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Godrej & Boyce Mfg. Co. Ltd.

APPLICATION FORM

POST APPLIED FOR: ASST MANAGER PROJECT MANAGEMENT__

FULL NAME: Mr. / Ms. MISTRY VIPULKUMAR RAMESHBHAI

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

B2-502 Maruti Avenue , Sunpharma Road 104, Rajput Street , Utran

Vadodara Surat
Gujarat Gujarat
Mobile No.:9638688981
E-mail ID- [email protected] Phone: 9638688981

DATE OF BIRTH: 11/ 11/ 1984 PLACE OF BIRTH: SURAT NATIONALITY: INDIAN

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

Have you been vaccinated for COVID-19? Yes No

If yes, please mention the no. of doses: 1st Dose 2nd Dose Booster Dose – ALL dose taken

Name & Date of latest dose of vaccination: Co Vaccine__________________________________________________

LANGUAGES KNOWN: (Communication Skills)

Languages Speak Read Write

ENGLISH YES YES YES
HINDI YES YES YES
GUJARATI YES YES YES

EDUCATIONAL QUALIFICATION:

Qualification Full-time / Duration of Course Month & Name & Location of Class /Grade &
(Starting from Part-time From To Year of School/College/University/Board Percentage
SSC) or MM/YY MM/YY Passing (City & State) of marks
With Correspon
specialization if dence.
any.
SSC Full time - - March2000 K & M PPSVA 83% Dist.

HSC Full time - - March2002 EVM 49% Sec.

DME Full time - - Dec.2005 Technical Examination Board 78% Dist.

Full time - - July 2008 Government Engineering college 69% Dist.

BE (Mechanical)
MBA(Ops.Mgt) Dist.Learn - - Dec 2013 IGNOU 61% First.

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

No Break______________________________________________________________________________________________
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KNOWLEDGE OF COMPUTERS: MS Office, Primavera p6 Expert, Power BI and Microsoft Project Expert

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

Period
Annual Reasons
From To Experience Name & Location of Designation and
Cost to for
(DD/ (DD/MM/ (In months) Employer / Self Employment Nature of Work
Company Leaving
MM/YY) YY)
Sept Jan 28 Months H.L. equipment’s Planner 15000/- Salary Growth
2008 2011 PM

Feb. Sept. 18 Months Oriental Manufacturer Pvt. Ltd. Senior Planning 24000/- Knowledge and
2011 2013 Engineer PM Salary Growth

Oct Continu 124 Jord International Pvt. Ltd. Lead Planner 147708/- Knowledge and
2013 e Months Salary Growth

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

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

Monthly Benefits 110156 Annual Benefits 1500

Basic Salary Leave Travel Allowance (LTA)

House Rent Allowance 0 Mediclaim / Hospitalization Insurance
(Coverage Amount Rs.)
Medical Expense Reimbursement 0 Any Other –Vehicle allowance 1800
Education Allowance 200
Lunch / Canteen 0 TOTAL (B): 3300
Conveyance Allowance 0
Telephone Expense Reimbursement Terminal Benefits
Other Allowances: a) Provident Fund 13219
b) Gratuity
c) Superannuation
d) Any Other - Bonus 20833
TOTAL (A): 110356 TOTAL (C): 47273

Cost to Company (p.a.): (A + B + C) X 12  Rs. 17,72,496________ /- PAN Card No.: _AVWPM3552G________________

AADHAR Card No.:

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

Name Division/Plant, Department & Location Relationship with

(Specify State & District) the applicant

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: __PATHFINDAR_______________________________________ (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) Hands on experience on workshop control _________________________________________________

b) 15 Plus experience on Primavera and Microsoft Project tools of project management ______________

c) Taken Professional Training of PMP________________________________________________________

Which functional area do you prefer? Project Control and Planning, Project Management
(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: Saturday + Sunday________________________________

Have you been previously tested / interviewed by us? If yes, state when & for what post? Yes / No
No _________________________________________________________________________

Are you covered under any Bond? No ______________________________________________________________

How soon would you be able to take up the new appointment, if selected? 1 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: 23/ 01 /2024 Vipul R Mistry

Place: Vadodara (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: _________

1-2-3 Raw ____________________ 1-2-3 Stanine ___________________________ 16 PF _____________________

Date of Test: ___________________ Mode of Test: _______________________ Testing Platform: ______________

Conducted by: __________________________________________________ Signature: ____________________

Special approval (if any) by Head - HR _______________________________________________________________