NAME OF THE ARTICLES STOCK Madhu Shiva Christ

No.10 Stapler machine 10

Paper weight (Rubber) 5
Stick fixA4 10
Stapler machine 999 3
2416 pin 500
scissor 10
unruled Note 5
Stappler pin k.r. 1box
Glass marking pencil 4
Checking pencil 1
Cello tap 1 Box
Sketech 7 pocket
Single punch 5
Punching machine 5
Stick on pad 3 colours 5
stickon pad 3x3 12
Fevi Stick 10
Cello fine grip pen 5 pocket
Rubber band 1/2g
CD Pocket 3
Calculater 8
P.Marker pen 10
Highlytes 5
Pin cushion 5
Thread 5
cd 10 mass 1
Spl tag 3p
Knief 5
Water spanch 5
Scale 10
Camilin Glue 1
1/16 s.pad 1
V.C.album 1
V.c.album 480c 1
Sharpner 10
Gem clip 2
Allpin
25mm ClipSmall bell clip 10
41mm big bell clip 5
Stamp pad ink 1
Small scale 5
Nataraj pencil;
Nondust eraser big 2
Nondust eraser small 10
A4 paper 500
Refill 2
Towels-small 10
Big dust pin 5
small dust pin 10
1/2lit water cane 4
1litre water cane 7
Whitner 5
Dettol handwash liquid 2
Clean scrabbles 1
paper cup 100 nos
Plastic carbaGES Box 4 box
Odonil room fresher 1
Alfa plus sany cube 1pocket
Blade 1pocket
Shree pet water bottle 2nos
Stationary box 10
Tea cup plate 2 box
Snack box 1
Tissue paper 50sheets
Needle small 1no
Needle bigl 1no
Note pad 5
Jaleel Naghu Santhosh Shanmugam Subbu Shaji Zubair
Issued Balance
 LANDS AND LANDS VENTURES INDIA PVT LTD
44, SHIVARAM NAGAR SOUTH EXTENSION, RAMANATHAPURA, CBE -45.
Ph: 0422-4351312 Web: www.landsandlands.com

POSITION APPLIED FOR :

PERSONAL DATA

Name in full :……………………………………………………………………….

(in capital letters) Date of Birth……………….
Sex : Male/ Female Age '………………..

Marital Status: Single / Married / widow Mother Tongue…………….

Present Address Permanent Address

Phone No: Phone No:

Mobile No: Mobile No:
E-Mail : E-Mail :
Languages Known Speak Read Write Extra-curricular Activities & Hobbies

Family Members Name Education Age Occupation / Organisation

Father
Mother
Husband/Wife
No.of children

Brothers & Sisters

Do you have Vehicle? If yes, Give details :

EDUCATIONAL QUALIFICATIONS (SSLC Onwards)

Date Degree/
Institution Diploma/ % of marks Class
From To Cert.Course
 EMPLOYENT RECORD (Starting from present Employer)
Date Employer/ Organisation Designation /Nature of Gross Salary Experience
From To Duties per month YY-MM

REFERENCE
Details Reference-1 Reference-2 Reference-3
Name
Occupation
Relationship
Address

Phone No.

DECLARATION
I hereby certify that all the information given herein are true. I understand that if it comes to light at any
stage that any incorrect information has been furnished by me, I am liable to be dismissed from service
for the same. If appointed, I agree to abide by the rules and regulations of the company and to appear for
a medical examination, if required.

DATE : APPLICANTS SIGNATURE

FOR OFFICE USE

Interview Date : Remarks :

Panel Members : 1
2
3

Interview Outcome : Authorised Signatory