Particulars to be submitted for selection process for Redington India Limited and or for their subsidiaries: Please note

to fill all the particulars without fail. In case any of the item is not applicable please indicate NA Full Name: of inter!iew" #$%chool Name: Permanent Residential Address : with telephone number and pin code" Age:_______yrs_____month as on the date

Name

Relationshi p Father +other #rother , #rother %ister , %ister -

&ccupation' (ob details

)esignation

Place of wor*

+onthly income in Rs.

Place of domicile: .hether you ha!e own house in the place of domicile or elsewhere: &ther immo!able properties if any: /otal +onthly income of the family from all the sources: in Rs &ut of which income of Father &ut of which income of +other &ut of which #rothers if residing with Parents" &ut of which #rothers if residing with Parents" &ther income Rent etc.0"

Full Name: 1ualification details: 2 of mar*s 6 th ,-th )egree________ +#A &thers $ &thers $ No of attempts 3ni!ersity'4ollege

#$%chool Name:

5ear of passing

%pecialisation

Pro7ect )etails: Name of the pro7ect Period Name of the company

.hether you ha!e ta*en any education loan8 If yes pro!ide the following details For .hich 4ourse$ 4ourse name Amount of Loan Rs. Repayment to start from the month of 9+I Rs.

)o you own -': wheeler8 59%' N& )o you ha!e dri!ing license: : .heeler' - .heeler8 )id ')o you ha!e health problems' physical ailments' limitations for mo!ement' tra!el including any surgeries underwent in the past"

%tate your constraints if any for placement PAN IN)IA8

;a!e you understood the 7ob role and specification clearly8 Are you clear about the compensation pac*age8 Are you able to spea* ;indi8 If not how will you manage if posted to ;indi <eography8 ' .hen will you be proficient in ;indi8

Full Name: : Pre!ious e=perience if any Name of the organi>ation (ob Role' function 4/4 Rs in la*hs per annum"

#$%chool Name:

Period From$/o"

Reasons for lea!ing

What is your weakness and how you will you address?

/hough the posting shall be at the sole discretion of the company0 gi!en a choice0 where you would li*e to be placed8 Please note that by gi!ing an opportunity to e=press your choice0 we do not assure the placement in your place of choice and you may still be posted in any of company?s subsidiaries' locations in India8 Indicate in the order of preference0 four places" ,. -. @. :. I hereby confirm that I ha!e clearly understood the 7ob role' responsibilities and if selected I agree' understand the following: ,. I will ser!e Redington India Limited for a minimum period of - years and submit a suitable underta*ing as demanded by the 4ompany as well as to the 4ollege authorities. -. In case of default on my part to fulfill the minimum ser!ice of - years0 I am aware that I am liable to pay to the company upfront the following amounts: 4ost of training and other induction cost and the cost of my salary during the probation period I will surrender all the original education certificates' mar* lists and I am aware that these will be returned by the 4ompany only after the e=piry of - years I will also pro!ide a security cheAue for Rs.-BCDDD'$ towards the conditions of the two years bond.

I also underta*e not to withdraw my candidature from the selection process.

Name: Place:

%ignature: )ate: