L & T CONSTRUCTION

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

Employment Application Form For Trainees
Position applied for : Graduate Engineer Trainee
Discipline : MECHANICAL
Reference No : 2019173610026

PERSONAL DETAILS
Name in Full YASH PATEL

Present Address - Valid Until Permanent Address

E-425, IIT GANDHINAGAR, PALAJ, GANDHINAGAR, GANDHINAGAR, MISTRY MAHLLOW, DAMKA, SURAT, SURAT, GUJARAT
GUJARAT.
Email ID Yash.patel@iitgn.ac.in Phone No. Mobile No. 9586693918

Sex Date of Birth Marital Status Nationality Category

Male 19 Jun 1996 UnMarried INDIAN GOC
Passport Number Name as in Passpost Profession as in Passport
r4607838 YASH PATEL STUDENT
Date of Issue Valid Upto Place of Issue Countries valid for
10-12-2017 11-10-2027 AHMEDABAD

Languages Known Mother Tongue R W S R W S R W S

GUJARATI ENGLISH HINDI

Most Serious Recent Illness No. of Days Ill Nature of Illness

NA 0 NA

Power of Eye glass Left Eye -3.75 Physical Disability (if any) Height (cms) 181
Right Eye -3.5 Weight (kg) 57

EDUCATIONAL DETAILS
Name of the Institute IIT GANDHINAGAR - GANDHINAGAR

Name of the Degree / Diploma with B.TECH Name of Post. Graduation --SELECT--
Specialisation with Specialisation
Scholastic Achievements
Exams Passed Marks Year of Pass Name of the Institute (Distinctions / Awards /
Scholarships)
Scored Maximum

SSC or Equivalent 95 95 201206 DELHI INTERNATIONAL SCHOOL

Intermediate or Equivalent 1st Yr.

2nd Yr. 92 100 201406 DELHI INTERNATIONAL SCHOOL

Degree or Diploma 1st Yr.

2nd Yr.

3rd Yr.

4th Yr. IIT GANDHINAGAR

Average of the Diploma / Degree
marks (in percentage) 82
P.G. Degree / P.G. Diploma 1st Yr.

2nd Yr.
Average of the P.G. marks (in
percentage)
 NONE
Title of the project work submitted for Degree / Diploma

Title of the project work submitted for Post Graduation / Post

Diploma
I DONT HAVE ANY PLANS FOR THE HIGHER STUDIES
What are your future plans regarding higher studies?

FAMILY DETAILS

Name of your family members DOB Relationship Occupation

VIJAY PATEL 01-10-1968 FATHER JOB

ARUNABEN PATEL 16-01-1976 MOTHER HOUSEWIFE

GENERAL DETAILS
Extra curricular activities͟Please 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: SPORTS SECRETARY, IIT GANDHINAGAR, REPRESENTED IIT GANDHINAGAR IN VARIOUS TOURNAMENT IN THE SPORT OF FOOTBALL.

Relatives / Acquiaintences in L & T group of companies

Name Relationship Position Company

Faculty Reference

DINESH PARMAR, SPORTS OFFICER, STUDENT AFFAIR OFFICE, IIT GANDHINAGAR SAUMIL SHAH, SR. EXECUTIVE OFFICER-CDS, IIT GANDHINAGAR

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