Manipal Dot Net Pvt. Ltd.

Application for Employment at MDN

Please fill in the following fields.

Personal Details

Job code

Full Name

Date of birth:

Gender

Male Female

Aadhaar Number

PAN

Do you smoke?

Yes No

Do you consume alcohol?

Yes No

Are you under any medication?

Yes No

If Yes, please furnish details:

Academic information (please tick appropriate one and fill necessary fields)

Add PhD Details

PhD Specialization/Thesis Title

College and University

Thesis Abstract and Details:

Date of Completion:

Add Masters degree Details

Master's Degree(ME/MTech/MS/MCA etc)

Specialization(Micro Electronics, Computers etc)

College and University

Aggregate % Marks(All Semesters/years)

Date of Completion:

Thesis Abstract and Details:

Add Bachelor degree Details

Bachelor's Degree(BE/BTech/BCA etc)

Specialization(Electronics, Computers etc)

College/University

Aggregate % Marks(All Semesters/years)

Date of Completion:

Project Abstract and Details:

Add Diploma course details

Diploma in Engineering

Specialization(Electronics, Computers etc)

Board, College/University

Aggregate % Marks(All Semesters/years)

Date of Completion:

Project Abstract and Details:

PUC or 12th standard

Optional II subjects (PCMB/PCMC/PCME etc)

Board, School and Place

% Marks

Date of completion:

SSLC or 10th standard

Board, School and Place

% Marks

Date of completion:

Has there been any break in education?

Yes No

If Yes, please furnish details:

Communication details

Present/Communication address

Permanent address

E-mail ID

Phone number

Mobile number

Skills

At what speed can you type (in WPM)

Are you capable of performing soldering tasks

Yes No

Programming Skills:

Hardware Design Skills:

Have you indulged in software piracy?

Yes No

If Yes, please furnish details:

Experience Details (Reverse Chronological order)

Designation at current employer:

Where(company name):

Gross salary per month(Rs):(produce latest salary slip at the time of interview)

From:

To:

Important projects and your roles/responsibilities:

Designation at previous employer 1:

Where(company name):

Gross salary per month(Rs):

From:

To:

Important projects and your roles/responsibilities:

Designation at previous employer 2:

Where(company name):

Gross salary per month(Rs):

From:

To:

Important projects and your roles/responsibilities:

Has there been any break in employment?

Yes No

If Yes, please furnish details:

Family Particulars

Father's Name:

Employment Details:

Annual Income(approx.):

Mother's Name:

Employment Details:

Annual Income(approx.):

Spouse's Name:

Employment Details:

Annual Income(approx.):

Reference Particulars

Reference 1: (Must be your reporting authority/professor in previous organization)

Name

Designation:

Email:

Mobile:

Address:

Reference 2: (Preferably from Udupi/Mangalore OR your colleague/professor in previous organization)

Name

Designation:

Email:

Mobile:

Address:

Earliest available date:

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