Employment Application Form

Important: Please fill in the relevant information in the text boxes

For Official Use Only

Source
Date of Joining
Name to appear on Cheque Book
Token No.

Position Applied For

Location
Position No.
PF No.

Personal Information

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)

Contact Details
16. Address for
Communication

17. Permanent
Address

Pin

Pin

Landline Number

Landline Number

Mobile Number

Mobile Number

Personal Information
Optional Disclosure
18. Facebook

19. Blog/ Microsite

20. Linkedin

21. Any Other

About Your Family

22. Family Background
Name

Relationship
Father

DOB

(dd-mm-yyyy)

Gender

Age

Qualifications

Occupation

Location

Dependency
(Yes/ No)

17-02-1953

Mother
Spouse

Child 1

Child 2

Educational Details
23. Academic Qualifications
Education

10th
12th
Degree
PG

School/
College

From

To

(dd-mm-yyyy) (dd-mm-yyyy)

Year of
Completion

Specialization

Board/
University

Grade/
Score/
Percentage

24. Languages Known

Language

Speak

Read

Write

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

26. Patents

27. Inventions

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

29. Certifications

Professional Details

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

Location

From

(dd-mm-yyyy)

To

(dd-mm-yyyy)

Industry

Designation

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

34. Specify your key Career Aspirations (Short Term)

35. Specify your key Career Aspirations (Long Term)

36. Bonds/ Service Agreements (if any)

37. Notice Period

Hobbies & Special Interests

38. Interests/ Hobbies & Extra-curricular Activities

General Information

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

40. Have you ever been involved in any criminal proceedings? (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 (dd-mm-yyyy) To (dd-mm-yyyy)

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)
1.

2.

3.

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23
22
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18
17
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14
13
12
11
10
9
8
7
6
5
4
3
2
1
Su
Sa
Tu
Th
W
M
F

1953

Father
DOB
dd-mm-yyyy
February

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 cant
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 (dd-mm-yyyy)