LARSEN & TOUBRO LIMITED

APPLICATION FOR SHORT-TERM TRAINING INPLANT/VACATION/PROJECT (Fill in the form carefully in your own handwriting) FULL NAME IN BLOCK LETTERS

CATEGORY
Diploma Eng. Graduate Eng. Post Grad. Eng. Mechanical Electronics Metallurgy

SR. No.
(For office

use only)

Electrical Chemical Others (Specify)

FIRST MIDDLE PRESENT MAILING ADDRESS

SURNAME

AREA OF SPECIALISATION

CONTACT PHONE NO (IF ANY) LANGUAGES KNOWN

(Please underline your mother tongue)

DATE OF BIRTH PLACE OF BIRTH STATE

DOMICILE STATE
PLEASE AFFIX YOUR

NATIONALITY

RELIGION

SEX MALE
FEMALE

RECENT PHOTOGRAPH NOT EXCEEDING 50 X 50 MM SIZE

THE PRESENT COURSE YOU ARE UNDERGOING: DURATION OF COURSE (YEARS/SEMESTERS)

NO. OF YEARS/SEMESTERS COMPLETED AT

THE TIME OF STARTING THE TRAINING

DURATION OF TRAINING REQUIRED

AREAS OF INTEREST (TRAINING)

(MONTHS/WEEKS)

FROM: OCCUPATIONAL DETAILS OF YOUR FAMILY MEMBERS

NAME RELATIONSHIP OCCUPATION

TO:
NATURE OF BUSINESS/WORK / NAME OF THE ORGANISATION

PRE-ENGINEERING
EXAMINATIONS PASSED INSTITUTION MONTH/ YEAR % MARK CLASS

SSC/EQUIVALENT HSC/EQUIVALENT OTHERS

ENGINEERING: DEGREE DIPLOMA NAME OF COLLEGE/INSTITUTE

NON-ENGINEERING: DEGREE (SPECIFY) DURATION FROM TO

BRANCH OF ENGINEERING: Mechanical Electrical

YEAR SEMESTER % MARKS OR SPI/SGPA

Electronics
SEMESTER % MARKS OR SPI/SGPA

Chemical
YEARWISE CLASS/DIV MARKS % / CPI/CGPA

Metallurgy
RANK OR POSITION IN THE CLASS

Others No. OF STUDENTS IN THE CLASS

19 1st 2nd 19 3rd 4th 19 5th 6th 19 7th 8th DO/DID YOU HAVE ATKT: IF YES, GIVE DETAILS ELECTIVES/SPECIAL SUBJECTS/PROJECT WORK POST GRADUATE DEGREE/DIPLOMA IN ENGINEERING NAME OF COLLEGE/INSTITUTION/UNIVERSITY FROM AREA OF SPECIALISATION AND SUBJECTS IN THE FINAL YEAR
YEAR SEMESTER % MARKS OR SPI/SGPA SEMESTER % MARKS OR SPI/SGPA YEARWISE CLASS/DIV AGGREGT. MARKS% / CPI/CGPA RANK OR POSITION IN THE CLASS No. OF STUDENTS IN THE CLASS

DURATION TO

19 1st 2nd 19 3rd RELATIVES FRIENDS IN L&T GROUP OF COMPANIES NAME RELATIONSHIP POSITION COMPANY/DEPARTMENT

I hereby affirm that my answers to the foregoing questions are true and correct and I understand that any misrepresentation or omission of facts called for in this application, or other company records may results in immediate dismissal without any notice if subsequently employed. I authorise an inquiry with regards to my character, ability and habits to any and all persons and agree to hold such persons harmless with respect to any information that they may give. DATE: _____________________________ PLACE: SIGNATURE OF THE APPLICANT Please attach a certificate from your college stating that you are a bonafide student of the college and that this training is in partial fulfillment of the requirement of your course. Do not attach any other testimonial or copies of the certificates.
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