APPLICATION FORM

Junior Engineer Trainee

LARSEN & TOUBRO LIMITED
CORPORATE HR & PERSONNEL
POWAI CAMPUS, MUMBAI 400 072

Full name in block letters

Surname First Name Middle Name

Present Mailing Address

Pin
E-mail ID

Phone No. Mob.

Permanent Address
Personal data

Pin
E-mail ID Phone No.

Mother Tongue
Languages

Speak

Read

Write
Date of Birth Age (years) Gender Nationality

Male Female
Religion Caste For Schedule Ca
Caste
 Height (cms) Weight (kgs) Pysical Disability (if any)

Major illness/operators so far

Details of your immediate family members

Name Relationship Age
Father/husband
Family data
 Instructions:
1. Fill in the Form in your own handwriting.
2. Write 'NA' wherever NOT applicable
3. It will be to your advantage the more carefully you fill the form
and NOT miss out any information asked for.
4. Incomplete forms will NOT be considered.

Name of the College / Institute

Middle Name

Branch of engineering
Mechanical
Production
Electrical Fabrication

Electronics Chemical

Civil Other
(specify)
( )

Sandwich (4 Year Diploma)

Non Sandwich (3 Year Diploma)

Mob.

Please affix here

Your recent
Photograph
Not exceeding
50 x 50mm size

Nationality Home Town Domicile state

For Schedule Caste / Tribe

te Sub caste
ysical Disability (if any) Eyesight
(if wearing glasses or contact, specify
power)

Occupation Organization and Position

 Examination Institution & Board

SSC/XH/Equivalent

HSC/XIITH/Equivalent

Diploma / ITI
Full time Part time
Details of Diploma Engineering
Others (specify)
(Fill in the appropriate columns)
Academic
Year Semesterwise Yearwise

Semester % of marks Semester % of marks % of marks

1st 2nd

3rd 4th

5th 6th

7th 8th
Academic Background

Aggregate % or CPI or SPI Yearwise Aggregate %

Please Indicate subjects/papers not declared in the first attempt - Semesterwise/Yearwise*

Please Explain if there is a gap of more than six months in academic career

Write all Subjects (Underline subjects of interest to you) :

Current Semester / Year Previous Semester / Year

Title of Final Project with a brief Synopsis

 Scholastic Achievements : (list ranks secured in SSC/HSC/Diploma at board / university level, national merit / nati
mathematical olympiad, papers published at national level, scholarships / prizes, or any other outstanding achiev

* Subject (Theory / Practical ) not attempted in the regular semester will be treated as second attempt even if subsequently
 % of Marks
Year Class Rank
Obtained

Duration of the course

From year To year

Rank or Total
position in number of
Yearwise Class/Divn.
your branch students in
of Engg. the class
% of marks

e/Yearwise*

ester / Year Electives

iversity level, national merit / national talent search/ national
s, or any other outstanding achievements.)

ond attempt even if subsequently cleared.


Training and Work Experience
Extra Curricular Activities
General Data
Particular of Training & Employment, if any
Training - Inplant / Vacation
Duration
Name of the Company/ Institute Nature of Training
From To
Employment, if any
Duration
Name Of the Company Nature of Training
From To
Do you have any bond with the present employer? Yes
Details of positions held in Societies, Committees, Association
Name of
Sr. No. School/College/Others Position Held
Society/Committee/Association
Sports and Game - Praticipation
Represented
Sr. No. Name of Sport / Game Position Held
School/Cooleg/Others
Any other activity you wish to highlight
Special interests and hobbies (indicate in order or interest and why it interest you)
State the functional area* You like the most and give reasons for your choice
*Projects, Planning, Design, Production, Quality Control, Marketing, Services, etc.
Gener
State the functional area* You like the most and give reasons for your choice

*Projects, Planning, Design, Production, Quality Control, Marketing, Services, etc.

 Nature of Training

Nature of Training

No

Duration
Position Held
From To

Duration
Position Held
From To
 Indicate your plans for higher studies : If any

Have you applied to Larsen and Toubro group of Companies earlier Yes

If yes, post applied Year Result

Have you ever been involved in any court proceedings and/or convicted of any offences? If yes, please give detail

When are your final examinations likely to be held?

Name & address of two references (not relatives) along with their occupation and position
General Data

Name : Name :

Address: Address :

Pin:

Mob.: Tel. No. Mob.:

Occupation : Occupation :

Position : Position :

Relatives/acquaintances in L&T Group of Companies

Name Relationship Position Company & Location

Declaration under section 314 of companies act as amended in 1974 (strike out whichever box is not applicab

I hereby declare that I am a partner/relative of

Mr ........................................................................
I hereby declare that I am not connected with any
Director of the company as his partner or his relative. As
defined under section 6 of companies act, 1956
A diector of the Company
as......................................

I understand that, if selected, I may be required to work in any function/department/offices of the company and/ o
subsidiary companies. I hereby declare that I will accept placement which the company may deem fits.

I declare that the information given above is true to the best of my knowledge and I understand that any false infor
misrepresentation or omission of facts called for in this application, or other company recoords may result in my im
I understand that, if selected, I may be required to work in any function/department/offices of the company and/ o
subsidiary companies. I hereby declare that I will accept placement which the company may deem fits.

I declare that the information given above is true to the best of my knowledge and I understand that any false infor
misrepresentation or omission of facts called for in this application, or other company recoords may result in my im
without even if subsequently employed.

I authorise inquiry with regard to my character, ability or habit/s to any and all persons and agree to hold such pers
respect to any information they may give.

Date:............................
Place:........................... Signature of the applicant

Please do not attach any originals / copies of certificates or testimonials

 No

If yes, please give details.

on

Pin:

Tel. No.

Mobile No. Landline No.

hever box is not applicable)

m a partner/relative of
................................................

iector of the Company

...

es of the company and/ or its associate or

ay deem fits.

stand that any false information,

oords may result in my immediate dismissal
es of the company and/ or its associate or
ay deem fits.

stand that any false information,

oords may result in my immediate dismissal

d agree to hold such person harmless with

ture of the applicant

stimonials