Application for Employment

* Mandatory to fill data

*
Position Applied for:

Personal Details (To be filled as per your passport):

*Last
Name  Chauhan First Name Parul  Middle Name  
*Place and Date of Birth  Ghaziabad, 18-02-1993 *Marital Status  Single
*Present Address  House no 261, karhera, mohan nagar, Ghaziabad, U.P. 201007
Tel (R) * 8750852619 (M) * 8826995840
*E-mail Par.chauhan18@gmail.com
*Permanent Address  House no 261, karhera, mohan nagar, Ghaziabad, U.P. 201007
*Permanent Tel (R) 8750852619

Have you applied to us or Mahindra & Mahindra

Group companies earlier? If yes, give details. no
Any relatives in Mahindra & Mahindra Ltd., or its group companies? If yes, give details: no
Name   Position   Relationship  

IDP
Four Wheeler Driving Licence No   No  

Passport / Visa Details

*Passport
No  T3008878 Place of Issue  Ghaziabad
Dt. of Issue  01/04/2019 Dt. of Expiry 31/03/2029
*Nationality  INDIAN ECNR Status  
*PAN No: AVWPC8643C
If not, have you applied for a Passport?
Place and Date of Application  
Countries travelled abroad Bhutan, via voter id only
Have you been refused Visa any time?
If yes, give details no
Do you have a valid Visa currently? If
yes, give details no

*Family Background:
Name
Om Prakash
Father
Chauhan
Mother Sushma Chauhan
Wife/Husband:
Children

Registered Office: Gateway Building, Apollo Bunder, Mumbai 400 001, INDIA.
*Education:
List in order starting with Xth Standard
Period Scholarship/
School/College/University Degree/Diploma Specialization % Class/Div.
From To Prize
St. Thomas School 2008 2009 General 91.6 X 10th Rank
St. Thomas School 2010 2011 Science + 90.6 XII 5th Rank
Computers
Maharaja Agrasen 2011 2015 B.Tech Degree CSE 80
Institute of Technology

Computer Knowledge
Programming Language  Java , R
 Application(s) Software /
Packages Jboss, Active MQ, Eclipse, RStudio
 Certifications (Mention version &
date)

*Languages Known
Languages Read Write Speak Comprehend
English yes yes yes Yes
Hindi yes yes yes yes

*Total experience
 *Relevant Experience
in years   3 years 10 months  3 years 10 months

Employment History
Present Job
Employer   COLT Technologies Type of business Telecom Product based
Address  Sector 48 candor techspace, sohna road
Reason for seeking change/leaving  Travel concerns
Period of Service  4 months From  Jan 2019 To  May 2019
Salary Drawn (CTC) 9.25
Ph. No. (s)  8826995840
Designation Senior Engineer, Applications Development
Name & Designation of immediate senior Anjali Chaudhary , Senior Engineer

Organization Chart & your current salary

Give below the description of your responsibilities and the Give details of your current salary
Organization Chart Give details of your current salary
Clearly indicating your position. Use additional sheets if Basic 35921
required.
HRA 17960

Conveyance 2500

P.F.+Gratuity 4311+1728

Other Allow. 9572

Project allow 43105/12

Telephone reimburse 1500

Gross Total 72460

Deduction (p.m.) 1728

Net Total P.M. 71764

Registered Office: Gateway Building, Apollo Bunder, Mumbai 400 001, INDIA.
*Previous Jobs
Start with your present job and work backwards. Account for time whenever unemployed.
Sr. Name and Address of Employer Period
Designation Last Drawn Salary
No (Please also give Telephone Nos.) From To Total
1 Ericsson India Pvt Ltd August Jan 2.5 Software Engineer 7.5
2015 2019 years

 
 Training Imparted / attended  (If any)
1.  
2.  

*Current CTC 9.25 *Expected CTC 12 (fixed)

 *Joining Time required Can join by 24-May 2019
 *Do you need Relocation? Yes / No (if eligible) No

Career Objectives:
Any plans for future studies? if yes, give
details
 State your career objectives for the next three
years (please be specific)
No
Being a fullstack developer
Lead a project as technical lead

Any additional information you feel relevant:-

*References (Compulsory)
1) 2)
Name Raman Chanda Anjali Chaudhary

Designation Customer success Agent Tier-3 Senior Engineer, App Develppment

Company Salesforce COLT

Address 1302, Mahindra ashivita, Kukatpally, Sector 48 sohna road

hyderabd

Tel. No. 9051157779 9960536147

E-mail ID rchanda@salesforce.com Anjali.chauhdary@colt.net

Can a reference be taken now? Yes / yes yes

No

Declaration:-
I certify that the information furnished above is factually correct and subject to verification by Bristlecone India Ltd.
I also certify that I am at present in sound mental and physical condition to employment with Bristlecone India Ltd.
I accept that an appointment given to me on this basis can be revoked at any time, if any information has been
misstated or unstated by me.

Signature of Applicant Date : 17 May 2019

Place : Ghaziabad

Registered Office: Gateway Building, Apollo Bunder, Mumbai 400 001, INDIA.