Employee Application Form Vol 3.2

Company Confidential Application Form-Offshore RMG-TAG-V.
Application for Employment
Personal Information
Neha Singh
Name (as per Adhar Card): ____________________________________________________________________________
(First Name) (Middle Name) (Last Name)
Father’s (Full name): ________________________________Mother’s (Full Name):________________________________
DOB (DD/MM/YYYY): ___________________Place & State of Birth: ________________________ Nationality: ___________
Male/Female/Transgender: _____________________ Aadhaar No: ______________________________________________
Marital Status: Single Married Separated, Widowed Spouse Name: ______________________________
PAN NO: ___________________________________ UAN Account NO: _________________________________________

Passport Details-
Passport No Pace of Issue Date of Issue (DD/MM/YY) Date of Expiry (DD/MM/YY)
If you don’t have valid Passport and have applied for passport application: -
Application No: ___________________________________ Date of Application: ________________________________
Present Address (PIN code Mandatory):

___________________________________________________________________________________________________
__________________________________________________________________________PIN:______________________
Landline: _______________________________________Mobile No: ___________________________________________
Email: Primary___________________________________Secondary: ___________________________________________
Permanent Address (PIN code Mandatory):

___________________________________________________________________________________________________
__________________________________________________________________________PIN:______________________
Landline: _______________________________________Mobile No: ___________________________________________
Email: Primary___________________________________Secondary: ___________________________________________
Emergency Contact Detail:

Name: ____________________________________________Relationship: _______________________________________
Address: ____________________________________________________________________________________________
Landline: __________________________________________Mobile No: _______________________________________
Do you have any relative(s) working with any of the Mahindra Group companies including Tech Mahindra? YES NO
If yes Please give details below:-
Name of Relative/s Relationship Mahindra Gp Company Emp ID Department
Signature of the Applicant: _______________________Date: _______________________________

Education Details: (Only those done through Govt recognized Institute/Universities)
College/University Duration (MM/YY)

Name of
Education fro Specialization Percentage
(With Location) Degree /Level To
m
Matriculation/SSC/
Equivalent
Intermediate/HSC/
Equivalent
Diploma/
Equivalent
Graduation/
Equivalent
Post -Graduation/
Equivalent
Employment History:
Present /Current Employment

Name of the Employer Industry Type:
Address:
Email and Ph No of Employer :
Period of Services : Current Designation:
Start Date (DD/MM/YY): Name of Reporting Manager:
End Date (DD/MM/YY): Designation of Reporting Manager:
Current CTC: Current Monthly In hand:
Variable/Incentive If any: Variable Payout frequency :
Previous Employment/ Jobs:
Period (DD/MM/YYYY)
Name and Address of Employer Last Salary Drawn
Sr No Emp Id (Must fill) Designation
(Please also give Telephone Nos.) From To (Per Annum)
Signature of the Applicant: _______________________ Date: _______________________________
Gap Details- Gap Reasons in Education & Employments:

(Need to cover gaps of more than 1 month in employments & education)
Period (MM/YYYY)
Sr No Reason
From To
1
Professional References :( Please provide detail of three professional references who are known to you)
Details Reference No 1 Reference No 2 Reference No 3

Full Name
Designation
Email ID
Contact No
Nature Of Association
General:
Have you ever applied for a job with any of the Mahindra Group Cos. in the last 6 months? YES NO
If yes, give details:

Name of Company Position Applied For Date of Application Reason for Not Joining
KYC Details: - Please provide bank KYC details in mentioned format.
A/C Number IFSC Code Bank Name Bank Branch Name
Any additional information you feel relevant to your candidature:

________________________________________________________________________________________________
_______________________________________________________________________________________________
Expected CTC :
Joining Time required :
I certify that:
1. The information furnished above is factually correct and subject to verification by Tech Mahindra Ltd.
2. All my education qualifications have been acquired from institutes duly recognized by Govt. established statutory
authorities.
3. I accept that an appointment given to me can be revoked; if any of above, information has been misstated or unstated.
Signature of the Applicant: _______________________Date: __________________________
General Declaration
Have you ever discharged, dismissed or terminated from your previous employment? YES NO
If yes, kindly furnish details ________________________________________________________________________

________________________________________________________________________________________________
Are you willing to work in shift timings as suggested by Management? YES NO
Have you signed an employment bond with previous employer (s)? YES NO

________________________________________________________________________________________________
Are you suffering from any handicap/s, ailments or are you under long-term medication? YES NO

________________________________________________________________________________________________
Are you under any service agreement or Bond? YES NO

________________________________________________________________________________________________
Do you have history of drug, alcohol abuse, depression, and /or any other psychological disorder? YES NO

________________________________________________________________________________________________
Have you ever been convicted by any court of law on grounds including civil, criminal, and socio-economic or
cybercrimes or other acts punishable under the Information Technology Act? YES NO

________________________________________________________________________________________________
Please details out if any Court order has been passed by the Court
________________________________________________________________________________________________
________________________________________________________________________________________________
I certify that
The information furnished above is factually correct and subject to verification by Tech Mahindra Ltd.
Signature of the Applicant: _______________________Date: _______________________________

Employee Application Form Vol 3.2

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Employee Application Form Vol 3.2

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Company Confidential Application Form-Offshore RMG-TAG-V.

Application for Employment

Father’s (Full name): ________________________________Mother’s (Full Name):________________________________

DOB (DD/MM/YYYY): ___________________Place & State of Birth: ________________________ Nationality: ___________

Male/Female/Transgender: _____________________ Aadhaar No: ______________________________________________

Marital Status: Single Married Separated, Widowed Spouse Name: ______________________________

PAN NO: ___________________________________ UAN Account NO: _________________________________________

Present Address (PIN code Mandatory):

Permanent Address (PIN code Mandatory):

Emergency Contact Detail:

Signature of the Applicant: _______________________Date: _______________________________

College/University Duration (MM/YY)

Present /Current Employment

Previous Employment/ Jobs:

(Please also give Telephone Nos.) From To (Per Annum)

Signature of the Applicant: _______________________ Date: _______________________________

Gap Details- Gap Reasons in Education & Employments:

Details Reference No 1 Reference No 2 Reference No 3

If yes, give details:

KYC Details: - Please provide bank KYC details in mentioned format.

A/C Number IFSC Code Bank Name Bank Branch Name

Any additional information you feel relevant to your candidature:

Signature of the Applicant: _______________________Date: __________________________

If yes, kindly furnish details ________________________________________________________________________

Are you willing to work in shift timings as suggested by Management? YES NO

If yes, kindly furnish details ________________________________________________________________________

If yes, kindly furnish details ________________________________________________________________________

Are you under any service agreement or Bond? YES NO

If yes, kindly furnish details ________________________________________________________________________

If yes, kindly furnish details ________________________________________________________________________

If yes, kindly furnish details ________________________________________________________________________

Signature of the Applicant: _______________________Date: _______________________________

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Father’s (Full name): Mother’s (Full Name):

DOB (DD/MM/YYYY): _____Place & State of Birth: Nationality: _

Male/Female/Transgender: _ Aadhaar No: __________________________

PAN NO: _ UAN Account NO: _______

Signature of the Applicant: _Date: _________

Signature of the Applicant: _ Date: _________

Signature of the Applicant: _Date: ____

Signature of the Applicant: _Date: _________