Employment Application Form

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

For Official Use Only

Source adscf 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)

RAHULKUMAR JASHUBHAI ROHIT
2. Gender (male/ female) 3. Mother Tongue
MALE GUJARATI
4. Date of Birth 5. Age
12-10-1996 22
6. Place of Birth 7. Blood Group
ANAND B+
8. Marital Status 9. Anniversary
SINGLE
10. Religion 11. PAN Number
HINDU
12. Nationality 13. Email id
INDIAN rahulrohit980@gmail.com
14. Passport No. 15. Category (SC/ ST/
General/ OBC) sc

Contact Details

16. Address for 17. Permanent

S/O 516,ROHITVAS S/O 516,ROHITVAS
Communication Address
NEAR WATER NEAR WATER
TANK,BAKROL,ANAND TANK,BAKROL,ANAND,GUJ
,GUJARAT ARAT

Pin 388315 Pin 388315

Landline Number Landline Number

Mobile Number 8485929297 Mobile Number 8485929297

 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)
JASHUBHAI
SOMABHAI ROHIT Father 12-10-1996
MALE 53 10th JOB ANAND NO
KAMLABEN
JASHUBHAI ROHIT
Mother FEMAIL 48 10th HOUSEWIFE ANAND YES
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
M U PATEL 09-06-2011 23-05-2012 2012 GSHSEB C1
12th
RPTP SCHOOL 09-06-2013 23-05-2014
2014 GSHSEB D
Degree

PG
CMT IGTR 08-10-2015 30-07-2017 2017 GCVT 77.5
24. Languages Known

Language Speak Read Write

GUJARATI ✔ ✔ ✔
HINDI ✔ ✔ ✔
ENGLISH ✔ ✔ ✔

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)

IGTR 01-08-2018 01-08-2018 TOOL ROOM TRAINEE

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

Fixed Variable Total CTC Expected CTC

41376
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)
AHMEDABAD BARODA ANAND
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 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 AHMEDABAD
Date (dd-mm-yyyy) 06-04-2018