Service Information

Bodycote

Babukha Khan's Employment Application

Date Submitted: 5/13/2018

Job Title: Helper

Job Location: Burlington

Personal Information

First Name: Babukha

Preferred Name: Khan

Last Name: Khan

Email: **************@*****.***

Current Address

Address: Sikar Rajasthan india, Sikar Rajasthan India City: Sikar

State: RJ

Postal Code: 332318

Country: IN

Contact Information

Home Phone: n/a

Cell Phone: +918*********

IMPORTANT: PLEASE READ

Your e-mail address provided will be used throughout the interviewing process, and if hired to send you correspondence related to work.

General Information

Referred By: Helper

Are you currently under an existing non-compete, non-solicitation, or separation agreement by your current or former employer? Yes

Have you worked for Bodycote before? No

If yes, list the dates employed: 12 /4/2013

Date available for employment: 2013-01-06

Rate of pay expected: No

Are you able to perform the essential functions of the position for which you are applying, with or without reasonable accommodations? No

This position is subject to a background check. Only job-related convictions will be considered and will not automatically disqualify the candidate.

Former Employers

Provide the following information of your past three (3) employers or seven (7) years of employment history, starting with the most recent.

Current or Most Recent Employer

Are you currently employed? No

Employer Name: Babukhan

From: 2018-05-13

To: 2018-05-13

Starting Job Title: No

Ending Job Title: No

Immediate Supervisor / Title: No

Employer Phone: +918*********

May we contact for reference? No

Reason for Leaving: No

Please summarize the nature of work performed and job responsibilities: Yes 2nd Previous Employer

Employer Name: No

From: n/a

To: n/a

Starting Job Title: No

Ending Job Title: No

Immediate Supervisor / Title: No

Employer Phone: n/a

May we contact for reference? No

Reason for Leaving: No

Please summarize the nature of work performed and job responsibilities: Yes 3rd Previous Employer

Employer Name: No

From: n/a

To: n/a

Starting Job Title: No

Ending Job Title: No

Immediate Supervisor / Title: No

Employer Phone: n/a

May we contact for reference? No

Reason for Leaving: No

Please summarize the nature of work performed and job responsibilities: No Education/Training

What is your highest level of education completed? Some High School Name of institution(s): No

Graduate? No

Major(s): No

Degree(s) or Certification(s): No

List any professional licenses: No

Military Service

U.S. Military Service Branch: No

Rank: No

Start Date of Service: n/a

End Date of Service: n/a

Professional References

Names of three persons not related to you, whom you have known at least 1 year. 1st Reference

Name: No

Phone: No

Years Known: No

2nd Reference

Name: No

Phone: No

Years Known: No

3rd Reference

Name: No

Phone: No

Years Known: No

Applicant's Statement

I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete, and I understand that any misstatement, omission, or falsification of information shall be grounds for refusal to hire, or, if hired, termination. If I am hired, I understand that I am free to resign at any time, with our without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I have read and agree to this disclaimer.: Yes

Applicant Signature: Babukhan

Date: 2018-05-13

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