1

Recent
Godrej & Boyce Mfg. Co. Ltd. Photograph
(in
professional
APPLICATION FORM attire)

POST APPLIED FOR: Marketing/Sales Manager

FULL NAME : Mr. / Ms Chauhan Upendra

(Surname) (First Name) (Middle Name)

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

C-603, Jal-Vayu Vihar C-603, Jal-Vayu Vihar

Powai Powai
Mumbai Mumbai
Mobile No.:8898878830 Mobile No.:8898878830
E-mail ID: upendrachauhan79:gmail.com Phone (+91)-8898878830

DATE OF BIRTH : 05 /11 / 1979 PLACE OF BIRTH : Mumbai NATIONALITY : Indian

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

LANGUAGES KNOWN : ( Communication Skills )

Languages Speak Read Write

English Y Y Y
Hindi Y Y Y
French Y Y Y

EDUCATIONAL QUALIFICATION:

Examination Full-time / Duration of Course Month & Name & Location of Class /Grade
Passed Part-time From To Year of School/College/U’sity/Board &
or MM/YY MM/YY Passing (City & State) Percentage
Corres. of marks
Symbiosis Institute of Business
MBA (Marketing) Full Time 05/2008 05/2010 May-2010 3.1/4
Mgmt. (SIBM) - Pune
Delhi College of Engineering
B.E (Electrical Engg.) Full Time 05/1997 05/2001 May-2001 56.16%
(DCE) – Delhi University
SSC
Full time 03/96 03/97 March-1997 KV, New-Delhi, CBSE Board 60 %

HSC Full Time 03/94 03/95 March-1995 KV, New-Delhi, CBSE Board 70%

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

_____________________________________________________________________________________________________

KNOWLEDGE OF COMPUTERS: _____________________________________________________________________

Contd. ( 2 )
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WORK EXPERIENCE : (- Including practical training, if any.

- Please write in chronological order ending with present employment)

Period
Experience Reasons
From To Name & Location of Designation and Annual Cost to
( in for
(DD/MM/ (DD/MM/ Employer / Self Employment Nature of Work Company
months ) Leaving
YY ) YY)
05/2010 Present 4 9.9 Mediaworx Pvt. Ltd. Assistant Manager- 7.0 L/Annum
(Mumbai) Sales

09/2005 05/2007 21 JBM Group (Gurgaon, Haryana) Senior-Executive 3.5 L/A For
(IT Deptt.) pursuing
MBA
04/2004 04/2005 12 Flex Industries Ltd. Assistant Engineer 2.5 L/Annum Salary
Package
related
issues
04/2002 05/2004 13 Netlign Solutions (Europe) Ltd. Manager (Sales) 2500 Family
Pounds/Annum Problems

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

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

Monthly Benefits Annual Benefits

Basic Salary Leave Travel Allowance (LTA)

House Rent Allowance Mediclaim / Hospitalisation Insurance
( Coverage Amount Rs. __________)
Medical Expense Reimbursement Any Other
Education Allowance
Lunch / Canteen TOTAL ( B ) :
Conveyance Allowance
Telephone Expense Reimbursement Terminal Benefits
Other Allowances: a) Provident Fund
b) Gratuity
c) Superannuation
d) Any Other
TOTAL ( A ) : TOTAL ( C ) :

Cost to Company ( p.a.) : ( A + B + C ) X 12  Rs. ________________ /-

Expected Remuneration : Monthly Gross : Rs. _____________ Cost to Company ( p.a.) : Rs. ________________

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

Name Division/Plant, Department & Location Relationship with

(Specify State & District ) the applicant
 3
Contd… ( 3 )

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: ____________________________________________________ (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) ____________________________________________________________________________________

b) ____________________________________________________________________________________

c) ____________________________________________________________________________________

Which functional area do you prefer ? ________________________________________________________

( 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 _______________________________________

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

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

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 : ___/ ___/ ________ _________________________

Place : ________________ (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 _______________________________________________________________