Employment Application Form

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

For Official Use Only

Source Position Applied For
Date of Joining Location
Name to appear on Cheque Book Position No.
Token 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 17. Permanent

Communication 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 DOB Gender Age Qualifications Occupation Location Dependency

(dd-mm-yyyy)
(Yes/ No)
Father

Mother

Spouse

Child 1

Child 2

Educational Details

23. Academic Qualifications

Education School/ From To Year of Specialization Board/ Grade/

College (dd-mm-yyyy) (dd-mm-yyyy)
Completion University Score/
Percentage

10th

12th

Degree

PG
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 To Industry Designation

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

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.
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 e-mail id

Number

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)