APPLICATION FORM
Position Applied For DAT
Source Applied FormDirect (Employee Referral/ Consultant/ Advertisement/
Direct)
Name: Mayank yadav
(First) (Middle) (Surname)
Father’s/ :
Ganesh Narayan yadav Spouse
Date of Birth : 4-11-2002 SEX: Male/ Female, Domicile State :
Rajasthan
Mobile No.: 9351579219Email ID:
[email protected]Correspondence Address: station road anta
Permanent Address:
Station road anta
Passport No.: NAPlace of Issue: Valid Upto :
What is you Nationality? Indian, Blood Group
Marital Status: Single Married Divorced Date of Marriage: No
Do you belong to: OBC
Are you physically Challenged: No Height_________ Weight______
Have you been tried / convicted by a court of law in India or abroad? Yes / No
Family Member Information: (Parents, Spouse, Sibling, Children)
Sr
Na Relations A Occupation
.
me g
N
e
o.
1 Ganesh Narayan yadav Father 51 Driver
2 Avdesh yadav Mother 45 House wife
3 Anurag yadav Brother 22 Student
4
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5
6
7
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EDUCATIONAL QUALIFICATIONS: (Start with your latest qualification on top up to SSC)
Full Dates
Sr Qualificati Specializat Name Board Resu
/ Fro T
. of / lt
ons ion Par m o
N Institut Universi (%)
o. t
ion ty
Tim
e
1 10th All Gvn school Full RBSE 2017 2018 86.50
2 12th Mathematics Govt school Full RBSE 2019 2020 79%
3 Diploma Electrical GPC kota Full BTER 2020 2023 92.6%
4
5
6
Please specify reason for any interruption in education:
Language Skills
Sr.
No. Language Re Wri Spe
ad te ak
1 English Yes Yes Yes
2 Hindi Yes Yes Yes
3 Gujarati
4 Japanese
5 Others If any
Computer Knowledge:
Excellent Very Good Go Need Improvement
od
Yes
Streng Areas of Improvement
th
.punctual .
. Dedicated .
. leadership .
HR-301/01.Rev01
Why do you want to join Suzuki Motor Gujarat Pvt. Ltd.? _ _______________due to my
poor financial condition_____________
In what way can you contribute to Suzuki Motor Gujarat? _________________________my
knowledge, hard working, Dedication_____
Have you been ever interview in any of Suzuki Group companies?
No
Details of any Major Accident/ Illness/ Operations? No
Are you engaged in Personal business? If yes mention nature of Business
No
Do you know anyone in Suzuki Group companies? No
Are you willing to relocate to Mehsana Gujarat? No
Are you open to being transferred anywhere in India or Abroad?
Yes
Are you willing to work in shifts? Yes
Professional Reference (Same as BGV) (Should Not be colleague, Relatives and Junior)
Reference - 1 Reference - 2
No
Name
No
Company
Designation
Since When you
HR-301/01.Rev01
know
Phone Number
Email ID
HR-301/01.Rev01
I hereby declare & certify that I am interested in working with SUZUKI MOTOR GUJARAT PVT.LTD. for
which I am furnishing the above information which is correct and completely true to my knowledge. I
understand that if I am found at any time to have concealed or misrepresented any materials/ facts or
information against any of the above particulars, my appointment in the company shall be liable to
summary termination without notice.
I hereby authorized Suzuki Motors Gujarat Pvt. Ltd. Or any third party appointed by the company to
carry out Background Checks not restricted to Education, Employment, Criminal & Address Verification
as deemed appropriate through this selection procedure.
Place : Date : Signature : mayank yadav
Kota
Signature :
HR-301/01.Rev01
