THERMAX LIMITED CHINCHWAD, PUNE 411019, INDIA ٱTEL.: (020) 7475941 (10 LINES) FAX (020) 7472986
ENGINEER TRAINEE SCHEME PERSONAL DATA FORM Institute: Branch of study: Please fill this Personal Data Form completely as we value this in our selection process. PERSONAL PARTICULARS Name in capitals Sex
FIRST NAME Marital Date of status birth
M/F Nationality Height(cm.) Weight (kg.) Power of lens (if relevant)
Language known (indicate whether fluent, fair or poor, underline Blood Group mother tongue) Physical Disability / major illness Present Address [Till (indicate date) ]
SURNAME Age(yrs.) Language
Place of birth speak
read
write
Permanent Address Tel No.
Tel No.
E-mail: E-mail: Name Person to be contacted in Relationship emergency Tel No. Details of Family(parents / brothers / sisters / spouse / children) Age(yrs. Name Relationship Qualification )
Details of relatives working in the company Are you willing to work anywhere in India? Please indicate preferred locations with reasons for the choice.
Occupation / Designation
Resident of (location)
EDUCATIONAL RECORD (Starting with std. X & XII, Diploma / Degree year wise) Period Examination / Board / Main subjects / Institution Degree university specialization From To
% of Marks Grade / division.
PROJECTS UNDERTAKEN / VOCATIONAL TRAINING Title of project
Institute / Organization
Period From
To
Have you done any project work or assignment in Thermax as a student? PART – I PART – II Duration / Year Project Guide Evaluation Project name Project Guide (weeks) (Not to be filled by student)
SCHOLARSHIPS / AWARDS / NATIONAL TALENT SEARCH National State / University / Board
College / School
EXTRA CURRICULAR ACHIEVEMENTS Please mention only significant achievements in games, hobbies & organizational roles, indicating, the level e.g. national, state, university, institute etc. Activity
CAMPUS LIFE : Have been a boarder at School Or College
Level
Prize/Award
NO
If ‘Yes’ indicate your major learning from your life on campus
ACHIEVEMENTS :
Captainship/position
What do you regard as the most significant achievement in your life so far?
.
STRENGTH & LIMITATIONS What do you perceive as your major strength?
What have you identified as your limitations?
DEVELOMENT : How will you ensure your continuous learning and development?
INTEREST & PURSUITS :
What kind of activities you enjoy the most/ What satisfaction do you derive from them and how do you see these flourishing in your future?
Values And Beliefs : What are the beliefs and values that have guided your life so far and how do you see them influencing your future?
PROFILE : Reflects on one significant person, if any who has influenced your life so far. In what way? Also whether any author / book has influenced you.
READING : What kind of books do you usually read? Please mention something from a book you have recently read?
CURRICULUM INTEREST :
Which subject in your curriculum, are you deeply interested in and wish to keep in touch with?
EDUCATIONAL PLANS :
1. Do you have plans for Higher Education?
YES NO if ‘Yes’ please give details & indication what timeframe you have in mind for the same? (If you do not disclose these now and leave for higher studies during the training period you may be required to refund the stipend amount paid to you).
2. Have you already applied or intend to apply any institution for higher studies? YES If ‘Yes’ give details: NOTE: saying yes to any of the above does not rule out your selection into your training Scheme
CAREER PLANS : What are your career plans?
OTHER INFORMATION : Any information you would like to give. No the above mentioned information is complete reflection of
me. I certify that the foregoing information is correct to the best of my knowledge. I am aware that any false, distorted or incorrect information given me may result in termination of my training & subsequent advice with the company at any time, without any notice or compensation.
Date
Place
Signature