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:

Add PhD Details

Add Masters degree Details

Add Bachelor degree Details

Add Diploma course 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:

Present/Communication address  

Permanent address  

E-mail ID  

Phone number

Mobile number  

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:

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:

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 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:

Date you can start work if selected: 

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