EMPLOYMENT APPLICATION FORM

L&T HYDROCARBON ENGINEERING

ALL FIELDS TO BE FILLED IN BY THE APPLICANT CLEARLY AND COMPLETELY

ADVERTISEMENT REF
POST APPLIED FOR (if applicable)

PHOTO TO BE PASTED
PERSONAL INFORMATION (copy it from MS-Word)
(FIRST NAME) (MIDDLE NAME) (SURNAME)

PRESENT HOME / MAILING ADDRESS / ADDRESS FOR COMMUNICATION

CITY PIN CODE NATIVE STATE

BIRTH DATE AGE (YEARS) GENDER

TEL NO. (WITH STD CODE) PAN CARD NO. UAN

AADHAAR CARD NUMBER MOBILE NO.

PASSPORT NUMBER EMAIL ID

PERMANENT HOME ADDRESS

LANGUAGES SPEAK READ WRITE

LANGAGUES KNOWN

DATE OF BIRTTH
NAME (DD-MM-YYYY) RELATIONSHIP OCCUPATION

FAMILY DETAILS
(INCLUDING PARENTS,
SPOUSE, CHILDREN AND
ANY OTHER DEPENDENTS)

# Sensitivity: LNT Construction Internal Use

 EDUCATION DETAILS

TYPE OF YEAR OF YEAR OF TOTAL SCHOOL / COLLEGE/ NAME OF GRADE / DEGREE / DIPLOMA CERTIFICATE
EXAMINATION PASSED SPECIALISATION
COURSE STARTING PASSING BACKLOGS INSTITUTION UNIVERSITY PERCENTAGE AWARDED

10th Std. / SSC

INTERMEDIATE/ 12th Std. / HSC

DIPLOMA

GRADUATION DEGREE

ADDITIONAL
QUALIFICATION/MASTERS

PROFESSIONAL QUALIFICATION

PLEASE EXPLAIN GAPS IN

EDUCATION, IF ANY:

MEMBERSHIP OF PROFESSIONAL INSTITUTE DURATION OF MEMBERSHIP

NAME OF INSTITUTE TYPE OF MEMBERSHIP AND POSITION HELD FROM TO

# Sensitivity: LNT Construction Internal Use

 WORK EXPERIENCE DETAILS (IN UNBROKEN CHRONOLOGICAL ORDER STARTING FROM YOU FIRST EMPLOYMENT TO YOUR PRESENT EMPLOYMENT)
Please account for all periods of time NOT COVERED by education/ training. Candidate to ensure that all relevant documents pertaining to his/her professional experience would be made
available if selected including relieving letter, appointment letters, service certificates, salary slips etc.

PLEASE EXPLAIN GAPS IN EMPLOYMENT,

IF ANY:

No. Employer's Name Duration Position Key Performance Indicators (give brief description) Gross CTC p.a.
FROM AT JOINING
Employer's Name Last Position Held/
Designation
1
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

2
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

3
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

4
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

5
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

6
LAST DRAWN

TOTAL DURATION Years Mths

# Sensitivity: LNT Construction Internal Use

 No. Employer's Name Duration Position Key Performance Indicators (give brief description) Gross CTC p.a.
FROM AT JOINING

7
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

8
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

9
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

10
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

11
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

12
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

13
TO LAST DRAWN

TOTAL DURATION Years Mths

# Sensitivity: LNT Construction Internal Use

 No. Employer's Name Duration Position Key Performance Indicators (give brief description) Gross CTC p.a.
FROM AT JOINING

14
TO LAST DRAWN

TOTAL DURATION Years Mths

# Sensitivity: LNT Construction Internal Use

 Draw in the brief organization structure of the Company where you are presently employed indicating two levels above you and one
your position. (Please also indicate the total number of persons under you).

SIGNIFICANT ACHIEVEMENTS
Describe your most significant achievement in detail - what was the situation, what were the challenges faced, how you overcame th
challenges.

Height (cms) Weight (kgs) Power of Identification

Glasses mark
HEALTH INFORMATION

CRIMINAL RECORDS Have you been involved in any criminal proceedings/ convicted of any offence?
If yes, please give details:

HAVE YOU EVER BEEN INTERVIEWED BY ANY OF THE L&T GROUP OF COMPANIES?
DATE/YEAR POSITION COMPANY

If yes, please give details:

ARE YOU ENGAGED IN ANY PERSONAL BUSINESS?

DO YOU HAVE ANY CONTRACT IF SELECTED, WHEN

/ BOND WITH YOUR PRESENT CAN YOU JOIN?
EMPLOYER?

PLEASE PROVIDE DETAILS OF TWO PROFESSIONAL REFERENCES (NOT RELATIVES) WHOM YOU HAVE WORKED WITH.
NAME NAME
ORGANIZATION ORGANIZATION
DESIGNATION DESIGNATION
EMAIL ID EMAIL ID
MOBILE NUMBER MOBILE NUMBER
DECLARATION UNDER SECTION 314 OF COMPANIES ACT, AS AMENDED IN 1974
( Delete whichever is not applicable )
I hereby declare that I am not connected with any of the Directors of the Company
as his partner or his relative as defined under Section 6 of the Companies Act, 1956.
OR
I hereby declare that I am a partner or relative of Mr./ Ms. …………………………………………………,
a Directory of the Company as………………………………………..

I hereby declare that the information given above is true to the best of my knowledge. I am aware that any false or incorrect inform
may result in termination of my services with the Company.
I have no objection to your inquiring from any of my previous employers on any matters pertaining to me, if I join your Com

# Sensitivity: LNT Construction Internal Use

 APPLICANT NAME: Print Full Name PLACE:
DATE:
SIGNATURE:

# Sensitivity: LNT Construction Internal Use

e you are presently employed indicating two levels above you and one level below
ns under you).

as the situation, what were the challenges faced, how you overcame those

Physical Disability
if any

COMPANY

S (NOT RELATIVES) WHOM YOU HAVE WORKED WITH.

ON 314 OF COMPANIES ACT, AS AMENDED IN 1974

e whichever is not applicable )
ors of the Company
e as defined under Section 6 of the Companies Act, 1956.
OR
er or relative of Mr./ Ms. …………………………………………………,
e Company as………………………………………..

the best of my knowledge. I am aware that any false or incorrect information by me

ination of my services with the Company.
previous employers on any matters pertaining to me, if I join your Company.

# Sensitivity: LNT Construction Internal Use

# Sensitivity: LNT Construction Internal Use