GOODYEAR EMPLOYEE DATA FORM
(To be filled in block letters & in legible handwriting) Affix your passport
size photograph here
JOINING DETAILS
19 SEPTEMBER 2024
DATE OF JOINING :_________________________ DESIGNATION :_________________________
SAP MES GLOBAL DEVELOPER
DEPARTMENT :_________________________ LOCATION :_________________________
NEW DELHI
GRADE :_________________________
E05
PERSONAL DETAILS
FULL NAME :______________________
ANKIT KUMAR SINGH _______________________ _____________________
FATHER'S NAME :______________________
SANJAY KUMAR SINGH _______________________ _____________________
ADDRESS DETAILS:
SEC-9/B, STREET -16 QUARTER NO -1394
LOCAL CORRESPONDENCE ADDRESS : ____________________________________________________
____________________________________________________
BOAKRO STEEL CITY JHARKHAND 827009
____________________________________________________
____________________________________________________
PIN NO.:__________________
827009 9431195199
TEL. NO.:___________________ MOBILE NO.:_______________________
PERMANENT ADDRESS : : ____________________________________________________
SEC-9/B, STREET-16 , QNO-1394
BOKARO STEEL CITY JHARKHAND 827009
____________________________________________________
____________________________________________________
____________________________________________________
PIN NO.:__________________
827009 9431195199
TEL. NO.:___________________ MOBILE NO.:_______________________
Personal E-MAIL ADDRESS : ____________________________________________________
ANKITSINGHAK199@[Link]
EMERGENCY CONTACT IN FORMATION : ____________________________________________________
SANAJAY KUMAR SINGH
SEC -9/B, STREET-16 QNO-1394
____________________________________________________
____________________________________________________
BOKARO STEEL CITY JHARKHAND 827009
TEL NO.: ____________________________________________________
9431194311
DATE OF BIRTH(DD/MM/YY) : DD _____
05 MM ___04__________ YY _1998____________
RELIGION : ____________________________________________________
HINDU
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GENDER : M F T
MARITAL STATUS : SINGLE MARRIED
IF MARRIED, DATE OF MARRIAGE (DD/MM/YY) : _________________________________________
SPOUSE NAME : _________________________________________
IF YOUR SPOUSE IS EMPLOYED OR IN BUSINESS, GIVE DETAILS :
ORGANIZATION WHERE EMPLOYED & POSITION REMARKS(IF ANY)
NATURE OF BUSINESS
FAMILY BACKGROUND
NAME RELATIONSHIP DATE OF EDUCATION OCCUPATION
BIRTH
SANJAY KR SINGH FATHER 10/09/1977 GRADUATE SERVICE
MADHURI SINHA MOTHER 10/09/1988 INTERMEDIATE HOUSE MAKER
AMIT KUMAR BROTHER 16/03/1995 BE SERVICE
AJEET KUMAR BROTHER 09/02/1997 GRADUATE STUDY
EDUCATIONAL DETAILS (ACADEMIC RECORDS, STARTING FROM THE RECENT DEGREE FIRST)
NAME AND LOCATION UNIVERSITY / SPECIALIZATION/ YEAR OF % MARKS / CGPA
OF INSTITUTE BOARD DEGREE/ DIPLOMA PASSING
GRADUATE BSC 2019 78%
SIU
INTERMEDIATE JAC PCM 2016 68%
MATRIC CBSE ALL 2014 64%
LANGUAGES KNOWN
LANGUAGE KNOWN SPEAK READ WRITE
ENGLISH
HINDI
HARYANVI
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EMPLOYMENT HISTORY
TOTAL WORK EXPERIENCE (NO. OF YRS) :
[Link]. NAME OF THE PERIOD POSITION AT THE
LOCATION
ORGANIZATION FROM TO TIME OF LEAVING
1. ELON STAFFING 2019 2022 CONSULTANT GURUGRAM
2. ANAPTYSS INDIA PVT LTD 01/2023 06/2023 TEAM DEVELOPER NOIDA
3. 03/07 10/2023 IT EXECUTIVE
TCI EXPRESS GURUGRAM
4. KOENIG SOLUTION 11/2023 12/2023 DEVELOPER DELHI
5. POLICY BAZAAR 02/2024 15/02/2024 SENIOR TECHNICAL GURUGRAM
ASSOCIATE
6.
7.
8.
BRIEFLY DESCRIBE YOURSELF INDICATING YOUR CORE VALUES AND
PROFESSIONAL OBJECTIVE.
HOBBIES & EXTRA CURRICULAR ACTIVITIES :
1. SPORTS
2. RUNNING
3. BOOKREADING
4. CARTOON
PLEASE GIVE YOUR PROFESSIONAL REFERENCES.
NAME ORGANIZATION DESIGNATION TEL. NO. E-MAIL ADDRESS
DEVELOPER 8556869694 [Link]@[Link]
PAWAN KUMAR TCI EXPRESS
ASHISH DADICH LTI MINDTREE CONSULTANT 7597257878 ASHISH.DADHICH90@GMAIL
.COM
I HEREBY CERTIFY THAT THE INFORMATION GIVEN BY ME IN THE FORM IS ABSOLUTELY TRUE & CORRECT.
IN CASE ANY INFORMATION IS FOUND TO BE INCORRECT, I ALSO KNOW THAT MY SERVICES ARE LIABLE TO
BE TERMINATED IMMEDIATELY AT A LATER STAGE.
02/09/2024
APPLICANT'S SIGNATURE DATE
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