CANDIDATE INFORMATION FORM Fill up the form in Capital Block Letters only. foe 18 [4 Jolt [2 Jo [2 [5 | Position Applied for AREA SALES MANAGER. mobile | 9 1B E14 a [6 [2 |S |S Fullname | SAN ANU BISWAS Permanent Address O2/B. Bec unram = Do= CHATTERSEE RowD LQPHALA. KOLKATA wy [+] olo [ols [& [rn pralllD Samlaunayonéses O94 wail. Com Date ofairth [OB{ail1974 Ace | BB Marital status | WA RRIED Sex MALE | Religion | 4/A/D.0)| Spouse KPANA DASH UPTABISW AS | Nationality LAN | Native |py+ £3 _| children AYON B13 w AS L Family Details Father Lobe Kiaaevoka MATH 19/5 I pcupation Dos Mother TAPAS WT (Bis wAs | occupation |onBersa | 008 [12}esltass~ Brother ~ Sister - No. Name Relation | Age | Occupation Note 1 YRaGanr (Arisecrs Sibree 5H A / 2 APPA ArSwhS Boothar/ US Leevice | | House is Rented or Owned by you? OWNED ‘Academic Records (SSC / HSC Examination onwards) Name ofCourse | institution /Unversty | eM | vic, | specpftaton es SESSIRAEN |W BOSE 1993 STAIRD WB.CHSE 1995 1995" _|FASS KADLATION | wivekSity Baran!99S 199% PASS = | | Extra-Curricular ActivitiesBQN ae ‘YOUR EMPLOYMENT CARD ake a Please mention all your activities, starting with your current employment/profession Period of Empl nt ma . Of | le | You were Cseotncrttenntin | fom | to | “ane” | Sateen | "emtet |rorie | Sieve | tent LANA (Fee Dey [souy-202y RST) EN Raed PEOPLE TY MOO aonpany CKANGRKADESORS 9.2099 Wov-2675 BR BR, EAST BLS/NESS APEOPLE |W. 977189, 080 Se pERTOWITY ie Neat 1DECH2019 | prl-262 |R.S91 EAST BUSINESS 645%) &.O. 63. 090 i 4 IRICHFESE WEALTH [RicREEESEBE TH S pet-D0l4 [ger-2019 Ram [EAST GUSINESS |B PLOPLE | ).0,0 BY,080 | 4 eee Ds ae Lap|Now2010 ject 2017 IAG PAST (BUSINES |/2 PEOPLE 8 0) YS, 080} 4 VERO rap lone norlipnsry \HE ices [BPEOPER. SPQ. Quel u _ [BTRLE P22 pee-202/ So | KOLKATA (Se Rar \B, ote: F pala ry ORO FEB-ROP. SR ee — [nati |igovel |r REK FORE rrp NoveIMG DR IMG SR BES wees | — (ARTA BOOl| 1 Details of Research / Project Work : an =Mother Tongue : Languages known Speak Read Write 1 BEwbal) nz = ee 2 ENGLISH a aa ae 3 WIND) ae Nee 4 Details of Membership of any Professional / Academic Institution : -NA- Brief Records of Extra Curricular Activities / Publication, if any : — MA | Service Agreement, if any, with current employer, please specify period : —NA- Have you ever been to abroad? if yes, please mention country visits / purpose / period | Ali ne, Ci Have your any relatives worked / working with this company or interviewed before? Give details: —NAH !f wearing Glasses, state the number using: xv — Ambition ofyourie: Be a 66> HERSONV Reason for applying to this company : BE TTERM ENT Membership of PF/EPF/ESIC/NPS, if yes, please provide A/c No. —-— ~v A —BON Your Salary Expectation (with Perquisites) CTC 1 Lacs PA. State ultimate Notice Period for Joining J References — other than relatives Full Name Occupation | Postal Address with Mobile No. | Years known | . Ener y Qrevick | ISSNSeSS\ 21 YEARS Mk. GOD/P BYRDLR} Coulee GB39I8BKIBY 22 EK |, the undersigned- sole discretion. Date: Qulor Qo25- solemnly declare that all the particulars furnished in this form is true and correct to the best of my knowledge and belief. | clearly understand that any misstatement of fact contained herein or willful concealment of any material fact will render me liable to appropriate actions including summary dismissal as may be decided by the company at its piace: MOI ATA Souls, Or Signature of Candidate POR CORES CE USE O8 CY ‘Assessment of interviewing Panel Details to be filled up by company official Date of Interview tb tL Remarks from the HOD Date of Joining L i Designation Department Ha. Covering Area Concern Manager Salary (CTC) per Month To be enrolled on the roll crc Basic + Perks Date: Signature of HODBON For our record we shall require copy of following documents. Sr. No. | Uist of Documents Required 1 Recent Passport Sized Photograph-2 Nos. Photo Identity Proof (any of the following ) a. PAN Card (It is Must) 'b. Voter's ID Card c. Driving License d. Passport Residence Proof (any of the following ) a. Aadhar Card (It is Must) b. Telephone Bill c._Ration Card For Payment Disbursement (any of the following) a. One Cancelled Check Copy b. Pass Book Copy Educational Qualification Certificates (From SSC to Latest) Document related to Previous Employment a. Latest 3 Salary Slip b. Resignation Later - duly accepted by the company’s authority ©. No Due Certificates d. Offer Letter, Reliving Letter e. Experience Certificates | Any other document(s) which can enrich your master data file Administration Department