, D-2, MIDC Area, Andheri (East), Mumbai 400093.

Tel: - 91-22- 3088 7777 / Fax. 2820 4453 & 30888423
APPLICATION FOR ____________________________________________________
(To be filled in by the applicant in his own handwriting)
I.

PERSONAL DATA

1. Name in full ___Praveen Yadav___________________________________________________

(Underline your surname)

Please affix
your recent
photograph

2. Present address _Vil-Bid post Balwadi The-Gogawa Dist Khargone

451001_________________________________________________
_______________________________________
Cell Phone.07869902785________________ Email :praveen9982yadav@gmal.
__com____________________________
3. Permanent address _vil Bid post the gogawa dist khargone
451001_______________________________________________
________________________________________________________________

4. Date of birth _02/04/1988________________ Place of birth __bid_____________________

5. Marital status __marriade_______________ No. of children
_______1______________________________
6. Languages known (underline mother tongue) __hindi _____english
____nimadi_________________________________
7. Present type of accommodation_______________________________________________________
8. Full details of family members
Name

Relationship

1.Mr.Bhagwan yadav
2.Mrs.Radha yadav
3.Mrs.Jagrati Praveen yadav
4.Mr.Pushpraj yadav
5.Mr Arvind yadav

Age

Father
Mother
Wife
Son
Brother

50
42
24
1.5
25

Occupation
Semi govt job
House wife
House wife
Private job

Whether staying
with you
yes
yes
yes
yes
yes

9. Whom to contact in case of emergency / accident ? Name, address & Phone no. ___Mr.bhagwan yadav my
father 9893577125 bid post balwadi the gogawan dist khargone
451001__________________________________________________________________________________________
___
II.

HEALTH DATA

10. Height in Cms. _179______ Weight in Kgs. 65_____Eye Glasses lense

power_________________________
11. Give details of any illness you have suffered in the past 3 years where you remained absent for more
than 15 days/any other serious illness.
____________________________________________________________________________________
III.

EDUCATIONAL DATA

Examination Passed
S.S.C. or
equivalent

Period
From
To
Month & Month &
year
year

March

2003

School/
College/
University

Govt high.school.

Grade/
% of
marks
obtained

Subjects / Specialisation

53%

All subject

H.S.C. or
equivalent
D
E
G
R
E
E
S

B.Pharmac
y

March

2005

June

2010

borawa
Sardar vallbh bhai
patel high secondary
school kasrawad
Charak institute of
pharmacy mandleshwar

59.33
%

biology

63.88%

Any
other

IV.

PAST EMPLOYMENT RECORD

Work Experience
Name of the
organisation

Duration
From

To

Position
held

Salary
drawn at
the time
of joining

Salary
drawn at
the time
of leaving

Cadilla

23/6/2 1/12 Barwa 7387

pharmaceutical

011

/201 ni h.q.

come home town khargone

Bestochem

2
11/12/ 01/0 Kharg 8000

I was left cadilla

My family problems and I

pharmaceutical

2012

7/20 one
14

V.

9165

Reason of leaving

9000

After marriage I want to

was left bestochem

h.q

PRESENT EMPLOYMENT

Name of the Organisation

: Vsaar pharmaceutical
pvt.ltd___________________________________
___
_02/04/2015______________________________

Date of Joining

Position held, on joining & now

_________
: ________________________________________

Salary, CTC at Joining & now

: _8000___________________________________
____

Monthly Emoluments :
Basic

___14000________________________________

Any other benefits ( Specify)

_____
________________________________________
________________________________________

TOTAL

________________________________________

12. Expected CTC & Date of Joining

____1.70000_________________________________________________
VI.

GENERAL

a. Name and address of two references

1. Mr.mohsin khan indore medley pharmaceutical
2. Mr.pawan rathore indore sun pharmaceutical

I hereby declare that the above information is true to the best of my knowledge.

Date ___07/08/2015_______________
__________________

Signature