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    Larsen & Toubro Infotech LtdTrainee Application Form

    Management Trainees

    College/Institute :

    Highest Qualification :

    Specialization :

    Flexible to all L&T Infotech Development Cente / Custome Site !In"ia#

    (To be filled by the applicantin his/her own handwritingclearly and completely

    !lease affi" here your recent

    passport si#e colour photograph

    Mr$ / Ms$ / Mrs$

    Title

    %ow would you lie your name to be printed on the Appointment Letter

    (!resent mailing address

    !in

    Tel$'ell o$

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    )mail I*

    +lood ,roup

    %eight (cm$ -eight (g$

    (

    .- )TAL 0%A)* .T%)0

    Ma1or Illness / operations so far

    Famil$ %acgoun" !'lease give full "etails of famil$ membes inclu"ing paents( spouse( chil"en( siblings an" othe "epen"ents#

    ame

    For )"$ Mr$ ahul 0harma

    Languages nown

    Mother Tongue

    .ther Language(s

    L&T Infotech - Proprietary Page 1 %2F334/5$6/46$37$6346

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    Stating fom S)S)C) *n+a"s !'lease attach a sheet if e,uie"#

    8ualifications

    00' / 9 / )ui;alent

    %0' / 9II

    *iploma

    ,raduation

    !ost ,raduation

    *etails of Latest

    8ualification

    Academic

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    )"tra curricular Achie;ements (*istrict/0tate and International le;el at *ramatics? *ebate ?0ports etc

    0oftware/%ardware e"pertise (.perating 0ystems/Languages/)!/.thers

    ate yourself as one of the options (+eginner? Intermediate? Trained? )"pert

    0ills

    L&T Infotech - Proprietary Page 2

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    !.@)'T0*

    )T

    AB)(!leaseattach

    asheetifreuired

    -.B )9!)I)') (!lease attach a sheet if reuired

    *ate (MM/

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    *o you ha;e some plans? to upgrade/enhance your technical/soft sills (For eg$ Are you currently pursuing or planning totae up some course or go for higher education

    %a;e you applied to Larsen and Toubro group of 'ompanies earlier C

    elati;es (if any in L&T group of 'ompanies

    ame !osition +ranch/.ffice Address Tel$ o$ elation

    %a;e you been in;ol;ed in any court proceedings and/or con;icted of any offenceC If yes? please gi;e details$

    *eclaration under section 54D of the 'ompanies Act as amended in 47>D Estrie out whiche;er bo" not applicable (A

    I hereby declare that I am not connected with any *irector of

    the company as his partner or his relati;e as defined under

    section G of the 'ompanies Act? 47=G

    I nderstand that if selected? I may be reuired to wor in any function / department/offices of the company and i ts associate subsidiary$

    I declare that the information gi;en abo;e is true to the best of my nowledge and I understand that any false information?misrepresentation or omission of facts called for in this application? or other company records may result in my immediate dismissalwithout notice e;en if subseuently employed$

    I authorise the company to do any ind of bacground ;erification of my education? e"perience or references$

    *ate : $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

    0ignature : $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

    !lace : $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

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    L&T Infotech - Proprietary Page 4