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APPLICATION FORM
CANDIDATE CATEGORY: FRESHER ( ) (Please tick () the relevant category) POSITION APPLIED FOR: Name: (in block letters) FIRST Present Address: MIDDLE Permanent Address : SURNAME LATERAL ( ) REHIRE ( )

Date:

PERSONAL DETAILS

Date of Birth: Tel No (Res): Mobile No: E-mail id: Marital Status: Nationality: Passport No and Validity:

Age: Tel No (Off):

(Please Tick () wherever applicable) Language 1. 2. 3. 4. Can Speak Can Read Can Write

Relation Father

Name

Age

Education

Employment

PERSONAL DETAILS

Mother Spouse Children

Sibling

Educati on X Std

Name of the Qualification Awarded

Year (mm/yyyy) From To

School / College / University

Subject / Specialization

% or CGPA (Rank if any)

ACADEMIC QUALIFICATIONS/ TRAINING RECEIVED

XII Std Graduation Post -Graduatio n Others

SIGINIFICANT ACHEIVEMENTS:

EXTRA CURRICULAR ACTIVITIES:

TRAINING & SPECIAL COURSES ATTENDED DURING PROFESSIONAL CAREER:

PROFESSIONAL MEMBERSHIP: Name & Address of Professional Institutions / Social Organizations Grade of Membership Level of involvement

Duration (mm/yyyy) From To

Organization

Last position held

Total Remuneration P.A. (*)

Reason for leaving

(*) Please attach details of your current compensation package in the format given.

WORK EXPERIENCE

Significant contribution made in your existing job so far:

Please draw below the organization chart of your Please give us a detailed description of your present Company, clearly indicating your level what is your career vision? current job responsibilities: What prompted you to apply to our company and and direct reports:

Notice period required to join:

Salary Expected:

Details of any Director positions held in any company (including any family business):

(Please Tick () wherever applicable)

How did you come to know of opportunities in Vedanta? Was it through the following? Search Firm ( ) Employee Referral ( ) Others (Please specify): Recruitment Consultant ( ) Internet Job Board ( ) Print Media Advertisement ( ) Company Website ( )

MISCELLANEOUS

Any location constraints (Please describe):

Have you undergone selection process with any Vedanta Group Companies (HZL, MALCO, BALCO, Vedanta Alumina, Sterlite Industries) previously? Yes ( ) No ( ) IF YES, Company Name: Position Applied for: Were you selected for an interview? Were you made an offer? Were you previously employed with us? Year: Yes ( ) Yes ( ) Yes ( ) No ( ) No ( ) No ( )

Any additional information which you feel will be helpful to us in considering application for employment with us:

List two references, other than relatives (Preferably your immediate superiors) Name Designation Organization Telephone/ Mobile/ Email

REFERENCES

Do you have any relatives in this company:

Yes ( )

No ( )

If yes, please mention the name(s), Company, Location, Department, Designation and Nature of Relationship

I hereby certify that all the information provided above is true and correct to the best of my knowledge. Any false or
misleading information provided on this form or any other document may result in the employment being terminated. Place:

Date:

Signature:

Current Compensation Work Sheet

Name: Current Employer: Position: Location:
Compensation Details I) Monthly Payments Basic HRA Allowances Provident Fund Any others TOTAL TOTAL - Monthly Payments Annualized II) Annual Payments Bonus ( realistic estimate) LTA Medical Amount in INR Remarks

Gratuity Super Annuation Any other payments/allowances TOTAL - Annual Payments III) Car Benefits( if applicable) Vehicle Repair/Maintenance Petrol Driver Wages TOTAL GRAND TOTAL - Annual (I + II + III) NOTES OF OTHER BENEFITS WHICH ARE NOT INCLUDED ABOVE 1) Mediclaim, Accident Insurance: If so, premium value 2) Car: If so, type and lease value per month 3) Club membership 4) Annual Holidays: Value of the same 5) ESOP: To include only Value of Options (which will be forfeited within the next 6 months should he/she leaves to join Vedanta) This value will be difference between Offer price and Market price multiplied by no of such shares which he/she will forfeit should the candidate join Vedanta 6) Any other