APPLICATION FORM

PERSONAL INFORMATION
Kindly affix a
First Name Middle Name Last Name Passport size
Photograph
Mr/Ms Amol Ramnath Khose here

( Expand all names)

Date of Birth
e-mail :amolkhose15@gmail.com
1 5 0 5 1 9 9 4
Current Address : Katraj , Balajinagar Pune 411043

City Pune State MAHARASTRA PIN Phone (with Office

4 1 1 0 4 3 STD code) Res.
Permanent Address : # Katraj , Balajinagar Pune 411043

City Pune State MAHARASTRA PIN Phone(with STD code)

4 1 1 0 4 3 Mobile 9 6 7 3 3 4 6 4 8 9

(Begin with the most recent qualification and end with Std. X)

Course/Degree Specialization Name of Institute /University Address Graduation Aggregate

(Month/Yr.) Marks

(% or CGPA)
MCA COMPUTER
Pccoe Pune 2016 71 %

BCA COMPUTER New Arts Collage Ahmednagar 2014 56 %

HSC NESK MAHARASTRSA BOARD PATHARDI 2011 62.00 %

SSLC NESK MAHARASTRSA BOARD PATHARDI 2009 62.63%

TRAINING

Training/Development Programmes attended / IT Skills Institute / Organization Location Dates attended

acquired From To
Microsoft Dot net PCCOE Pune 12/3/20 11/07/20
15 15

WORK EXPERIENCE
Number of Companies Worked for (Count should include the Present Employer) 1
CURRENT EMPLOYMENT

Name of the Webplat Technology

Employer
From To Address :
01/01/2017
Date Employed
4th Floor, Navale ICON, Mumbai-Bangalore Highway, Above
Hypermarket, Narhe, Pune, Maharashtra 411041
Responsibilities:

Developer And Designer Phone Number :

Notice Period : 30 Day (negotiable 15 Days)

Your Designation Employee Code Department or Project
Android Developer Android

Reason For Leaving

New Challenges, new Projects , New environment.

Supervisor’s Name & Designation, EMAIL ID &

Contact Number

Email: shrikant@webplat.in
Can we take reference from your supervisor? No

Contact : 7620333370 / 9834255983

Deputation Details :( Mention name of organization to which you were deputed through current employer. Please mention NA if
not applicable)

NA

Name of the Client:

Address of Client Office You Work out of

Project deputed to : Supervisor Details:

Period of Employment From : To:

MONTHLY EMOLUMENTS

Fixed Salary(A) Variable & Deferred Benefits (B)

30000
Basic Current Annual Gross

Bonus/Incentives Other Allowance

HRA PF , Pension, Gratuity 3000

Conveyance
Total (B)
Other Allowance
Monthly Gross (A+ B)

Total (A) Current Annual Gross 27000

PREVIOUS EMPLOYMENT:

-
Name of the Employer

From To
Date Employed

Responsibilities:

2
 Notice Period :
Your Designation Employee Code Department or Project
Software Developer

Reason For Leaving

Project completed

Supervisor’s Name & Designation, EMAIL ID & Contact Number

Can we take reference from your supervisor? Yes 
No

Deputation Details :( Mention name of organization to whom you were deputed through previous employer. Mention NA if not applicable)

ALL OTHER PREVIOUS EMPLOYMENT DETAILS

Name of the organization Location Designation Employee Duration Monthly Salary Reason for
Code From To Starting Final Leaving
Webplat Technology Pune Software 01 Jan 8000 2700 Project
developer 2017 completed

REFERENCES

Give references under whom you have either worked or who know you professionally for at least 6 months.

Name Duration & Organization & Designation e-mail Phone (with STD code)
Nature of Home Office
Association
Off:

Per:
Off:

Per:
Off:

Per:

3
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