(To be filled by the applicant in
his/her own handwriting clearly
and completely)
Larsen & Toubro Infotech Ltd
Trainee Application Form
Technical Trainee
L&T Infotech
Post applied for
College/Institute & City
Please affix here your recent
passport size colour photograph
Highest Qualification
Specialization
n YES q NO
Flexible to all L&T Infotech Development Center / Customer Site (India)
Date of Birth
(dd/mm/yyyy)
FULL NAME IN BLOCK LETTERS
Age
Mr. / Ms. / Mrs.
(SURNAME)
(MIDDLE NAME)
(NAME)
Title
How would you like your name to be printed on the Appointment Letter
(Permanent mailing address)
(Present mailing address)
Pin
Tel.
Pin
Cell No.
Tel.
Blood Group:
State of Domicile
Marital Status
Passport No.
Driving License No.
Driyin
(c1
License Valid to
min/MY)
Place of Birth
State of Birth
Weight (kg.)
Height (cm.).,
TYPE OF ACCOMODATION
(Please tick the appropriate box)
OWN
Nationality
Pass ort Valid to
(dc mm!yyyy)
Email ID
in
Religion
RENTAL SHARED OTHERS
Eyesight (Specify
Power if wearing
glasses / lenses}
CASTE
Physical Disability
El
(If Any)
SC
111 ST q DT
q SBC q OBC
Right
I
q GEN.CAT
(Other than GEN.CAT please arrange to
produce Caste Certificate)
: Left'
I
q NT
Major Illness / operations so far
Family Background (Please give full details of family members including parents, spouse, children, siblings and other dependents)
Name
For Ex. Mr. Rahul Sharma
Languages known
Age
56
(Please put a
tick mark)
Relationship
Occupation
Father
Teacher
Read
Write
Organization
V. S. Academy
Speak
Mother Tongue
Other Language(s)
Infotech - Proprietary
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HRR-F001/3.2/12.09.2012
Starting from S.S.C. Onwards (Please attach a sheet if required)
Specialization
Qualifications
University /
Board
Institute / School
Month/ Year
of Passing
Fulltime/Parttime
Correspondence
% or
CGPA
No of
ATKTs/
Backlogs
SSC / X / Equivalent
N/A
HSC / XII
N/A
Diploma
Graduation
Post Graduation
B.E. / B.Tech. / B. Sc / Diploma
M.Tech. / MCA/ M.Sc
Details of Latest
Qualification
Academic
Year
Year /
Sem
% of
marks
No of
ATKTs/
Backlogs
Others
(Specify)
Name of Subjects/Papers
not cleared in the first
attempt
Please mention whether
fulltime / parttime / correspondence
Year /
Sem
1st
2nd
3rd
4th
5th
6th
7th
8th
% of
marks
No of
ATKTs/
Backlogs
Agg.
% age
Name of Subjects/Papers
not cleared in the first
attempt
Which are the subjects you think you are strong in :
Additional Information
Please explain in case there is a gap of in academic career & duration of gap
Academic Achievements : (List ranks secured in SSC/HSC at Board level, National Talent search, papers published or any other
outstanding achievements)
Extra curricular Achievements (District/State and International level at Dramatics, Debate ,Sports etc)
Software/Hardware expertise (Operating Systems/Languages/ERP/Others)
Rate yourself as one of the options (Beginner, Intermediate, Trained, Expert)
Skills
Rating
Skills
L&T Infotech - Proprietary
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Rating
PROJECTS UNDERTAKEN (Please attach a sheet if required)
Started
on
Ended
on
Project Title
Name of the Organization
Project Synopsis
Specific Learnings/
Significant Contributions
WORK EXPERIENCE (Please attach a sheet if required)
Date (MM/YYYY)
From
To
Name of the
Organization
Position Held
Job Profile
Gross Salary
(in Rs. P.a.)
What do you consider your significant accomplishments till date and why? (academic/personal)
My Strengths
My Areas of Improvement
What is your career objective ?
How do you think joining L&T Infotech will help you achieve your career objective ?
When is the earliest that you can join L&T Infotech ? (Month / Year)
Lar Infotech - Proprietary
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My Hobbies
Do you have some plans, to upgrade/enhance your technical/soft skills (For eg. Are you currently pursuing or planning to take up some
course or go for higher education)
Have you applied to Larsen and Toubro group of Companies earlier ?
Z
0
/
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Relatives (if any in L&T group of Companies)
Name
CL
Position
Branch/Office Address
Tel. No.
Relation
UZ
.1
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Z
0
H
O
0
Have you been involved in any court proceedings and/or convicted of any offence? If yes, please give details.
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Declaration under section 314 of the Companies Act as amended in 1974 [strike out whichever box not applicable (NA)]
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 the Companies Act, 1956
I hereby declare that I am a partner/relative of
Mr / Ms
a Director of the company
as
Z
(2
I Understand that if selected, I may be required to work in any function / department/offices of the company and its associate subsidiary.
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tY
I declare that the information given above is true to the best of my knowledge and I understand that any false information, misrepresentation or
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V
L.L.1
omission of facts called for in this application, or other company records may result in my immediate dismissal without notice even if subsequently
employed.
I authorise the company to do any kind of background verification of my education, experience or references.
Date :
Signature :
Place :
Lar Infotech - Proprietary
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