Flatworld Solutions Private Limited

CANDIDATE DECLARATION FORM

Note: Please fill complete and correct information in the below

table.

Please fill this form in Capital letters and do not use

Photo
Abbreviations.

Attach all the necessary Education, Employment and

Address proof documents.

PERSONAL INFORMATION
Full Name LEENA SWARNAKER
Fathers Name DP SWARNAKER D.O.B __25__/10_/_1984_______
Marital Status Single Married Sex Male Female
Divorcee
Current Address FLAT A008, BM Permanent FLAT A008, BM
MARVEL APT, Address MARVEL APT,
NALLURHALLI, NALLURHALLI,
WHITEFIELD, WHITEFIELD,
BANGALORE – 560066 BANGALORE - 560066
Door No A008 Door No A008
Floor GROUND FLOOR Floor GROUND FLOOR
Cross Cross
Street NALLURHALLI Street NALLURHALLI
Area WHITEFIELD Area WHITEFIELD
City BANGALORE City BANGALORE
Pin code 560066 Pin code 560066
State KARNATAKA State KARNATAKA
Nearest DNA APARTMENT Nearest DNA DEPARTMENT
Landmark Landmark
Landline No. Landline No.
Mobile No 8971866339 Alternate 8971866339
Mobile No
Staying Since 2017 Staying Since 2017
Nature Of Own Nature Of Own
Residence Residence

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 Emergency Contacts

Emergency Contact 1 Emergency Contact 2

Name VIKAS KUMAR Name

Relationship HUSBAND Relationship

Contact No. 9916099160 Contact No.

References With Contact No.

Professional Reference 1 Professional Reference 2

Name: Balakrishnan Name

Relationship Relationship
Colleague
Contact No. Contact No.
8971994027
Mail ID Mail ID
[email protected]

Educational Details

Please attach copy of the educational certificate (Convocation / Provisional / All Marks card)
College Name MOUNT CARMEL Registration No.
INSTITUTE OF
MANAGEMENT
Address Course / Branch
University Course Duration
Result Year of Passing

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 Employment Details

(Please attach copy of Relieving Letter, Service Certificate & Pay Slip)
Employment 1
Company RURALSHORES BUSINESS Employee ID RS14317
Name SERVICES
Address Period of 11-12-2019
#135/2, Maruthi Industrial Employment – Till Date
Estate, ITPL Road, Beside (DD/MM/YEAR)
Hotel Zuri, Hoodi, Bengaluru,
Karnataka 560048
City 560048 Designation LEAD-HR
(postal code)
State KARNATAKA Remuneration 372000 lpa
Contact No. 1 Reported to ABHINANDA BL
Contact No. 2 Reported Person SENIOR
Designation MANAGER, HR
Reason for Better growth prospect
Leaving
Additional information (If any):

Employment 2
Company Employee ID
Name
SPRINGPEO
PLE PVT.
LTD.
Address Period of
Employment
(DD/MM/YEAR):
11-May-2016 till
12-April-2017
City (postal Designation: Lead
code) Trainer
Engagement
State Remuneration
550000 INR
Contact No. 1 Reported to:

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 Peeush Bajpai
Contact No. 2 Reported Person
Designation: CEO
Reason for Marriage & personal reason
Leaving
Additional information (If any):

LETTER OF AUTHORIZATION:

I hereby declare that all the information provided in my resume and the Candidate Declaration
Form are true and complete and I am liable for all inaccuracies and omissions.

I authorize _FLATWORLD and its representatives to verify the details provided by me and I
release all concerned from any liability on account of such disclosures.

I promise to extend total co-operation and provide relevant documents required.

Signature :

Full name : LEENA SWARNAKER

Date : 14-JULY-2021

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