Guljag Industries Limited s2

Guljag Industries Limited Personal Detail Declaration Form

Personal Detail

Name Sex VIKAS MATHUR MALE Address

Permanent Present

VIKAS MATHUR C/O VIKAS MATHUR C/O P.NO.22, OPP. PAL BALAJI TEMPLE, P.NO.22, OPP. PAL BALAJI TEMPLE, THORIYON KI DHANI, THORIYON KI DHANI, PAL ROAD, PAL ROAD, JODHPUR JODHPUR 342001 342001

02912766882 02912766882

Mobile 09783623486 Email [email protected]

Date of Birth Place of Birth Identity Mark

11/10/1985 JODHPUR Marital Status Date of Marriage Blood Group Nationality

SINGLE O+ve INDIAN Languages Known Height Weight

HINDI, ENGLISH, RAJASTHANI 5”8 inch 60 KG Hobbies Spectacle Lens P F A/C No Left LISTENING MUSIC Right --- BOTH TRAVELLING

Vegetarian/Non-Vegetarian Smoker/Non-Smoker Family Doctor Personal Solicitor

VEGETARIAN NON SMOKER DR. ARVIND MATHUR Preference for alcohol (If yes how often do you consume) Passport No. PAN No.

DO NOT DRINK Know Driving? Mention Vehicle Name License No. Renewed on

YES BAJAJ XCD 125 RJ-19/DLC/2002/ 107195

1 Educational Profile

Basic Qualification

School/College Attended Examination Passed

Year Name of School/College Date Degree/ Subject % Certificate

2002 R.B.S.E 29TH APR 12th PHY, CHEM, 54% BIO

2000 R.B.S.E 22ND JUNE 10th 51%

Professional Qualification

University/College Attended

Year Name of Institute Qualification Obtained %

2010 ICMT JODHPUR MBA 65% (PERIYAR UNIVERSITY)

2010 ICMT JODHPUR PGDEBM 75%

2007 SSCP TUMKUR, BANGLORE B.PHARMA 70% KARNATAKA

2 Additional Course

Employment History (Beginning with present or most recent employer)

Date Name of Post held & Job Reason for Salary organization Responsibilities leaving on From To leaving

Sep 2007 Aug 2008 LUPIN PHARMA LTD Marketing Executive--- Further Study CTC 1.27 L Represents the company Other Exp. product in front of doctors 8-10000 & chemist. Also responsible for sales and availability of stock at dealer level as well as chemist level.

May 2011 Till today SYNTHES MEDICAL Sales Associates--- Headquarter CTC 3.05 l (P) LTD. Provide better solution to windup. Incentive surgeons to improve Relocate me 1.30 L patient’s health. from jodhpur Provide ortho implants & to ambala instruments by advance surgical technique to surgeon.

Award/Achievement

Foreign trip i.e. DUBAI

Key Skill Set Interpersonal Skill

Adaptability to new environment.

You’re Suitability for the job (e.g. present your strength and weakness) Strength --- Positive Attitude

Weakness --- Nervous in front of strangers. 3 Family Background

Family Members

Father Name & Occupation Mother Name & Occupation

Mr. Prakash Roop Mathur Mrs. Urmila Mathur

B.COM M.A. , B.ED.

Brothers Name & Occupation

Mr. Himanshu Mathur

M.Sc Biotech. Pune

Sisters Name & Occupation

Family (Joint/Nuclear) Total Members No. of earning members

Nuclear 4 3

Dependents:

Name Age Relationship Own

Mr. Prakash Roop Mathur 60 Father

Mrs. Urmila Mathur 55 Mother

Accomodation (Own/Rented) Rent Amount

Any relative working at any senior position in Government Department or in Private Sector, if any (give detail)

Father --- Govt. EMP in P.H.E.D as U.D.C

Mother --- Govt. EMP in govt. school as Head Mistress at pipar road.

4 Applicable if married

Spouse Name & Occupation

Father in law - Name & Occupation Mother in law - Name & Occupation

Children

Name Age Education

Are you known to any employee of Guljag Industries Limited? If yes (give detail)

References

Please give the contact details of two people who will be able to comment on your suitability.

Name Ashish Tanwar Name Abhimanyu Solanki Address Address

Subhash Nagar, Pal Road, Jodhpur Madhuban Housing Board, Basni, Jodhpur

09414077221 09352489910

Telephone 09414077221 Telephone 09352489910

Email Email

5 Membership of Professional Institution

Name of Institution Membership Status Admission Date

Joining Us

Have you been interviewed in this company before? No

For how long, would you commit to work with us? Long time. (5- 10 years.)

Period of notice required in the present post No

Expected Minimum Salary 3 – 3.50

I declare that the information given in this form is correct and to the best of my knowledge.

Signed Name VIKAS MATHUR

VIKAS MATHUR Date 18/9/2012

6 For office use only:

Date of joining: DASD

Salary at the time of joining:

Designation at the time of joining:

Training / Probation period:

Remarks, if any: -

Personnel/ Admin Manager Sr. V P - Works Managing Director