AstraZeneca - India Human Resources Information System

PERSONAL DATA SHEET - SEPTEMBER 2006

(To be filled by the employee and returned to the Human Resources department at Avishkar, Bangalore)

Employee Name AJAY S/O UTTAMRAO AMBEKAR Employee No. 7123

Location JAIPUR Gender (M/F) M PAN No. AGIPA2282L

Designation AREA BUSINESS MANAGER Department Field Sales Band* 4B

Date of Joining* 12.12.2002 Probation Date* Confirmation Date*

RBM Name MR.MARK Zone WEST

ABM/ZBM Name MR. MARK HAYDON Cost Centre* NAGPUR

Present Address Permanent Address

177,SHRI GOPAL NAGAR, 23, RAMNAGAR

GOPALPURA BYEPASS ROAD HUNUMANGADH , NANDED 431 605 M.S.

JAIPUR 302 019

PH;0141 2501176

E-mail address (Official): ajay.ambekar@astrazeneca.com,auambekar@yahoo.com Email address (Personal):auambekar@yahoo.com

Date of Birth 15.06.1976 Blood Group B +VE

o
Place of Birth NANDED M.S. Marital Status MARRIED Date of Marriage

Contact person's Name, Address & Telephone number (In the event of Emergency)

SHRI.UDDAHAVRAO AMBEKAR

92-A, ASHIRWAD COLONY, NEAR WATERTANK

CIDCO NANDED 431 605 M.S.

PH:02462 226601

Details of Family members (Including dependant parents)

Name Relationship Date of Birth

01.MRS.AMRUTA AJAY AMBEKAR SPOUCE 25.06.1978

02.ANTARIKSH AJY AMBEKAR SON 03.02.2005

03.MRS.SHAKUNTALA UTTAMRAO AMBEKAR MOTHER NA

04.AVINASH UTTAMRAO AMBEKAR BROTHER 23.04.1984

05.ABHIJEET UTTAMRAO AMBEKAR BROTHER 23.04.1984

Educational Qualifications (Starting with the highest qualification upto X standard / School Leaving)

Name of the Institution University / Board Year of Passing Certificate / Degree / Diploma Specialisation

SCHOOL OF COMMERENCE & MGT. SCIENCE

SRTMU NANDED 2000 M.B.A. MARKETING

Y.B.CHAVAN COLLEGE OF PHARMACY DR. BAMU , AURANGABAD 1997 B.PHARMACY

SCIENCE COLLEGE ,NANDED AURANGABAD BOARD 1993 H.S.C. SCIENCE, MATHS

PRATIBHA NIKETAN HIGH SCHOOL,NANDED

AURANGABAD BOARD 1991 S.S.C.

Other certificate courses

Extra-curricular Activities / Hobbies READING,LISTENING MUSIC,

Languages Known Mother Tongue

Language Read Write Speak

ENGLISH Y Y Y
HINDI Y Y Y
MARATHI Y Y Y

AZPIL/HR/SSP/26112004/11816196.xls
Previous Experience Details (Starting with the latest before AstraZeneca)

Name of the Employer / Organisation Place Designation Start Date & Year End Date & Year

ZYDUS - ALIDAC( CADILA HEALTH CARE) PARBHANI M.S. BUSINESS OFFICER 19.08.97 26.03.2000

NOVARTIS INDIA LIMITED NANDED M.S. MED. REP. 27.03.2000 11.12.2002

ASTRA ZENECA AURANGABAD M.S. TBM MHC 13.12.2002 15.08.2006

ASTRA ZENECA JAIPUR RAJASTHAN ABM AZPIRE 16.08.2005 TILL DATE

Bank Account Particulars

Name of the Bank Branch Salary Account No. Salary credit

ICICI BANK Electronically/DD/Cheque (tick whichever

AURANGABAD M.S. 4401025961 is appropriate)

Nomination Details

Nominees Name Relationship

Provident Fund MRS. AMRUTA AJAY AMBEKAR SPOUCE
Gratuity MRS. AMRUTA AJAY AMBEKAR SPOUCE

Death Relief Fund MRS. AMRUTA AJAY AMBEKAR SPOUCE

Superannuation (not applicable for PSRs) MRS. AMRUTA AJAY AMBEKAR SPOUCE

AAmbekar

SIGNATURE OF EMPLOYEE DATE:

NOTE: For headings with * HR will complete the same as per details in employee records.

AZPIL/HR/SSP/26112004/11816196.xls
re)

23

IPA2282L

01.06.2003

ddress

o.com

24.04.2004

Age (In years)

28 YRS

1.5 YRS

56 YRS

23 YRS

23 YRS

Division / Grade

FIRST- 72.50 %

FIRST-62.40%

FIRST

FIRST

Speak

AZPIL/HR/SSP/26112004/11816196.xls
 Years of Service

2.6 YRS

2.8 YRS

2.7 YRS

1.1 YRS

Salary credit

ctronically/DD/Cheque (tick whichever

appropriate)

AZPIL/HR/SSP/26112004/11816196.xls