Employment Application Form Important: Please fill in the relevant information in the text boxes

Personal Information

Contact Details

For Official Use Only Source Position Applied For Date of Joining Location Name to appear on Cheque Book Position No. Token No. PF No.

1. Name (first, middle, last)

2. Gender (male/ female)

3. Mother Tongue

4. Date of Birth

5. Age

6. Place of Birth

7. Blood Group

8. Marital Status

9. Anniversary

10. Religion

11. PAN Number

12. Nationality

13. Email id

14. Passport No.

15. Category (SC/ ST/ General/ OBC)

16. Address for Communication

17. Permanent Address

Pin

Pin

Landline Number

Landline Number

Mobile Number

Mobile Number

Personal Information

Optional Disclosure

About Your Family

Educational Details

18. Facebook

19. Blog/ Microsite

20. Linkedin

21. Any Other

22. Family Background Name

Relationship DOB Gender Age Qualifications Occupation Location Dependency (Yes/ No)

Father

Mother

Spouse Child 1 Child 2

23. Academic Qualifications Education School/

College From To Year of

Completion Specialization Board/

University Grade/ Score/ Percentage

10th

12th

Degree PG

24. Languages Known Language

Speak Read Write

26. Patents

27. Inventions

28. Membership of Professional bodies/ social, educational & cultural organisations

25. Citations (Any Prizes/ Medals/ Scholarships/ Honours received)

29. Certifications

Professional Details

31. Please give the salary details of the last employment (per annum) Fixed

Variable Total CTC Expected CTC

32. Describe in brief the nature of your present/ last job, specifying the major areas of responsibility

33. Specify some of your major accomplishments in your career, to date

30. Give details in chronological order (beginning with the last job) accounting for all times, including periods of unemployment, if any Employer

Location From To Industry Designation

36. Bonds/ Service Agreements (if any)

37. Notice Period

Hobbies & Special Interests

General Information

34. Specify your key Career Aspirations (Short Term) 35. Specify your key Career Aspirations (Long Term)

38. Interests/ Hobbies & Extra-curricular Activities

39. Have you had any major illness, surgery or accident? (If yes, please provide details)

41. Are you related to any employee / s employed with the Mahindra Group? (If yes, please provide their details) Name

Sector/ Business Department

42. Have you worked with the Mahindra Group in the past? (If yes, please provide details) Employee Code/ Token No. From To Position

43. Have you ever applied to Mahindra Group before? (if yes, please provide details)

44. Do you Have any Location Preference? (If yes, Please mention your top 3 preferences)

40. Have you ever been involved in any criminal proceedings? (If yes, please provide details)

1.

2.

3.

References

Do give us the details of two people. One of them has to be a part of the trade/ profession you were a part of so they give us a feedback of your performance. Please keep in mind that the references can’t be related to you. Name

Designation Organization Tel/ Mobile Number

e-mail id

Declaration I declare that all information contained in this form is true to the best of my knowledge and belief and nothing has been concealed. I hereby authorise the company to conduct a background check with a view to verify my credentials as declared by me above. If any inaccuracies are found in the content/ information furnished herein, I shall be liable to be terminated from the services of this company immediately without notice or any compensation in lieu thereof. Signature

Place Date