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Godrej & Boyce Mfg. Co. Ltd.

APPLICATION FORM

POST APPLIED FOR : ____Sr. Executive/ Asst. Manager- Manufacturing (Fabrication)___________________________

FULL NAME : Mr. / Ms. Gurlakatti Shreekant Mallappa

( Surname ) (First Name ) ( Middle Name)

ADDRESS FOR COMMUNICATION (Local) PERMANENT ADDRESS ( Native Place)

Shreekant Mallappa Gurlakatti Shreekant Mallappa Gurlakatti

Near Kalmeshwara Temple, Kallapur, Shirasangi Near Kalmeshwara Temple, Kallapur, Shirasangi
Saundatti, Belagavi- 591126 Saundatti, Belagavi- 591126
Mobile No.:9591207941, 8105529042 Mobile No.:9591207941
E-mail ID: [email protected] Phone : 8105529042

DATE OF BIRTH : 04 / 02 / 1990, PLACE OF BIRTH Gurlakatti, NATIONALITY: Indian

DO YOU BELONG TO: SC ______ ST _____ OBC yes OTHERS ______

LANGUAGES KNOWN : ( Communication Skills )

Languages Speak Read Write

English Yes Yes Yes
Kannada Yes Yes Yes
Hindi Yes Yes Yes

EDUCATIONAL QUALIFICATION:

Examination Full-time / Duration of Course Month & Name & Location of Class /Grade &
Passed Part-time or From To Year of School/College/U’sity/Board Percentage
Corres. MM/YY MM/YY Passing (City & State) of marks
SSC June/ Feb/ March/
Full-Time VT&MK High School, Hooli 63%
2003 2006 2006
July/ March/ April/
HSC Full-Time SKET Saundatti 58%
2006 2008 2008
July/ March/ July/
Diploma Full-Time TSIT Polytechnic Hubli 54%
2008 2011 2013
August/ April/ June/ 81% OR
BE Full-Time PDA College Of Eng. Gulbarga
2015 2018 2018 8.85CGPA

Was there any break in your studies? No / Yes (If yes, please mention the reason for the same)

Yes I have 2 years Break, I was working as a Team Leader in SUNCHIRIN Auto Parts India PVT. LTD. (2013-2015)

KNOWLEDGE OF COMPUTERS: MS Office, Solid Edge, CATIA, AutoCAD, Solid Works, CNC Programming.

Contd. ( 2 )
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WORK EXPERIENCE: (- Including practical training, if any.
- Please write in chronological order ending with present employment)

Period
Experience Annual Reasons
From To Name & Location of Designation and
( in Cost to for
(DD/ (DD/MM/ Employer / Self Employment Nature of Work
months ) Company Leaving
MM/YY ) YY)
05/04/ 15/07/ 2 years Rural ITI Nargund, Karnataka JTO 1,20,000 Offer from a
2011 2013 4 Months Drawing, CAD & MNC
CNC Programming
07/10/ 14/08/ 1 year Sunchirin Auto Parts India Pvt. Team Leader 2,20,000 Higher
2013 2015 11 months Ltd.Bengaluru Production Education

01/08/ Present 4 Months PREAC Fluid Power Bengaluru Shift Engineer 2,78,000 Not satisfied
2018 Production with salary

26/07 30/09 2 months TAFE Ltd. Doddaballapura, Internship NA Course

2013 2013 Bengaluru Assembly Completion

01/03/ 30/04/ 2 months KGTTI Gulbarga CNC Programming NA Course

2018 2018 Production Completion

BREAKUP OF THE PRESENT / LAST SALARY, BENEFITS & PERQUISITES:

Components Rs. (p.m.) Components Rs. (p.m.)

Monthly Benefits Annual Benefits

Basic Salary 13429 Leave Travel Allowance (LTA) 0

House Rent Allowance 0 Mediclaim / Hospitalisation Insurance 0
( Coverage Amount Rs. __________)
Medical Expense Reimbursement 1250 Any Other 0
Education Allowance 1021
Lunch / Canteen 0 TOTAL ( B ) : 0
Conveyance Allowance 1800
Telephone Expense Reimbursement 0 Terminal Benefits
Other Allowances: a) AB 671 Provident Fund 1612
b)SAB 750 Gratuity 1650
c)SPI 750 Superannuation -
d) Any Other 300
TOTAL ( A ) : 19,671 TOTAL ( C ) : 3562

Cost to Company ( p.a.) : ( A + B + C ) X 12  Rs. 2,78,000 /-

Expected Remuneration: Monthly Gross: Rs. 30,000 Cost to Company (p.a.): Rs. 4, 00,000

REFERENCES : ( Name relatives / acquaintances in any of the Godrej establishments )

Name Division/Plant, Department & Location Relationship with

(Specify State & District ) the applicant
Ramakrishna Naduvinamani Service Executive Friend

Contd… (3)
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SOURCE OF RECRUITMENT (DETAILS OF YOUR INTRODUCTION TO US):

Self / Placement Consultant / Advertisement (Newspaper / Godrej Website / Any other Job Portal) / Campus Interview /
Employee Reference / Job Fair / Walk-in / Employee’s Son / Daughter / Ex-Trainee (Summer / Project / In-Plant) / Temp. Staff.
Please mention the exact detail here: Naukri.com (For example, if you are referred by a Placement Consultant, please mention the
name of the Firm / Agency).

Please explain in brief why you consider yourself suitable for the position applied for ?
a) I have experience in Kaizen, TPM and ISO standards

b) I can Manage and Motivate people

c) I am always willing to take initiative

Which functional area do you prefer? Production, Design, QC, Service and Maintenace
(List in order of preference. E.g. Sales, Service, Production, Quality Control, Design, Maintenance etc)

Are you planning for higher studies ? If yes, please specify _______No________________________________

Weekly off day(s) in your present employment : Sunday

Have you been previously tested / interviewed by us ? If yes, state when & for what post ? Yes / No
______________________________No___________________________________________
How soon would you be able to take up the new appointment, if selected ? __________one month_____________

DECLARATION

I declare that the foregoing information is correct and complete to the best of my knowledge and belief and nothing has been concealed.
I accept that the statement made by me and the information supplied by me shall form the basis of my employment / traineeship with
the Company. If at any point in time in future, I am found to have concealed any material information or given false details against any
of the above particulars, my appointment / traineeship shall be liable to summary termination without notice or payment in lieu of
notice.

Date : 19/11/2018 _________________________

Place : _____Bengaluru___________ (Signature of the Applicant)

Note:

1. If appointed, you are liable to be posted and/or transferred to any of the Company’s Establishments
within the Territories of India.

2. All appointments are subject to the candidate being declared medically fit by the Company’s Medical
Officer or a Medical Practitioner of Company’s choice. The Management’s decision in this regard is final.

(For office use only)

GI Raw ________ GI Stanine _________ MC Raw _______ MC Stanine ________ Written English: __________

Date of Test: ___________________ Conducted by: _______________________ Signature: ____________________

Special approval (if any) by Head - HR _______________________________________________________________