021010-RCHO-F0-026

Honda Motorcycle & Scooter India Pvt ltd

APPLICATION FORM
Date:
-- To be filled by HR --
Position applied for:
Operation Division

Department Section

Location Position TM/ UL / SM / DM / DH

Referred By: ________________________ (eg. Consultant Name/Reference Name/HR Rep)

-- To be filled by Applicant –
Please write in block letters

1. Personal Details:
Name Vipin Kumar Photograph
Date of Birth 01/11/92 Gender M / F Male
Age 29
Permanent Address VPO- Shahbda, Distt- Auraiya (U.P.)Pin 206122
Temporary Address 105/4 Hudda , narainghar (Ambala )Haryana
Email ID [email protected]
Mobile no. 09971537456
Alternate Mobile 8866864357
No.
Speak Read Write
Hindi √ √ √
Languages known
English √ √ √
Any other

Qualification Specialization: -

Category Diploma BE/B.Tech Graduation MBA PG

Diploma
Full Time √ √
Part Time
Diploma (after 10th ) √
Diploma (after 12th )
Experience Range: -

Diploma: - BE/B.Tech: - Graduation: - MBA: - PGDBM:

-

2~5 Year 1~3 Year 3~7 Year 1~3 Year 1~3

Year

5~8 Year 3~6 Year 7~11 Year 3~6 Year 3~62

Year

8~12 Year 6~9 Year 11~15 Year 6~9 Year 6~9

Year

12~16 9~12 Year 9~12 Year 9~12

Year

Total Experience till Date: - (Please specify) 7.5 year

2. Family Details:

Name Relationship Age Occupation

Divyanshi Verma Wife 24 Housewife
Chandra Bhan Father 56 Service
Lajja vati Mother 52 Housewife

3. Academic Qualification from Xth onwards

Degree / Percentage
YOP Institute / College Board / University
Exam of Marks
10th 2007 Paliwal High school UP board 70.67

3.1 Professional Qualification (full time course)

Degree Percentage
YOP Institute / College Board / University
/ Exam of Marks
Polytec 2010 Govt. Polytechnic GZB BTEUP 73.31
hnic
B.Tech 2014 Ajay Kumar Garg engg UPTU 70.11
college
3.2. Details of any qualification acquired through part time, correspondence, distance learning,
etc_________________________________________________________________________
___________________________________________________________________________________
_________

4. Experience Details (Starting from the current company)

Last
Date of Date of CTC Reason of
Name of Company Designation Reporting to
Joining Relieving (PA) Leaving
Vihaan Networks Ltd 23/12/14 01/03/18 3 lac Engineer Manager Growth

05/03/18 29/09/18 3.36 Engineer-3 Chinese Growth

Vivo India Pvt Ltd. lac manager
Samsung India 16/10/18 14/10/21 4.3 Sr.Staff Manager Growth
Electronics Ltd lac Associate

BlueStar LTD. 18/10/21 present 6.58 Senior Mahesh yadav Location

lac Engineer

5. Expected per annum from 8500000 to 9500000 (Specify expected range in figures)

6. Notice period required to join _____________30 days____________________

7. Mention your Department Structure and mark your position.

8. Kindly mention your Current Job Contents /Job Activities

1 Responsible for all Electronics related activity in plant. Develop new projects.
2 Failure control, Handle projects in ATE system. Testing of product, PFMEA, CAPA,.
3 Spare part management, Dealing with electronics vendors, overseas vendors.
4 Analysis for field failure & control plan. Coordinate with R&D team for running projects.

9. Mention your key achievements:

10. Computer Proficiency

√ MS-Office yes
IT Applications, Kindly mention details
Arduino, C language, Lab view,

11. Mention your strengths and weakness

S.N Strengths Weakness
o
Introvert
1.
Good Learning skill
2. Solution oriented approach
Good RCA skill
3.
4.

12. Hobbies / Extra-Curricular Activities

___________________________Not any particular hobby

___________________________

___________________________

___________________________

___________________________
13. Are you open to relocate anywhere in India, If no, mention any restrictions

________________No, Open to NCR only___________________

14. Do you have any kind of employment bond with the current or previous organization, If yes,
mention the details

___________NO_______________________________________________________________

15. Are you suffering from any long illness or disability, please specify in detail

_____NO______________________________________________________________________

16. Are you involved in any civil or criminal proceedings, if yes give details

________No____________________________________________________________________

17. Have you been interviewed by us earlier? If yes, give details

__________No_________________________________________________________________

18. Do you have any close relatives working with us, if Yes, Mention the details:
___________No______________________________________________________________
__

Declaration
I Vipin Kumar do hereby solemnly affirm that the particulars and information given above are true
and correct to the best of my knowledge and belief and no part of it is false and that I have not
with-held or concealed any fact or information. In case any part of the information given above is
found to be false or incorrect, my candidature is liable to be withdrawn.

Signatures of the candidate Date:

Salary Details of Mr………………………………Qualification …………………… with Total
Work Exp ________

Kindly note that the salary details mentioned below would be the basis for Offer and should have
support documents
COMPONENTS Present salary Expected salary For office use
Per month Per annum Per month Per annum Per month Per annum
Component (A)
Basic 10800 129600
HRA 5400 64800
Conveyance Allowance 2000 24000
Professional Allowance 4500 54000
Grade Allowance 5710 68520
Medical Reimb. 1250 15000
Food Allowance 1300 15600
Other Allowance 6600 79200
Gift card 417 5004
Leave Encashment
LTA 2370 28440
PF 1800 21600
Gratuity 519 6228
Superannuation 1620 19440
TOTAL 44,286 531,432 70,000 840,000
Component (B)
Medical Insurance
Mobile Reimb.
Accommodation
Transport Subsidy 4000 48000

Canteen Subsidy
TOTAL 4000 48000
Any Other
Component ( C) NA
Variable / Bonus 78880 100000
CTC ( A + B + C ) 48,286 658,312 940,000

Signature of the candidate

Vipin Kumar