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Ambuja Cement Ltd.

Post Applied For

APPLICATION FORM
Ambuja Cements Ltd, Elegant Business Park, Behind Kohinoor Continental Hotel MIDC Cross Road B, Off Andheri Kurla Road Andheri East, Mumbai 400059

Territory Sales Officer

ALOK
First Name: Mr./Ms./Mrs./Dr./Dr.Ms. Fathers/Husbands Name: MR. K.K.DHYANI Middle Name: Surname:

DHYANI

Present Address : J3/13 KHIRKI EXTENSION, MALVIYA NAGAR DELHI Permanent Address: HOUSE NO B-7 CIVIL HOSPITAL CAMPUS ROORKEE ( UTTRANCHAL)

Emergency Address: HOUSE NO B-7 CIVIL HOSPITAL CAMPUS ROORKEE ( UTTRANCHAL)

Contact Telephone Numbers: Resi. 9997030768 Mobile: 9718626525 Accommodation: Owned Rented

Office

Ext.

Email: alokdhyani99@gmail.com Company Accommodation

PAN NO. ______________________________________ (If, not allotted, pl mention NOT ALLOTTED) Contact No & Name Incase of Emergency: Gender: Male Date of Birth 24 may 1985 Female Place of Birth & State Roorkee,uttrakhand Nationality indian Religion hindu SC / ST / OBC / General general Blood Group b+

Marital Status: No. of Children: oooo

Single

Married

Dt.of Marriage
(if married)

Divorced

Widowed

Total No. of dependants

FAMILY / DEPENDENTS BACKGROUND

Relationship father mother brother Sister in law nephew

Name Mr .kk dhyani Mrs.anita dhyani Dr.amit dhyani Dr prema dhyani Vashnavi dhyani

Dt.of Birth (DD.MM.YY) 20.11.1953 18.11 .1954 15.07.1979 28.03.1984 11.08.2008

Qualification Intermediate ,d pharma Intermediate,nurshing course Vetenery officer Vetenery officer

Occupation Government servant Government servant Government servant Government servant

EDUCATION (SSC / HSC Onwards)


Degree / Diploma Certificate / Course Name 10 th 2003 12 th 2007 BBA 2010 MBA Special merits achieved in your academic career: Any break in education (Pl specify the reason)------all gap due to accidents Details of project work undertaken------------recruite ment and selection from jbm group 2012 2yr 2010 3 yr 2004 1 yr From 2000 To 2001 Duration of Course (in yrs.) 1 yr Institute / University/Loca tion St jhons school,icse board Barbarians academy,dherad une.delhi board HNB, gharwal university SHRINAGER Iipm delhi Part Time/ Full Time/ Distance Learning Full time Full time FULL TIME Full time Branch / Specialisation of Study general Physics,chemist ry ,maths HUMAN RESOURSE Human resourse and marketting Grade / Division / Class / % Marks 50% 62% 62%

EMPLOYMENT HISTORY
Industr y Duration Employers Name & Address/City Design a t i o n

Role & Nature of work

Reasons for leaving

From (DD/MM/YY)

To (DD/MM/YY)

Any Break in Employment (Please Explain)

PRESENT EMPLOYMENT
From to Joining Designation Present Designation

Name & Address of the Employer Responsibilities in brief

Your position

Reason for Leaving Briefly describe the Role and responsibility you expect in your new Job:

Emolument (P.M) Basic HRA / Accom Conveyance P.F % LTA Medical Bonus Gratuity Other Specify

Present

Where are you willing to work? Mumbai Expected Gross P.M Joining Period at Site Anywhere in India

Gross Salary (P.M)

Kindly attach a copy of your latest Salary Slip

PROFESSIONAL TRAINING
Course Human resourse From March To april Institute / Organisation Jay bharat maruti group Details of Training Recruitement and selection

EXTRA CURRICULAR ACTIVITIES


Awards & Recognitions: played cricket for uttranchal

LANGUAGE
Mention your mother tongue first Language hindi english Under stand Speak Read Write

GENERAL BACKGROUND
Have you suffered from any major illness or surgery? Yes / No Details-------no Physical handicap if any --no Have you worked with Ambuja Cements Ltd in the past? If yes, kindly give details. From _________ to ____________ Have you been interviewed before? If yes, for which position Do you have any relatives or friends in Ambuja Group - Yes / No If yes, give details: Are you a member of PF: Yes / No Pls give PF / FPF No. If Yes: Statutory / Voluntary PF Trust: Whether PF / FPF should be transferred: Yes / No: & when Location

Certified that all the information given in this application is true to the best of my knowledge.

1) 2) 3)

Should any information stated by me in this application be in correct, my employment with you is liable to immediate termination without payment of any compensation thereof. I declare that I have not been convicted previously by any court of law

Should there be any changes in the particulars given by me in this application, I shall immediately inform HRD / Personnel Dept about the same. Please do not give reference of relatives Address Name Designation Period for which He/ She Knows You Capacity in Which He / She Knows you child hood childhood

PROFESSIONAL REFERENCES

* 1.
Ajay sharma 2.dr amit dhyani Production manager Vetenery officer Sanik colony Faridabad House no b-7 civil hospital roorkee.

* Mandatory to give Immediate Supervisors reference of Present Organization


I agree that my employment is subject to verification of the statements made by me in this form Signature alok dhyani Date 17 .10.2011 Permanent Address: house no b-7 civil hospital campus roorkee.uttrakhand

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