PRECISION EQUIPMENTS (CHENNAI) PVT LTD,

TAMIL NADU ,INDIA 600096

TEL.: (044) 24961460

PROJECT / INTERNSHIP TRAINEE SCHEME

PERSONAL DATA FORM
Institute: Loyola Institute of Business administration
Branch of study: PGDM (Operations)
Please fill this Personal Data Form completely as we value this in our selection process.
PERSONAL PARTICULARS
Name in capitals

Mark Linekar E

Date of
birth

Place of
birth

28-07-1990

Nazareth

Sex (M / F)

Height(cm.)

173

Weight (kg.)

72

Power of lens
(if relevant)

Nationality
Indian
Language
known
(indicate
whether
fluent, fair or
poor,
underline
mother
tongue)

Religion

Caste

Christianity

BC

Language
Tamil
English
Telugu
Hindi

speak
Fluent
Fluent
Fair
-

Read
Fluent
Fluent
Fair

write
Fluent
Fluent
Fair

PHOTOGRAPH

Blood Group
B +ve
Physical Disability / major illness

Present Address [Till (31-03-2016) ]

Room No. B-23, LIBA Hostel,
Loyola College
Nungambakkam,
Chennai 600034.
Tel No. 9894889720
E-mail: mark.linekar@gmail.com
Person to be
contacted in
emergency

Name
Relationship
Tel No.

Permanent Address
C-23 Community Welfare Road,
Block-9,
Neyveli 607801.
Tel No. 9894889720
E-mail: mark.linekar@gmail.com
J. Edwin
Father
9486054564

Details of Family(parents / brothers / sisters / spouse / children)

Name

Relationship

Details of relatives working in the company

Age(yrs.)

Qualification

Occupation /
Designation

Resident of
(location)

Area of Internship / Project you would like to work.

ENGINEERING
MANUFACTURING
SALES & MARKETING
HUMAN RESOURCES
SOFTWARE DEVELOPMENT
BUSINESS ANALYTICS
SUPLLY CHAIN MANGEMENT
PROJECT MANAGEMENT
BRAND MARKETING
(Website ,Logo, Brochures, PPT)

Please indicate preferred Area with reasons for the choice.

EDUCATIONAL RECORD (Starting with std. X & XII, Diploma / Degree year wise)
Period
Examination /
Board /
Main subjects /
Institution
Degree
university
specialization
From
To

% of Marks
Grade / division.

PROJECTS UNDERTAKEN / VOCATIONAL TRAINING

Title of project

Institute / Organization

Period
From

To

Have you done any project work or assignment in Precision as a student?

PART I
PART II
Duration / Year
Project Guide Evaluation
Project name
Project Guide
(weeks)
(Not to be filled by student)

SCHOLARSHIPS / AWARDS / NATIONAL TALENT SEARCH

National
State / University / Board

College / School

EXTRA CURRICULAR ACHIEVEMENTS

Please mention only significant achievements in games, hobbies & professional roles, indicating, the level e.g.
national, state, university, institute etc.
Activity

Level

Prize/Award

Captainship/position

CAMPUS LIFE :
Have been a boarder at School Or College
If Yes indicate your major learning from your life on campus

ACHIEVEMENTS :
What do you regard as the most significant achievement in your life so far?

STRENGTH & LIMITATIONS

What do you perceive as your major strength?

What have you identified as your limitations?

DEVELOMENT :
How will you ensure your continuous learning and development?

INTEREST & PURSUITS :

What kind of activities you enjoy the most/ What satisfaction do you derive from them and how do you see these
flourishing in your future?

Values And Beliefs :

What are the beliefs and values that have guided your life so far and how do you see them influencing your future?

PROFILE :
Reflects on one significant person, if any who has influenced your life so far. In what way? Also whether any
author / book has influenced you.

CURRICULUM INTEREST :
Which subject in your curriculum, are you deeply interested in and wish to be updated with?

CAREER PLANS :
What are your career plans?

OTHER INFORMATION :
Any information you would like to give.

I certify that the foregoing information is correct to the best of my knowledge. I am aware that any false, distorted or
incorrect information given me may result in termination of my training & subsequent advice with the company at
any time, without any notice or compensation.

Date

Place

Signature