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WEBTECH DATA SOLUTION
Passport size photo
Application Form
Details:-
1.Name: Mukesh prajapat
2.Address:jk road kumharo ka bas gotan
3.City: gotan State: Rajasthan Pin code:342902
4.Contact Number: (M) 977-***-**** (R) (O)
5.Date of Birth: 01/07/1997
6.Gender: Male
7.Native State:Rajasthan
8.Pan Number:
9.E-mail address:**********************@*****.***
10.Profession: Business Job Student yes Housewife
11.Designation / details of Profession: B.sc.
12.Monthly Income: Below 5000 INR 5000 to 10000 INR 10000 to 20000 INR 20000 to 50000 INR
Educational Qualification:
1.Last Qualification:-B.sc.+b.ed
2.Computer Knowledge:-yes
3. Typing Speed (Words/ Minute):-30
Experience Highlights (If Any):-
Plan Details:-
1.Applied for (Plan amount):
2.Join On (Date):
Company Knowledge by: A) Newspaper B) Website C) Reference D) Other
BANKING DETAIL:-
A) If You want Payment through NEFT, Then:-
1.Currently Banking with:
2.Bank Account no:-612********
3.Bank Branch Name:sbi gotan
4.Bank Code IFSc No:
B)If You want Payment through Cheque then Cheque to be issued in the name of and Account no:
Documents submitted for processing :
Photo id - DL card / Adhar card yes / Voter card / Pan Card
Residence id - Electricity Bill / Gas Bill / Ration card / House Rent Agreement
Passport Size Photograph :
The Details given above by me are true to the best of my knowledge and I accept all the terms and conditions as mentioned in the terms sheet. .
Name / Signature:-
Applied on ( Date): __20/7/201
WEBTECH DATA SOLUTION