Name:__PYDA (Surname) Annexure - 43 PRANAB, (First name) (Middle name) Position applied for Name of Company © Phuy SoRmviseili Pinee "Hower Function : Exgireersing Projects Location MarganPe- _ Anakra PradeSh2 Place of Birth: _VisakheRabnatt Date of Birth: Taine incage: —MsakbeRatma 22 3. Blood Group: Bive 4. Present Address Permanent Address ='S)e Ny 5 Telephone No: (ty 49999 9711719 Landline: Office__— ResioV= 2516064 6. Exmall Address: ‘ a dis 7. Permanent Account Number: 4230100096726 8. Passport Number:_M 344 22716 Validupto: {t-ci-PoPY 9. Nationality: INDIAN 10. Domicile Details: state of origin: Abdi Prada {Indian Nationals) State of domicile: Since: yes, U1, Identification Mark: —Atheon cut ‘12, Religion; 13, Categ oC General [7] st [—] sc [Jose J other M6 Maral status: Nok Maamvied 15. bate of waa: 16. Details of family members (Sr.No. [Name Relationship [ate of [Occupation] Employer Dependent Birth Yes/ tio 1. Salpeter fatten —To5- 98 -fical Goa EaPigie i No 21 tateheer™ | pshen lott tat fee fe = yes Labsth, Brother [o¢-9-1903, | Page2ofs17, Languages Known: Mother Tongue: “Teiug Regional / Vernacular / Other Hindi English PI. mention: x Speak: = [~ vee ] 18. Hobbies & Interests: 19, Extra-currieular activities: 20. Please mention physical challenges, if any Education and training 4, Educational Record: (starting with SSC/ equivalent). (Please mention “PT* for part-time and “DL” for distance learning courses in the second column.) Sr.No. | Degree? | Yearof | School/ College/ | No. of | Duration Diploma | Passing | Board/ Attempt | of course Certificate University Principal | Percentage/ Subjects | Grade Pamrat | on INET = x Wame of Course / Organiation Cortificate ‘Subject(s) | 3. Details of membership in professional bodies / institutions: Organization membership Institute [Type of Remarks Trot of Iognente) Petro© Employment History 1. Total Experience: Zero _Years_Six. Months 2, Particulars of employment (starting from current employer}: Name & Location of Period of Service Designation Em From To. araprevy) | _tntial Last a Please use additional sheets if required, Please give your current remuneration detalls on the last page of this form. 2, Your present job responsibilities: }. Present organization structure: Kindly circle your position and indicate your reporting relationship i.e. person to whom You report and who reports to you. Page 4 of 84. Significant achievements: distinctlons/ honor/ awards received / Books / Papers published Year Details | __2ats= a1 | anim yndensty MethsnGal Sabri att Jor ed io CATH Dor censcany dh AnkankSex_ Chama buratid 2.What, according to you, are your strengths and areas for improvernent?: Strengths: pect an Aafabity To wae nay ENON D Paste Afitol 2 had wai: DALY PUR @ Inehidad OUet & Ga? SDLeadmrehiP (P20 te ‘Areas for improvement: aS Te THe Tner-rard skins 3, Reason for contemplating a change from the present job. Reason for seeking appointment in the Howe Group. Thtemaia on Hes Pitutar anasite rect (snkatchatht~obsknaeai) . Any other information you would like to offer, including ether / personal details / Special achievements, ifany Page 5S of 87. Ate you related to any employee / associate of Howe Group? ves ve GZ) Ifyes, give details below: Name(s) Company /Business & Location: Department: Designation: Nature of Relationship/Acquaintance: Note: Please furnish full details of all persons related or known to you. Attach/use additional sheet if required. Have you been interviewed by us / any of our group companies in the past? we J » 7) yes, give below details Position: Department / Function: Location: Company: PI give details of any illness / major surgery you may have suffered / undergone during last 5 yrs, requiring hospitalization / prolonged treatment. cca Period of hospitalization | Name & Address of lanhahadladeg it Hospital / Doctor Page Gof 810, References: Please give references of a least three persons who are not your relatives / friends. (at least, one professional and personal reference) Rane |Past Lahits Da, ‘Address abisteti inay Ke] Orne 2-26-64 Nii, pen2-=58, HOG | penwon 2-6), 6NTM:, VEKhRipal-SBed2 | VNR S302: | ya npane ase» ‘Oczupation: Pes. Sh z= a Mobile / office Tel_| Qoooaiwa aaa EMail Z Letiyaan GE Tel.No. (Resi.) = = | ‘hereby declare that the information ond details furnished herein are true and complete to the best of my knowledge and belief. f any information Is found to be suppressed, misrepresented (or false, | sholl be responsible for the resultant consequences and shall render myself liable to disciplinary action including termination of service without any compensation/ notice. it Mand A Fem AGAIN Page 7 of 8‘Gurrent Remuneration details; Name:__PRAniAP Pya Please gve details of your current remuneration in the fst blank column Details Current Remuneration offer Basie Sala House Rent Allowance Dearness Allowance ce Al. Children Edu. All ‘Canteen Allowance Other Allowance. ‘Any Other Petrol Expense Car Hitin Drivers Sala Entertainment Ex Medical Reimb, Information Update LTA UTC ‘Other Retirals | PE (Co.'s Contri) rannuation Pension Gratul ‘Any Other, Exgratia Performance Bonus Perf. Linked Incentive ESOP ‘Any Other: tice Period a5 joining time