mahendras interview

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2/17/2015 Untitled Page http://mahendras.org/User/Print_JobAppForm.aspx 1/6 CALL LETTER CUM JOB APPLICATION FORM (ONLINE) HR.1.10 G Anmol Kushwah (9669369115 ) ONLINE REGISTRATION NO: 90252521 INTERVIEW DATE: 21Feb15 9:00 AM POST APPLIED FOR: Faculty General Studies Economics SUBJECT: NA INTERVIEW VENUE: MAHENDRAS, 03 OPPOSITE G.D.A OFFICE , ABOVE PATRIKA BULIDING, 2NDFLOOR, KHEDAPATI ROAD, GWALIOR. NAME: CONTACT NO: EMAIL ID: [email protected] ALTERNATE NO: Aspirants of Any Competitive Exams (Yes/No) NO Specify if 'Yes': TO BE FILLED BY INTERVIEWER GRADE OBTAINED *Date of Effectiveness: 1st Round Remarks: Interview Date: Interview Venue: Post Allotment in Interview 1st Round: Attendance: A P *Commited (if any) to applicant: *Offered Designation: *Offered Salary: *Offered Location *Computer Knowledge(Y/N): Aspirants of Any Competitive Exam(Y/N): Specify if 'Y' Details if 'Y' Name of Interviewer: ID Date: Sign: Name of Interviewer: ID Date: Sign: 2nd Round Remarks: Interview Date: Interviewer Venue: A P *Commited (if any) to applicant: *Date of Effectiveness: *Offered Designation: *Offered Location: *Offered Salary Final Forwarding Details to HR Dept MIBS ID Employee ID Master Sheet Entry(Y/N) Offer/Agreement letter Send(Y/N) Company Name: Employment Type: Grade: Functional Designation: Designation / Post Alloted: Job Skills: Salary: Location: Expected Date of Joining: Working Days & Hours: Name of Forwarding Authority Emp ID Signature of Forwarding Authority Page No. 15

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  • 2/17/2015 UntitledPage

    http://mahendras.org/User/Print_JobAppForm.aspx 1/6

    CALLLETTERCUMJOBAPPLICATIONFORM(ONLINE)HR.1.10G

    AnmolKushwah(9669369115)

    ONLINEREGISTRATIONNO:90252521 INTERVIEWDATE:21Feb159:00AM

    POSTAPPLIEDFOR:FacultyGeneralStudiesEconomics SUBJECT:NA

    INTERVIEWVENUE:MAHENDRAS,03OPPOSITEG.D.AOFFICE,ABOVEPATRIKABULIDING,2NDFLOOR,KHEDAPATIROAD,GWALIOR.

    NAME: CONTACTNO:

    EMAILID:[email protected] ALTERNATENO:

    AspirantsofAnyCompetitiveExams(Yes/No)NO Specifyif'Yes':

    TOBEFILLEDBYINTERVIEWERGRADEOBTAINED

    *DateofEffectiveness:

    1stRoundRemarks:InterviewDate: InterviewVenue:

    PostAllotmentinInterview1stRound: Attendance: A P

    *Commited(ifany)toapplicant:

    *OfferedDesignation: *OfferedSalary:

    *OfferedLocation *ComputerKnowledge(Y/N):

    AspirantsofAnyCompetitiveExam(Y/N): Specifyif'Y'

    Detailsif'Y'

    NameofInterviewer:

    ID

    Date:

    Sign:

    NameofInterviewer:

    ID

    Date:

    Sign:

    2ndRoundRemarks:InterviewDate: InterviewerVenue:

    A P

    *Commited(ifany)toapplicant:

    *DateofEffectiveness:

    *OfferedDesignation: *OfferedLocation:

    *OfferedSalary

    FinalForwardingDetailstoHRDept

    MIBSID EmployeeID

    MasterSheetEntry(Y/N) Offer/AgreementletterSend(Y/N)

    CompanyName: EmploymentType:

    Grade: FunctionalDesignation:

    Designation/PostAlloted: JobSkills:

    Salary: Location:

    ExpectedDateofJoining: WorkingDays&Hours:

    NameofForwardingAuthority EmpID SignatureofForwardingAuthority

    PageNo.15

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    DATEOFBIRTH:25121990 HOMETOWN:Gwalior

    FATHER'SNAME:MukeshKushwah FATHER'SOCCUPATION:BusinessMan

    MOTHER'SNAME:JayshreeKushwah MOTHER'SOCCUPATION:Lecturer

    BLOODGROUP:A+ GENDER:Male

    MARITALSTATUS:UnMarried SPOUSENAME(ifMarried):

    CATEGORY:General DOBOFSPOUSE:

    MAILINGADDRESS:FortRoadHazira,GoshpuraNO2

    PERMANENTADDRESS:FortRoadHazira,GoshpuraNO2

    PROFESSIONALQUALIFICATION:

    EXAMINATIONPASSED NAMEOFBOARD/UNIVERSITY YEAROFPASSING PERCENTAGE/GRADE

    MBA AmityUniversity 2014 68

    B.Tech AmityUniversity 2012 51

    ACADEMICBACKGROUND:

    EXAMINATIONPASSED COURSE/STREAM YEAROFPASSING BOARD/UNIVERSITY PERCENTAGE/GRADE

    POSTGRADUATION OTHERSMBA 28Apr2014 68

    GRADUATION OTHERSB.TECH 27Apr2012 51

    INTERMEDIATE(10+2) SCIENCE 18Mar2008 70

    HIGHSCHOOL(10) SCIENCE 22Mar2006 75

    EXPERIENCEDETAILS:0YEARS11MONTHS(TOTALYEARS/MONTHSOFEXPERIENCE)

    PASTEMPLOYMENTOREXPERIENCE(MENTIONONLYLASTTHREEEMPLOYERSStartingfromLatestEmployer)

    COMPANYNAME

    DURATIONOFEMPLOYMENT

    MONTH/YEAR

    MONTH/YEAR

    JOBTITLE CITYOFSERVICE REASONFORSWITCHOVERPREVIOUSJOB

    IndianMicrosysytem March2014ToFebruary2015 MarketingExecutive WanttoenhancecareerinEducationsector

    To

    To

    LASTSALARYDRAWN(Rs.):12000(Youhavetoprovidelastsalaryslipondemandandyourcandidaturemaygetaffectedifnotprovided)

    EXPECTEDSALARY(Rs.):1200015000

    NOTICEPERIODREQUIREDTOBESERVEDWITHCURRENTORGANISATION:(InDays)7

    SKILLSANDEXPERTISE(IFANY)PLEASESPECIFY:MarketingManagement,Leadership,ManagementHandling,Leadgeneration,MarketPenetration

    LANGUAGESKNOWN: LANGUAGE READ WRITE SPEAK

    English

    Hindi

    French

    AREYOUPREPARINGFORANYCOMPETITIVEEXAMS: YES NO

    IFYES,MENTIONTHENAMEOFCOMPETITION:

    HAVEYOUPASSEDANYCOMPETITIONEXAM WRITTEN FINAL

    NAMEOFEXAM POST YEAR

    YEAR

    YEAR

    FROMWHICHSOURCEYOUCOMETOKNOWABOUTTHEVACANCY:

    COMPANYWEBSITE RECRUITMENTCONSULTANCY ADVERTISEMENT EMPLOYEEREFERRAL

    PageNo.25

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    PLEASERANKTENLOCATIONS(FROM110)ASPERPREFRENCEWHERETOBERELOCATED:

    S.No. City S.No. City S.No. City S.No. City

    1 Lucknow 33 Lalitpur 65 Faizabad 97 Ajmer

    2 Allahabad 34 Pilibhit 66 Gaya 98 lakhimpurkheri

    3 Vishakhapatnam 35 Moradabad 67 Ambala 99 Sultanpur

    4 Warangal 36 Varanasi 68 Bhagalpur 100 Jalaun

    5 Vishakhapatnam 37 Saharanpur 69 Darbhanga 101 Orai

    6 Ambikapr 38 Sitapur 70 Ghaziabad 102 Ernakulam

    7 BhilaiDurg 39 Raebareli 71 Muzaffarpur 103 Bijnor

    8 Rihtak 40 Gwalior 72 Noida 104 Muzaffarnagar

    9 YamunaNagar 41 Chennai 73 Bahraich 105 Bulandshahr

    10 Bilaspur 42 KanpurNagar 74 Haldwani 106 Haridwar

    11 Chhindwara 43 Kurukshetra 75 Agra 107 Aligarh

    12 Hoshangabad 44 Jhansi 76 Rampur 108 ROORKEE

    13 GORAKHPUR 45 Jabalpur 77 Shahjahanpur 109 Bengaluru

    14 Ratlam 46 Indore 78 Etawah 110 Vadodara

    15 Rewa 47 Ludhiana 79 Etah 111 Coimbatore

    16 Sagar 48 Chandigarh 80 Mainpuri 112 Cuttack

    17 Nasik 49 Bhopal 81 Firozabad 113 Faridabad

    18 Berhampur 50 BHUBNESHWAR 82 Basti 114 Farrukhabad

    19 Sambalpur 51 Dehradun 83 Azamgarh 115 Gurgaon

    20 Amritsar 52 Hyderabad 84 Ballia 116 Guwahati

    21 Jalandhar 53 Patna 85 Banda 117 Rajkot

    22 Patiala 54 GautamBuddhaNagar 86 Ahmedabad 118 Bareilly

    23 Alwar 55 Jaipur 87 Deoria 119 Shimla

    24 Meerut 56 Jammu 88 Dhanbad 120 Siliguri

    25 Bharatpur 57 Kolkata 89 Ghazipur 121 Surat

    26 Jodhpur 58 MumbaiCity 90 Mathura 122 Thiruvananthapuram

    27 Koto 59 Nagpur 91 Unnao 123 Aurangabad

    28 Asansol 60 Pune 92 Mirzapur 124 Karnal

    29 Durgapur 61 Raipur 93 Jaunpur 125 Guna

    30 Badaun 62 Ranchi 94 Pratapgarh 126 Howrah

    31 Balrampur 63 Hisar 95 Hardoi 127 Tirupati

    32 Fatehpur 64 NewDelhi 96 Gonda 128 Vijaywada

    AREYOUFAMILIERWITHANYOFEMPLOYEEWHOISCURRENTLYWORKINGWITHMAHENDRA'SCOMPANY?

    YES NO

    IFYES,PLEASEFURNISHTHEFOLLOWINGDETAILS:

    NAMENA EMPIDNA

    DESIGNATIONNA LOCATIONNA

    RELATIONNA

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    REFERENCES:Pleasegivedetailsoftworefereesoneofwhichmustbeyourcurrentormostrecentemployer:

    NAMEArpit NAME

    POSITIONApplicationDeveloper POSITION

    COMPANYIndianMicrosystem COMPANY

    CONTACTNO.9098532090 CONTACTNO.

    ACandidatesadmissiontotheexamination/trainingisstrictlyprovisional.Themerefactthatthetraininghasbeenscheduledtothecandidatedoesnotimplythathis/hercandidaturehasbeenfinallyclearedbythecompany.trainingisstrictlyprovisional.Themerefactthatthetraininghasbeenscheduledtothecandidatedoesnotimplythathis/hercandidaturehasbeenfinallyclearedbythecompany.

    ForOfficerLUCKNOWistheonlyoption&InCaseofFaculty/AssistantManagerCounselor/Executive/OfficeAssistantaftersuccessfulcompleting3dayScreeningfurthertrainingmaybecontinuedatAreaOfficeoranyotherlocationdecidedbythecompany.

    TRAININGCENTRE

    LUCKNOW DELHI PATNA BHOPAL

    Date:________/________/20_____ APPLICANTSSIGNATURE_______________________________________________

    PageNo.35

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    FACULTYORIENTATIONCERTIFICATIONPROGRAM

    TERMS&CONDITIONSofFOCP(FACULTYORIENTATIONANDCERTIFICATIONPROGRAM)ForFacultiesonlyTheselectionisprimarilyprocessedfororientationprogram,andhenceshouldnotbeconsideredasarecruitmentproposal.PANCARD/AcknowledgeNo.ofPANCARDApplication(IfPANNo.notavailable)&ADHAAR(UID)cardbotharemandatorytobebroughtatthetimeoftrainingelseyouremploymentnaturemaygetaffectedleadingtocancelationofyourcandidaturealso.Thedurationoftheorientationprogramwillbeminimumof3daysandmaximumof15days.Itmayextend,therebydependingontherequirementsaspertrainingschedule.Thetrainingwillgenerallycommenceat9.30AMtill5.30PM,lastingforminimum8hoursperdayorasperrequirementsofthetrainingschedule.Thetraineeswhoarenothiredbythecompanyattheendofthetrainingperiodshallbedeemedrejected.Candidatesarerequiredtomaintaindisciplineandabidebythecompanynormsandrulesduringthetrainingperiod,withintheofficepremises.Thecompanyhasthesolediscretiontocancelthecandidatureofanytraineeatanytime,ifoneisfoundguiltyforanymisconduct/fraudoranyothermalpracticeandthisviolationofanyofthetermsandconditionsofthecompany,inrespecttotraining,willtherebyresultinseverepunishmentuptotheextentoflegalaction.CandidatesMUSTcarrytheirorientationprogramcallletterwithintheofficepremisesatalltimes,andshouldproduceitwhenaskedforbyanyofficialauthority.CandidatescanbepostedanywhereinIndiaaftersuccessfulcompletionoftheorientationprogram,whichhenceincludesrelocation.Candidates,whoduringthetrainingprocessgraduallymeetthemanagementslevelofrecruitmentcriteria,willbeabsorbedasanOfficeAssistant/Executivewithinthecompany.Selectionofanypostisonlyprovisionalitmaybeupgradedordowngradedatlaterstageasaccordingtoperformanceintraining.Anycandidatedebarredfromtrainingduetoanydisciplinaryactionthenhe/shewillnotbeentitledforanyreimbursementclaim.ReimbursementamountwillnotbegiventotraineeswhotakeanexitinmiddleoftheFOCPtraining.Aftersuccessfulcompletionoftrainingcandidatecanbeselectedasanemployeeorcompanywillprovideaprovisionalwaitingofferletterforaninterimtimeperiodvalidity,aspertheneed,companyhassolerighttoconfirm/cancel/declineanyofferletteratanytime.

    REIMBURSEMENTNORMSFORFOCPTRAINEESTraineesselectedinFOCPforAcademicProfileshallnotbeeligibletoclaimreimbursementforanyoftheirexpenses.LocalTraineeswillbeprovidedwithRefreshment&Lunchonly.OutstationTraineesshallbereimbOutstationTraineesshallbereimbursedtheTo&FroTravelFareforFOCPTrainingforSLclass/NonACbusfareonpresentingeithersideofactualticketsonly.OutstationFOCPTraineesforFacultypositionshallbepaidRs.150/perdayasDA(forDinner+Conveyance)tobearrangedbythemselvesforwhichnosupportingisrequired.OutstationFOCPTraineesshallbeprovidedaccommodationfromcompanyssidefortheentireFOCPtrainingduration.IfcompanyisnotabletoprovideaccommodationthenRs.400/(fixed)shallbepaidfordailybasisforFOCPduration.IfthecompanyprovidestheaccommIfthecompanyprovidestheaccommodationorifatraineewishestostaywithanylocalrelativeandtherebynotavailingtheaccommodationarrangebythecompany,theninbothmentionedcasedonlyabovementionedinclauseshallbeapplicabletobepaidbythecompanyandtraineeshallnotbeeligibletoclaimanythingelsefromthecompany.Moreover,ifatraineeisaccompaniedbyaguardiantothecityoftraining,thenthechargesoftheguardianwillbebornebythetrainee/guardianthemselves.

    Ifincaseanyoutstationtraineewantstotravelfromhis/herhometowndailyshallbereimbursedonlyonetimeTo(First)&Fro(Last)travelexpenseshallbereimbursedandthattooonpresentationofactualbillsonly.Allthebillsanddocumentationpresentedbythecandidatewillbefinallycheckedbythecompanyandifanycaseanydocument/bill/paperfounddiscrepantinanymannerthenalltheservices/reimbursement/facilitieswillbesuspendedbythecompanyatanystageoftraining/employment.Companyhassolerighttochange/cancelanyconditionsofreimbursementatanystage.

    SELECTIONPROCEDURESelectionprocedurewillbebasedonWritten/DemoExamination(Online/WrittenExamination)Resultshallbedeclaredonourwebsitewww.mahendras.orgalso.DemoclassandP.IwillbeheldatLucknow,NewDelhi,Patna,Bhopal,Hyderabad,Ahmedabad&BengaluruoranyVenuedecidedbytheCompany.Oneneedtogethis/heroriginalandtwophotocopiesofallmarksheetsalongwithfourpassportsizephotographs.Ifanycandidateisunabletoprovidetherequireddocumentsonthetentativedatebeenprovidedbyhim/herselfthenhe/shewillbecalledtoHeadOfficeforwhichtherewillbenoreimbursement.CandidateswillbeshortlistedforPersonalInterview,basedontheirOnlineExammarks,qualificationandexperience.Minimum40%marksshouldbe.Minimum40%marksshouldbescoredasperminimumqualifyingmarksrequiredbythecompanyinordertoqualifytheselectionproceedureThedurationofFOCPtrainingforshortlistedcandidateswillbeof3,6,9,12,15,18&21daysaspertheproficiencyoftheTrainee.ReimbursementamountwillnotbegiventotraineeswhotakeanexitfromthecompanyinmiddleoftheFOCPtraining.IncaseofDemandforParttimeJobsafterselectionshallresultinlapseofthereimbursementclauseasmentionedabove.IfFacultyplanstoseparatefromthejobbeforecompletionof6monthsserviceperiod,fineof2timesofmonthlysalaryofferedshallbeimposedonhim/her.

    DEDUCTIONS

    IfanFacultydeniestogotoacertainlocationafterhis/herFOCPtraining,Rs500perdaywillberecoveredfromhis/herpaymentmadebythecompanyagainsthis/hertraining.

    Iherebycertifythattheinformationgivenabovebymeintheformisabsolutelytrue&correct.IncaseanyinformationisfoundtobeincorrectIalsoknowthatmyservicesareliabletobeterminatedimmediatelyatanystage.

    Date:________/________/20_____ APPLICANTSSIGNATURE_______________________________________________

    PageNo.45

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    ADMINISTRATIONORIENTATIONCERTIFICATIONPROGRAMTERMS&CONDITIONS

    TERMS&CONDITIONSofAOCP(ADMINISTRATIVEORIENTATIONANDCERTIFICATIONPROGRAM)Theselectionisprimarilyprocessedfororientationprogram,andhenceshouldnotbeconsideredasarecruitmentproposal.PANCARD/AcknowledgeNo.ofPANCARDApplication(IfPANNo.notavailable)&ADHAAR(UID)cardbotharemandatorytobebroughtatthetimeoftrainingelseyouremploymentnaturemaygetaffectedleadingtocancelationofyourcandidaturealso.Thedurationoftheorientationprogramwillbeminimumof3daysandmaximumof15days.Itmayextend,therebydependingontherequirementsaspertrainingschedule.Thetrainingwillgenerallycommenceat9.30AMtill5.30PM,lastingforminimum8hoursperdayorasperrequirementsofthetrainingschedule.Thetraineeswhoarenothiredbythecompanyattheendofthetrainingperiodshallbedeemedrejected.Candidatesarerequiredtomaintaindisciplineandabidebythecompanynormsandrulesduringthetrainingperiod,withintheofficepremises.Thecompanyhasthesolediscretiontocancelthecandidatureofanytraineeatanytime,ifoneisfoundguiltyforanymisconduct/fraudoranyothermalpracticeandthisviolationofanyofthetermsandconditionsofthecompany,inrespecttotraining,willtherebyresultinseverepunishmentuptotheextentoflegalaction.CandidatesMUSTcarrytheirorientationprogramcallletterwithintheofficepremisesatalltimes,andshouldproduceitwhenaskedforbyanyofficialauthority.CandidatescanbepostedanywhereinIndiaaftersuccessfulcompletionoftheorientationprogram,whichhenceincludesrelocation.Candidates,whoduringthetrainingprocessgraduallymeetthemanagementslevelofrecruitmentcriteria,willbeabsorbedasanOfficeAssistant/Executivewithinthecompany.Selectionofanypostisonlyprovisionalitmaybeupgradedordowngradedatlaterstageasaccordingtoperformanceintraining.Anycandidatedebarredfromtrainingduetoanydisciplinaryactionthenhe/shewillnotbeentitledforanyreimbursementclaim.ReimbursementamountwillnotbegiventotraineeswhotakeanexitinmiddleoftheAOCPtraining.Aftersuccessfulcompletionoftrainingcandidatecanbeselectedasanemployeeorcompanywillprovideaprovisionalwaitingofferletterforaninterimtimeperiodvalidity,aspertheneed,companyhassolerighttoconfirm/cancel/declineanyofferletteratanytime.

    REIMBURSEMENTNORMSFORAOCPTRAINEESTraineesselectedinAOCPforAdmiTraineesselectedinAOCPforAdminProfileshallnotbeeligibletoclaimreimbursementforanyoftheirexpenses..LocalTraineeswillbeprovidedwithRefreshment&Lunchonly.OutstationTraineesshallbereimbursedtheTo&FroTravelFareforAOCPTrainingforSLclass/NonACbusfareonpresentingeithersideofactualticketsonly.OutstationAOCPTraineesforthepostofOfficer&AssistantManagershallbepaidRs.150/dayandAssistantManagerCounselor,Executive&OfficeAssistantshallbepaidRs.100/dayasDA(forDinner+Conveyance)tobearrangedbythemselvesforwhichnosupportingisrequired.OutstationAOCPTraineesshallbeprovidedaccommodationfromcompanyssidefortheentireAOCPtrainingduration.IfcompanyisnotabletoprovideIfcompanyisnotabletoprovideaccommodationthenRs.400/(fixed)forOfficerCadrefromAssistantManageronwarsandRs.300/forAssistantManagerCounselor,Executives&OfficeAssistantsshallbepaidfordailybasisforAOCPduration.Ifthecompanyprovidestheaccommodationorifatraineewishestostaywithanylocalrelativeandtherebynotavailingtheaccommodationarrangebythecompany,theninbothmentionedcasedonlyabovementionedclauseshallbeapplicabletobepaidbythecompanyandtraineeshallnotbeeligibletoclaimanythingelsefromthecompany.Moreover,ifatraineeisaccompaniedbyaguardiantothecityoftraining,thenthechargesoftheguardianwillbebornebythetrainee/guardianthemselves.

    Ifincaseanyoutstationtraineewantstotravelfromhis/herhometowndailyshallbereimbursedonlyonetimeTo(First)&Fro(Last)travelexpenseshallbereimbursedandthattooonpresentationofactualbillsonly.Allthebillsanddocumentationpresentedbythecandidatewillbefinallycheckedbythecompanyandifanycaseanydocument/bill/paperfounddiscrepantinanymannerthenalltheservices/reimbursement/facilitieswillbesuspendedbythecompanyatanystageoftraining/employment.Companyhassolerighttochange/cancelanyconditionsofreimbursementatanystage.

    SELECTIONPROCEDURE:Selectionprocedurewillbebasedonwritten/demoexamination(Online/Offlineexamination)Resultshallbedeclaredonourwebsitewww.mahendras.orgalsoDemoclassandP.IwillbeheldatLucknow,NewDelhi,Patna,Bhopal,Hyderabad,Ahmedabad&BengaluruoranyVenuedecidedbytheCompany.Oneneedtogethis/heroriginalandtwophotocopiesofallmarksheetsalongwithfourpassportsizephotographs.CandidateswillbeshortlistedforPersonalInterview,basedontheirqualificationandexperience.bescoredasperminimumqualifyingmarksrequiredbythecompanyinordertoqualifytheselectionprocedure.Ifanycandidateisunabletoprovidetherequireddocumentsonthetentativedatebeenprovidedbyhim/herselfthenhe/shewillbecalledtoHeadOfficeforwhichtherewillbenoreimbursement.AOCPwillbeconductedonlyatLucknowonly.ThedurationofAOCPtrainingforshortlistedcandidateswillbeof3,6,9,12,15,18&21daysaspertheproficiencyoftheTrainee.ReimbursementamountwillnotbegiventotraineeswhotakeanexitfromthecompanyinmiddleoftheAOCPtraining.IfanyAdminEmployeeofAOCPTrainingplanstoseparatefromthejobbeforecompletionof6monthsserviceperiod,fineof2timesofmonthlysalaryofferedshallbeimposedontheemployee.IncaseofDemandforParttimeJobsafterselectionshallresultinlapseofthereimbursementclauseasmentionedabove.

    DEDUCTIONSIfanOfficerdeniestogotoacertainlocationafterhis/herFOCPtraining,Rs500perdaywillberecoveredfromhis/herpaymentmadebythecompanyagainsthis/hertraining.Iherebycertifythattheinformationgivenabovebymeintheformisabsolutelytrue&correct.IncaseanyinformationisfoundtobeincorrectIalsoknowthatmyservicesareliabletobeterminatedimmediatelyatanystage.

    Date:________/________/20_____ APPLICANTSSIGNATURE_______________________________________________

    PageNo.55