WHEELS INDIA LIMITED

PADI, CHENNAI-600 050.

Affi! recent "ass port si#e photograph in the hard cop$

APPLICATION FOR EMPLOYMENT

Note: Fill all the items; If not applicable please state Not Applicable (NA). Attach additional sheet if required, to gi e complete details.

POSITION APPLIED FOR NAME IN FULL( IN BLOCK LETTERS) Date of Birth & Age Bloo !ro"# Religio$ % Co&&"$it' ( ( FC) BC) SC) ST ) Nati*e Pla+e Mother to$g"e PAN No( Per&a$e$t A re,, -ith PIN Co e (.ith Tele#ho$e % &o/ile $"&/er )

Graduate Apprentice

Pre,e$t A re,, -ith PIN Co e (.ith Tele#ho$e % &o/ile $"&/er)

MARTIAL STATUS Single / Married / Widower /Divorced Husband / Wifes Name Date of Birth of spouse Occupation of spouse Date of Marriage Na&e of Chil re$

M%F

Date of Birth

FAMIL0 BACK!ROUND Father1, Na&e Age O++"#atio$%Pla+e Mother1, Na&e Age O++"#atio$%Pla+e Brother, a$ Si,ter, Name

ge

M/!

Single/ Married

Occupation /"lace

EDUCATIONAL BACK!ROUND (BOT2 ACADEMIC & TEC2NICAL) STARTIN! .IT2 SSLC) #$am "assed %lass / Name ( place of the )ear & Mar's School ( %ollege !rom +o

#lectives / Speciali*ation

TRAININ! Nature of training ,apprenticeship/ special/training/ courses undergone-

Duration,Date!rom +o

.nstitution / "lace

Pre,e$t Co&#a$'( Na&e & F"ll A re,, ( -ith PIN Co e)

"eriod ,Date!rom +o

Designation On 0oining "resent

/eporting to

/eason for see'ing change

Pre*io", Co&#a$'1, Na&e & F"ll A re,, ( -ith PIN Co e )

)our Designation On 0oining While leaving

"eriod of Service,Date!rom +o

+otal Salar1 drawn /s2 " On 0oining While leaving

/eason for leaving

Pre,e$t ,alar' a$ Per3"i,ite, etail,( MONT2L0 B S.% D H/ %onve1ance allowance .ncentive Special allowance Other allowances +elephone allowance Medical allowance #ducation allowance ANNUAL Bonus / #$gratia "! 3+ Superannuation Medical reimb / allce Others4 if an1

TOTAL%MONT2 TOTAL%ANNUM TOTAL CTC %ANNUM

TOTAL%MONT2 TOTAL%ANNUM

4o/ De,+ri#tio$ -ith Pre,e$t Co&#a$' % etail, of 5o/, % ,6ill, 'o" are +a#a/le of ha$ li$g /' *irt"e of 'o"r 3"alifi+atio$, a$ e7#erie$+e (",e /"llet #oi$t,) 89 :9 ;9 <9 =9 >9 2a*e 'o" a$' relati*e, -or6i$g i$ .heel, I$ ia) A7le, I$ ia or a$' other T9?9S9 !ro"# Co&#a$ie,@ If ,o) #lea,e gi*e etail,9 De,ig$atio$ % Na&e Relatio$,hi# Na&e of the Co&#a$' De#art&e$t T9 No9 89 :9 ;9

REFERENCES( Three re,#o$,i/le #er,o$, ($ot relate to 'o" ) -ho -ill *o"+h for 'o"r +o$ "+t a$ -or6 #erfor&a$+e9 N M# Occupation4 !ull ddress , with How is 'nown to the applicant ".N %ode - ( +elephone Numbers 89 :9 ;9 What Salar1 and per5uisites can 1ou accept6 Date on which 1ou can 0oin if selected7

De+laratio$
. hereb1 declare that the above particulars furnished b1 me are true to the best of m1 'nowledge and belief and these will form the basis of the contract of emplo1ment4 if . am emplo1ed b1 Wheels .ndia 3imited4 if at a later date4 an1 of the particulars furnished herein b1 me is found untrue or not correct4 the %ompan1 will have the right to terminate m1 services without notice or compensation2

PLACE( DATE (

NAME % SI!NATURE