PERSONAL INFORMATION
FULL NAME: SIDDHESH DILIP PAWAR DATE: 1ST JULY 2025
First Middle Last
ADDRESS: SURAKSHA NAGAR B-22 RIL NMD , NAGOTHANE,
Street Address Apt/Suite
MAHARASHTRA,402125
City State Zip Code
E-MAIL: siddhu.pawar.yt@gmail.com PHONE: 7741894020
SOCIAL SECURITY NUMBER (SSN): _____-____-_____
DATE AVAILABLE: __________________ DESIRED PAY: $_________ ☐ HOUR ☐ SALARY
EMPLOYMENT ELIGIBILITY
ARE YOU LEGALLY ELIGIBLE TO WORK IN THE U.S? ✓ YES ☐ NO*
HAVE YOU EVER WORKED FOR THIS EMPLOYER? ☐ YES* ✓ NO
*IF YES, WRITE THE START AND END DATES: ____________________________________
HAVE YOU EVER BEEN CONVICTED OF A FELONY? ☐ YES* ✓ NO
*IF YES, PLEASE EXPLAIN: ____________________________________________________
EDUCATION
SCHOOL: Reliance foundation school (SSC) CITY / STATE: Nagothane, Maharashtra
FROM: June 2021 TO: June 2022
GRADUATE? ✓ YES ☐ NO DIPLOMA: Instrumentation and Control
COLLEGE: Government Polytechnic Pen CITY / STATE: Pen, Maharashtra
FROM: June 2022 TO: June 2025
GRADUATE? ☐ YES ✓ NO DEGREE: ___________NA__________
OTHER: _____________________ CITY / STATE: _____________________
FROM: _____________________ TO: _____________________
DEGREE/CERTIFICATION: _____________________
OTHER: _____________________ CITY / STATE: _____________________
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FROM: _____________________ TO: _____________________
DEGREE/CERTIFICATION: _____________________
PREVIOUS EMPLOYMENT
EMPLOYER 1: __________________________________________________________
Company / Individual
E-MAIL: __________________________________ PHONE: _____________________
ADDRESS: ____________________________________________________________
Street Address Apt/Suite
____________________________________________________________
City State Zip Code
STARTING PAY: $_________ ☐ HOUR ☐ SALARY ENDING PAY: $_________ ☐ HOUR ☐ SALARY
JOB TITLE: ______________ RESPONSIBILITIES: _____________________________
FROM: _____________________ TO: _____________________
REASON FOR LEAVING: _______________________________________________________
EMPLOYER 2: __________________________________________________________
Company / Individual
E-MAIL: __________________________________ PHONE: _____________________
ADDRESS: ____________________________________________________________
Street Address Apt/Suite
____________________________________________________________
City State Zip Code
STARTING PAY: $_________ ☐ HOUR ☐ SALARY ENDING PAY: $_________ ☐ HOUR ☐ SALARY
JOB TITLE: ______________ RESPONSIBILITIES: _____________________________
FROM: _____________________ TO: _____________________
REASON FOR LEAVING: _______________________________________________________
EMPLOYER 3: __________________________________________________________
Company / Individual
E-MAIL: __________________________________ PHONE: _____________________
ADDRESS: ____________________________________________________________
Street Address Apt/Suite
____________________________________________________________
City State Zip Code
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STARTING PAY: $_________ ☐ HOUR ☐ SALARY ENDING PAY: $_________ ☐ HOUR ☐ SALARY
JOB TITLE: ______________ RESPONSIBILITIES: _____________________________
FROM: _____________________ TO: _____________________
REASON FOR LEAVING: _______________________________________________________
REFERENCES
(PROFESSIONAL ONLY)
FULL NAME: DILIP PAWAR RELATIONSHIP: FATHER
First Last
COMPANY: RELIANCE FOUNDATION SCHOOL TITLE: TEACHER
E-MAIL: Dilip.pawar.5294@gmail.com PHONE: 9518345294
FULL NAME: SAROJ PAWAR RELATIONSHIP: MOTHER
First Last
COMPANY: ________________NA________________ TITLE: HOMEMAKER
E-MAIL: sp6740415@gmail.com PHONE: 9021395335
FULL NAME: SAMRUDDHI PAWAR RELATIONSHIP: SISTER
First Last
COMPANY: _________________NA_______________ TITLE: STUDENT
E-MAIL: samu1509@gmail.com PHONE: 7020809514
MILITARY SERVICE
ARE YOU A VETERAN? ☐ YES ☐ NO
BRANCH: _____________________ RANK AT DISCHARGE: _____________________
FROM: _____________________ TO: _____________________
TYPE OF DISCHARGE: _____________________
IF NOT HONORABLE, PLEASE EXPLAIN: ______________________________________
BACKGROUND CHECK CONSENT
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IF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK? ✓ YES ☐ NO
DISCLAIMER
Applicant understands that this is an Equal Opportunity Employer and committed to excellence
through diversity. In order to ensure this application is acceptable, please print or type with the
application being fully completed in order for it to be considered.
Please complete each section EVEN IF you decide to attach a resume.
I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this
application leads to my eventual employment, I understand that any false or misleading
information in my application or interview may result in my employment being terminated.
SIGNATURE _________________________________ DATE 1st July 2025
NAME Siddhesh pawar
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