LTI

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Trainee Application Form
(Technical Trainee)
College/Institute & City NgMANARDWNIS.CouEGK.OE. CNANE¬RNL,
TECINDO
Current Course &Specialization S.....IBCHAN LAL...
Flexible toall LTIDevelopment Center/CustomerSite: Yes/No
FUL NAME IN BLOCK LETTERS Date of Birth ge
(DD-MM-YYYY_
Mr./Ms./ Mrs.
Title
NAY KiMAR
(NAME)
RATA
(MIDDLE NAME)
HADAN
(SURNAME)
Physical Challenges: Major illness/
Nationality: State of Domicile: Marital Status: (IfAny) operations so far:

ENDIAN MAHARASHT R
Languages Known: Any Outstanding Academic/Extra-curricular Achievements:

Strong Technical Subjects: (Eg:Technical Certifications (if any): Details of Projects Undertaken Work Experience.an.
sesssessnrs*sssssessse***ssassasss*sssesfas**sssnn
Java, DBMS etc.) Eg: OCIP, etc. (In brief): Organization details, from and to date:

H ECL(HAIR, U5INC
PuTHON
Family Background: w***sse ssss
Name
*
Age
Se aho MiCROKNTRN|
*******s*********j***ssssssse**************" Relationship
S************** **********"7*** Occupation
****************s*ssesse*****************s*essssojpvosi Organization
(Please give full details of K.ArMA O... KS. **********sssas********* .MSADNS ************************s**************s**********
family members including . 1.ELA...1.DAV. ..w...KIS. sesusssussssesteeses
pare nts, spouse, siblings A C
and other depe nden ts) D. .S..nlS.
QualificationSpecializat ion Institute Name University/
Board
Month and Year
of Passing
Fult ime Course % or CGPATotal No. of
(Yes/No) ATKT/
Backlogs.
nNKEaNAN.Ma.AD.DL,.O..HibE..K. S. S NA
HSC/XII
Diploma
.EN.E.NMQHAL.NMIMASINI.I..1S.88HS.LEEBRNARH20IS. 9 2 / NA
*****7********seas**asssserssnss*

Graduation
****** *****semseameseseumssssunssssgen*osenesssensses**s*sssssssmsssssosrsesn**ssanessosn************************se sessesese pomossoeee..
********"******eesseeseessesese**
POst-Graduation
Current course details(Semester-wise):BE/BTech/MCA/BSc/BCA Aggregate Percentagein the current course
Academic Year Year/Semester/ No. of ATKT/%of marks Academic YearYear/SemesteriNo. of ATKT/A% of marks Tot al No. of Backlogs
Backlogs Backlogs Dead and live) throughout

1St Diploma+Graduation
.... Post Graduation:
a.a.0.2nd ..2
..22. 3rd *****i**
O
************astss**ssesesssssssssssnssss sssnse
2h2b-214th 8th
eHAVE YOUEVERBEENINVOLVED IN ANY CRIMINAL PROCEEDINGS/ CONVICTED OFANY OFFENCE FYES,GVEDETAILS
LU

DECLARATION UNDER SECTION 314 OF COMPANIES ACT, AS AMENDED IN 1974

(Tick whichever is applicable)
| hereby declare thatI am not connected with any of the Directors of the sssssssnnen*********
Company as his partner or his relative as defined under section 6 of the
ompanles Act 1956
******************************************* ************* ****************************"****************************************************s*ssss****ststssss******e******************ssssesasss see
OR
hereby declare tiatT am a paruher or feldtiye OT.... ho
**n dDIEctor OT the
COmpdny ds..ereans*sseseneesse*sesessn s**a
RELATIVES/ ACQUAINTANCE IN L&T GROUP OF COMPANIES
.. LATIONSHIP ****
POSTTTON
******************** * ***********************
**************************sss*sssstsssssssse seensssssss*******s**seesse ..CMPANY&TELEPHONE NOS
Ideclare that the infor mation given above is true to the best of
my knowledge andI understand that false information,
omission of facts called for in this a pplication, or other company records may result in my immediate any
dismissal
misrepresentation or
without notice even if subsequently
employed. I authorize the company to do any kind of background verification of my educa tion, experience or references.

Date:.699A.2..
Place:MG.S).
Signature: ***
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