Position Applied for 1. Full Name in Block Letters: Indusind Bank G> Declaration by the candidate at the time of interview Mr / Mrs / Miss First Name Middle Name Last Name 2. Personal Details Date of Birth] Age | Nationality | Sex | Marital Children {in yrs) Status | (Name & age in yrs) 3. Family Details Name ‘Occupation ‘Organization Your Spouse Your Father Your Wother 4. Contact Details ‘Address to which we should write Permanent Address Tel Mobile Fax Email: Tel Mobile Fax Email: Page 1 of 3Indusind Bank G> 5. Education/Professional Qualification details (Class Xil onwards) Year of Grade 7 Degree Institute passing % marks obtained 6. Work Experience details (Starting from the current job) Duration Employer Position Salary (INR) p.m From To 7. If you have any relatives/friends in our company, please give details Relatives Friends 8. If in the past you had applied for a post in any of our group companies, then Please give details as post applied for, year and outcome ite your locational preferences (in order of preference) Page 20f310. Languages Spoken Indusind Bank G> Indicate Languages Speak Read Write 11. Mention your major achievements in life 12. Mention your extra-curricular activities and hobbies Dect ration by candidate The above-mentioned information is correct to my best knowledge and belief. Name of Applicant: Signature of Applicant: Date : Place: Page 30f3