L & T CONSTRUCTION

P.O.Box: 979, Chennai - 600 089.

Employment Application Form For Trainees
Position applied for

: Graduate Engineer Trainee

Discipline

: ELECTRICAL

Reference No

: 2017145110019

PERSONAL DETAILS
Name in Full

DILIP KUMAR BHARTHI

Present Address - Valid Until

Permanent Address

ROOM NO.31,BH1 ,SRHC HOSPITAL, NARELA, DELHI.

2/53 NIRANJANPURI RAMGHAT ROAD, ALIGARH, UTTAR PRADESH

dilip.bharti@nitdelhi.ac.in

Email ID

Phone No.

Mobile No.

8979266912

Sex

Date of Birth

Marital Status

Nationality

Category

Male

20 Jun 1994

UnMarried

INDIAN

SC

Passport Number

Name as in Passpost

Date of Issue

Languages Known

Mother Tongue

Valid Upto

Place of Issue

HINDI

Countries valid for

ENGLISH

Most Serious Recent Illness

Power of Eye glass

Profession as in Passport

No. of Days Ill

Left Eye

Nature of Illness

Physical Disability (if any)

Right Eye

Height (cms)

175

Weight (kg)

70

EDUCATIONAL DETAILS
NATIONAL INSTITUTE OF TECHNOLOGY, DELHI - DELHI

Name of the Institute

Name of the Degree / Diploma with
Specialisation

B.TECH

Name of Post. Graduation

with Specialisation

Exams Passed

Marks

Year of Pass

Name of the Institute

Scholastic Achievements
(Distinctions / Awards /
Scholarships)

201106

ALIGARH PUBLIC SCHOOL

ALIGARH

GOT SCHOLARSHIP

201305

ST.FIDELIS SR. SEC. SCHOOL

ALIGARH

GOT AWARD FOR TOP ONE IN

THE SCHOOL

Scored

Maximum

89

100

1st Yr.

91

100

2nd Yr.

95

100

1st Yr.

73

100

2nd Yr.

72

100

3rd Yr.

72

100

SSC or Equivalent
Intermediate or Equivalent

Degree or Diploma

4th Yr.
Average of the Diploma / Degree
marks (in percentage)
P.G. Degree / P.G. Diploma

1st Yr.
2nd Yr.

Average of the P.G. marks (in

percentage)

NATIONAL INSTITUTE OF
TECHNOLOGY, DELHI

72

NA

Title of the project work submitted for Degree / Diploma

Title of the project work submitted for Post Graduation / Post
Diploma

NO IAM NOT INTERESTED IN HIGHER STUDY

What are your future plans regarding higher studies?

FAMILY DETAILS
Name of your family members

DOB

Relationship

Occupation

GENERAL DETAILS
Extra curricular activitiesPlease give details about extra -curricular activity with Nature (E.g - Sports, Music, Dance, Drama, positions of responsibility, Social services,
Others), Level (E.g. International, National, State, District, School level, Others ) and Year (Last 10 years)

SPORTS MAINLY CRICKET AND FOOTBALL AT SCHOOL LEVEL

Relatives / Acquiaintences in L & T group of companies

Name

Relationship

Position

Company

Faculty Reference

DR. KAPIL KUMAR

TRAINING AND PLACEMENT OFFICER,
NATIONAL INSTITUTE OF TECHNOLOGY DELHI ,
NARELA, DELHI-110040

DR. TIRUPATHIRAJU KANUMURI

ASSISTANT PROFESSOR AND HEAD
DEPARTMENT OF ELECTRICAL & ELECTRONICS
NATIONAL INSTITUTE OF TECHNOLOGY DELHI ,
NARELA, DELHI-110040

Declaration :
I hereby declare that I am not connected with any director of the company as his partner or his relative as detailed as under section 6 of companies act 1956.
I hereby affirm that my answers to the foregoing questions are true and correct and I understand and agree that misrepresentation or omission of facts called for in
this application or other company records shall automatically resigned the contract of employment. I authorize inquiry with regard to my character, ability and habits
to any and all persons and agree to hold such persons harmless with respect to any information that may give.

Signature of Candidate

Signature of HR Representative