<p> Guljag Industries Limited Personal Detail Declaration Form</p><p>Personal Detail</p><p>Name Sex VIKAS MATHUR MALE Address</p><p>Permanent Present</p><p>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</p><p>02912766882 02912766882</p><p>Mobile 09783623486 Email [email protected]</p><p>Date of Birth Place of Birth Identity Mark</p><p>11/10/1985 JODHPUR Marital Status Date of Marriage Blood Group Nationality</p><p>SINGLE O+ve INDIAN Languages Known Height Weight</p><p>HINDI, ENGLISH, RAJASTHANI 5”8 inch 60 KG Hobbies Spectacle Lens P F A/C No Left LISTENING MUSIC Right --- BOTH TRAVELLING</p><p>Vegetarian/Non-Vegetarian Smoker/Non-Smoker Family Doctor Personal Solicitor</p><p>VEGETARIAN NON SMOKER DR. ARVIND MATHUR Preference for alcohol (If yes how often do you consume) Passport No. PAN No.</p><p>DO NOT DRINK Know Driving? Mention Vehicle Name License No. Renewed on</p><p>YES BAJAJ XCD 125 RJ-19/DLC/2002/ 107195</p><p>1 Educational Profile</p><p>Basic Qualification</p><p>School/College Attended Examination Passed</p><p>Year Name of School/College Date Degree/ Subject % Certificate</p><p>2002 R.B.S.E 29TH APR 12th PHY, CHEM, 54% BIO </p><p>2000 R.B.S.E 22ND JUNE 10th 51%</p><p>Professional Qualification</p><p>University/College Attended</p><p>Year Name of Institute Qualification Obtained %</p><p>2010 ICMT JODHPUR MBA 65% (PERIYAR UNIVERSITY)</p><p>2010 ICMT JODHPUR PGDEBM 75%</p><p>2007 SSCP TUMKUR, BANGLORE B.PHARMA 70% KARNATAKA</p><p>2 Additional Course</p><p>Employment History (Beginning with present or most recent employer)</p><p>Date Name of Post held & Job Reason for Salary organization Responsibilities leaving on From To leaving</p><p>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. </p><p>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.</p><p>Award/Achievement</p><p>Foreign trip i.e. DUBAI</p><p>Key Skill Set Interpersonal Skill </p><p>Adaptability to new environment.</p><p>You’re Suitability for the job (e.g. present your strength and weakness) Strength --- Positive Attitude</p><p>Weakness --- Nervous in front of strangers. 3 Family Background</p><p>Family Members</p><p>Father Name & Occupation Mother Name & Occupation</p><p>Mr. Prakash Roop Mathur Mrs. Urmila Mathur</p><p>B.COM M.A. , B.ED.</p><p>Brothers Name & Occupation</p><p>Mr. Himanshu Mathur</p><p>M.Sc Biotech. Pune</p><p>Sisters Name & Occupation</p><p>Family (Joint/Nuclear) Total Members No. of earning members</p><p>Nuclear 4 3</p><p>Dependents:</p><p>Name Age Relationship Own</p><p>Mr. Prakash Roop Mathur 60 Father</p><p>Mrs. Urmila Mathur 55 Mother</p><p>Accomodation (Own/Rented) Rent Amount </p><p>Any relative working at any senior position in Government Department or in Private Sector, if any (give detail)</p><p>Father --- Govt. EMP in P.H.E.D as U.D.C</p><p>Mother --- Govt. EMP in govt. school as Head Mistress at pipar road. </p><p>4 Applicable if married</p><p>Spouse Name & Occupation</p><p>Father in law - Name & Occupation Mother in law - Name & Occupation</p><p>Children</p><p>Name Age Education</p><p>Are you known to any employee of Guljag Industries Limited? If yes (give detail)</p><p>S</p><p>References</p><p>Please give the contact details of two people who will be able to comment on your suitability.</p><p>Name Ashish Tanwar Name Abhimanyu Solanki Address Address</p><p>Subhash Nagar, Pal Road, Jodhpur Madhuban Housing Board, Basni, Jodhpur</p><p>09414077221 09352489910</p><p>Telephone 09414077221 Telephone 09352489910</p><p>Email Email</p><p>5 Membership of Professional Institution</p><p>Name of Institution Membership Status Admission Date</p><p>Joining Us</p><p>Have you been interviewed in this company before? No</p><p>For how long, would you commit to work with us? Long time. (5- 10 years.)</p><p>Period of notice required in the present post No </p><p>Expected Minimum Salary 3 – 3.50</p><p>I declare that the information given in this form is correct and to the best of my knowledge.</p><p>Signed Name VIKAS MATHUR</p><p>VIKAS MATHUR Date 18/9/2012</p><p>6 For office use only: </p><p>Date of joining: DASD</p><p>Salary at the time of joining: </p><p>Designation at the time of joining: </p><p>Training / Probation period:</p><p>Remarks, if any: -</p><p>Personnel/ Admin Manager Sr. V P - Works Managing Director </p><p>7</p>