Application Form
(For Office Use Only)
Selected / Rejected / Hold
(SCALE 1 – 10) Domain Knowledge: _____________ Communication: ____________ Presentation: ____________ Confidence: ____________
(For HR Scale 1-10) Attitude: ____________Goal Orientation ____________ Adaptability: _____________ Work Ethics
Company: _________________ Date of joining: _______________________ Grade: __________________
Department: _________________Designation:__________________________ Location: ______________
Monthly Gross Salary: __________________ Incentives: _________________ CTC: ___________________
Eligible for Incentives after/ from _______________________________________________ year / months.
Training Cheque: _____________________________ 2 Yr Completion Bonus: ______________________
Performance Evaluation: ____________________________________________ 2yr. Agreement: Yes / No
Guest House Accommodation for ____________________ Months.
Remarks:
________________________________________________________________________________________
________________________________________________________________________________________
Interview conducted by: Sign: Approved by:
Name: _____Waseem________________________________________ Date: ___05-09-2025___________
Post Applied For: ______________Piping Designer____________________Place: __New Delhi___________
Date of Birth: ___03-05-1998_ Age: ___27 Gender: Male Marital Status: _Unmarried_______
Email Id: wk1293555@gmail.com_________Passport No: _______No____________________________
Contact Details --Cell: _9671985264__________________ Residence No: __9728870129______ --
_________________
I came to know about this position from # Friend # Social Media #Newspaper #Job Portal #Call from HR
# Training Center #Consultants # any other_____Apex Skill Services __________________________(plz specify)
Permanent Address: Temporary Address:
__Malviya Nagar hauzrani h no. 368 ___ _______________________________________
____Gali no 12 (New Delhi)__________ _________________________________________
_____________________________________ _________________________________________
_____________________________________ _________________________________________
Education Details (Please mention percentage of all degree years)
Head Office: Fox Solutions Pvt. Ltd., M-9, M.I.D.C, Ambad, Nasik-422010. Revision Date: 28.07.2022Page 1
Qualification Specialization University College Year Percentage
Diploma Mechanical Glocal 2016- 71.00 %
Engineering University 2019
12th Std. (HSC) Medical Aadarsh Vidya Mandir Hodal
2016 58.00 %
10th Std. (SSC) Modern High school Punhana 2014 76.4 %
Other Professional Qualification
___________________________________________________________________________________________
Extra-Curricular Activities / Hobbies
___________________________________________________________________________________________
Experience Details (Starting with current employer)
Total Experience: ______4_______Years_____8______Months
Sr. Name of Designation Salary CTC Duration * Reason for
No Organization pm From To Leaving
1 Valdel Engineers & Junior Piping 42,000 5 LPA Nov Nov 2022 Contract over
Construction Pvt ltd designer 2020
Bangalore
2 Aristi Project & Mid-Level 66,000 8 LPA Jan 2023 To Till Date Contract
Engineering Pvt ltd Piping
Chennai Designer
Expected Salary: _____80,000_____(9.5 LPA)__ Joining Period__15 Days___________________
*Any Bond or commitment in Current Organization: ____No__________
Did you appear earlier for a written test or interview with our company? Yes / No. Date___________________
Language Proficiency: _____Hindi, English___________________________________________________
Medical History
List any medical problems that have been diagnosed/ any Surgery/ Hospitalizations
Family Details
Sr. No. Name Relation Occupation
Head Office: Fox Solutions Pvt. Ltd., M-9, M.I.D.C, Ambad, Nasik-422010. Revision Date: 28.07.2022Page 2
1 Sule Khan Father Farmer
2 Afsana Mother House Wife
3 Naseem Brother Clerk
4 Naved Brother Study
5 Shifa Sister Study
Any Relatives Working With Fox: Yes/No
Name Location Department Position Relation
References (from previous companies)
[Link]. Name Contact No. Name of the Designation Relation
Organization
Signature: _____________________ Place: ___________________
Head Office: Fox Solutions Pvt. Ltd., M-9, M.I.D.C, Ambad, Nasik-422010. Revision Date: 28.07.2022Page 3