FORMAT FOR EXPERIENCE CERTIFICATE

(Please note that the Experience Certificate Must be sent Only in the Format Given
below on an Company's Authentic Letter Head Pad )

A) This is to certify that Shri ____________________ Son of Shri_________________

(Name of the candidate)

(Name of Father)

has worked on Regular / Fixed Tenure / Contract basis :

From _______ To ________ with M/s ____________________________________,
(Date)

(Date)

(Name of Company with address)

OR
From _________ To _________ at M/s ___________________________________,
(Date)

(Date)

(Name of Principal Employer with address)

through M/s__________________________________________________________
(Name of Contractor with address)

B) He/She has worked for _______ (in words_____________________________) days

during the period mentioned above.
C) During the above period Shri/Ms __________________ has carried out the following
nature of work :
(i) ______________________________________________________________
(ii) ______________________________________________________________
(iii) ______________________________________________________________

D) This is further to certify that the company is engaged in _______________________

(Nature of Work of Company)

E) During the above period the conduct of Shri/Ms ______________ was ___________.
____________________________________
(Signature of Authorised signatory with Seal)

Date : _______________
Place: ________________

(Note: Authorised signatory would mean Company Official authorised for the purpose).


(
)
) ______________________ ________________________
( )

( )

/ / :
_____________ ____________ ______________________________________
( )

( )

( )

_________ __________ ____________________________________________

( )

( )

( )

___________________________________________________ ,
( )

() _________( ______________________________)

() / ____________________________
:
(i) _____________________________________________________________
(ii) _____________________________________________________________
(iii) _____________________________________________________________
() __________________________________
( )

() /___________________ ______________________

__________________________________
( )

: ____________
: ____________
( : : )