GOA SHIPYARD LIMITED Affix recent

Registered Office: VASCO-DA-GAMA,GOA Photograph

Advertisement No. 01/2011

APPLICATION FOR THE POST OF

_Management Trainee (Mechanical Engineering)_________________

Post No.:

1. Name [Surname/ name/father’s SIDHARTH RENGANTHAN

name) (IN BLOCK LETTERS)
2. Father/Husband Name RENGANATHAN R
3. Address Permanent Correspondence
Address (line 1)
TC-20/3006
Address (line 2)
SASTHA NAGAR
Address (line 3)
KARAMANA
City
THIRUVANANTHAPURAM
State KERALA

Zip
695002
Country
INDIA
4. Other contact information TELEPHONE- 0471-2344476
1. Telephone No. 2. Mobile No. MOBILE- 9496370659

E-Mail ID (COMPULSORY)
renganathansidharth@gmail.com
5. Date of Birth DD 30 MM 12 YYYY 1988 AGE 22

6. Sex Male Female

7. Religion HINDU

8. Marital status SINGLE

9. Community BRAHMIN

10. Nationality INDIAN

11. Class (SC/ST/OBC/Gen) (attach GEN

relevant caste certificates with
the application)

12. Are you a person with disability

(If so, % of disability) (Enclose the NO
certificate)
13 Are you belonging to any Minority NO
Community? If Yes, indicate the
name of the Community.(e.g.
Muslim, Christian. Sikh,
Buddhist etc.)
14. Educational/Technical/Professional Qualifications*
(Documents to be enclosed)
Name of the University/ Specialization Year of Duration Regular Class /
Exam / Institute passing of the (Whether full Div./ Grade
Course course time or part with
time) OR percentage
Correspondence of marks
B.TECH KERALA MECHANICAL 2010 4 REGULAR 70%-
UNIVERSITY YEARS FIRST
(GEC CLASS
Bartonhill,
Trivandrum)

15. Employment details * (Documents to be enclosed)

Organization Reporting Responsibilities Period Emoluments Gross
& to emolum
Designation ents
From To Pay
DD/ DD/ Total Scale Basic Allowance
MM/ MM Years and
YY /YY Grade

16. Do you possess the required number of years of post Yes No

qualification experience?
If yes, please indicate the number of years of post qualification
 experience

17. Professional 1- PRESENTED A PAPER IN MECTMNT SYMPOSIUM HELD BY

achievements in INTERNATIOPNAL CENTER FOR HEAT AND MASS TRANSFER
the field *
2- FIRST PRIZE IN PAPER PRESENTATION COMPETITION HELD AT
NIT-C
3- PRESENTED A CONFERENCE PAPER AT IMMM SYMPOSIUM AT
COLLEGE OF ENGINEERING TRIVANDRUM
18. Membership of
the Professional
bodies
19. Are you related NO
to any of the
Director(s) of the
company (Full
time/Part time)
20. If YES. Indicate
the name of the
Director
21. Two References Reference No.1 Reference No.2
Name G.RAMACHANDRAN
G.VENUGOPAL
Designation PROFESSOR ASST PROFESSOR

Phone 9447699183
9495547376
E-mail hodmech.gecbh@gmail.com
gvenucet@gmail.com
Address GEC, Bartonhill CET

Trivandrum Trivandrum

Kerala
Kerala
22. Expected salary
Rs 23000
23. How fast can April
you join
24. Any other
information

NOTE: * Attach separate sheet if space given is insufficient

I hereby declare that the above statements are true and complete to
the best of my knowledge and belief. In the event, the information is
found to be false or incorrect, my candidature/appointment may be
considered terminated without any notice.

Signature of the Candidate

Place : Thiruvananthapuram

Date : 8/2/2011