L & T CONSTRUCTION

P.O.Box: 979, Chennai - 600 089.

Employment Application Form - DET
Position applied for

: Diploma Engineer Trainee

Discipline

: MECHANICAL

Reference No

: 1201523732

PERSONAL DETAILS
Name in Full

HIMANSHU SHARMA
Present Address - Valid Until

Permanent Address

#390 PREM NAGAR , AMBALA CITY, AMBALA, HARYANA.

#390 PREM NAGAR , AMBALA CITY, AMBALA, HARYANA

Email ID

giteshsharma19@gmail.com

Phone No.

Mobile No.

9466716106

Sex

Date of Birth

Marital Status

Nationality

Category

Male

10 Jun 1997

UnMarried

INDIAN

BC

Passport Number

Name as in Passpost

Date of Issue

Languages Known

Mother Tongue

Valid Upto

Place of Issue

HINDI

Countries valid for

ENGLISH

Most Serious Recent Illness

Power of Eye glass

Profession as in Passport

PUNJABI

No. of Days Ill

Left Eye

Nature of Illness

Physical Disability (if any)

Right Eye

Height (cms)

164

Weight (kg)

58

EDUCATIONAL DETAILS
GOVERNMENT POLYTECHNIC AMBALA CITY - HARYANA

Name of the Institute

Name of the Degree / Diploma with
Specialisation

DIPLOMA IN
MECHANICAL
ENGINEERING

Name of Post. Graduation

with Specialisation

Exams Passed

Marks

Year of Pass

Name of the Institute

201205

P.K.R JAIN SR. SEC. PUBLIC

SCHOOL

Scored

Maximum

74

100

1st Yr.

1877

2550

2nd Yr.

1587

2275

3rd Yr.

856

1275

SSC or Equivalent
Intermediate or Equivalent

Scholastic Achievements
(Distinctions / Awards /
Scholarships)

1st Yr.
2nd Yr.

Degree or Diploma

Average of the Diploma / Degree

marks (in percentage)

201505

GOVERNMENT
POLYTECHNIC AMBALA
CITY - HARYANA

71

BADMINTON STATE LEVEL

KINEMATIC CAR (HAVE TO BE SUBMITTED)

Title of the project work submitted for Diploma

I WANT TO BE SETTELED AFTER DIPLOMA FOR MY BRIGHT FUTURE

What are your future plans regarding higher studies?

FAMILY DETAILS
Name of your family members

DOB

Relationship

Occupation

SH. NARINDER SHARMA

10-10-1964

FATHER

GOVT. EMPLOY

MRS. SUNITA SHARMA

20-05-1967

MOTHER

TEAVHER

GITESH SHARMA

11-06-1993

ELDER BROTHER

B.TECH

GENERAL DETAILS
Extra curricular activitiesPlease give details about extra -curricular activity with Nature (E.g - Sports, Music, Dance, Drama, positions of responsibility, Social
services, Others), Level (E.g. International, National, State, District, School level, Others ) and Year (Last 10 years)

BADMINTON (OPEN STATE LEVEL) , BADMINTON (COLLEGE STATE LEVEL) , VOLLEYBALL (SCHOOL LEVEL)

Relatives / Acquiaintences in L & T group of companies

Name

Relationship

Position

Company

Faculty Reference

HITESH CHAWLA

Declaration :
I hereby declare that I am not connected with any director of the company as his partner or his relative as detailed as under section 6 of companies act 1956.
I hereby affirm that my answers to the foregoing questions are true and correct and I understand and agree that misrepresentation or omission of facts called for in
this application or other company records shall automatically resigned the contract of employment. I authorize inquiry with regard to my character, ability and habits
to any and all persons and agree to hold such persons harmless with respect to any information that may give.

Signature of Candidate

Signature of HR Representative