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EMPLOYMENT APPLICATION FORM

POST GRADUATE(PGET) ENGINEERS
GRADUATE (GET) CA/FINANCE/MBA
POSITIONAPPLIED
DISCIPLINE
Pleasetick() DIPLOMA (DET) SALES

OTHERS (PleaseSpecify) ADMIN

NAME IN BLOCK LETTERS():

PRESENT ADDRESS - VALID UNTIL: PERMANENT ADDRESS:

City : Pin Code: City : Pin Code:

E mail id: MobileNo.

MALE DATE OFBIRTH MARITALSTATUS NATIONALITY

SEX
FEMALE
PERSONALDETAILS

PASSPORTNUMBER NAME AS INPASSPORT PROFESSION AS INPASSPORT

DATE OFISSUE VALIDUPTO PLACE OFISSUE COUNTRIES VALIDFOR

R W S LANGUAGE R W S LANGUAGE R W S
LANGUAGESKNOWN MOTHERTOUNGE
(R-READ;W-WRITE;
S-SPEAK)

MOST RECENTILLNESS NO. OF DAYS ILL NATURE OFILLNESS

LEFTEYE
PHYSICAL DISABILITY (IFANY) HEIGHT(Cm)
POWEROF
EYEGLASS RIGHTEYE WEIGHT(Kg)

NAME OFTHE
INSTITUTE
NAME OFTHE
NAME OF POST -GRADUATION
DEGREE/DIPLOMA
WITHSPECIALIZATION
WITHSPECIALIZATION
MARKS SCHOLASTICACHIEVEMENTS
EXAMPASSED YEAR OFPASS (DISTINCTION/AWARDS/
SCORED MAXIMUM SCHOLARSHIPS)
SSC OREQUIVALENT
EDUCATIONALDETAILS

INTERMEDIATE 1stYr
OREQUIVALENT
2nd Yr
1stYr
DEGREE 2nd Yr
ORDIPLO
MA 3rdYr
4thYr
AVERAGE OF
DIPLOMA/DEGREEMAR
KS
(INPERCENTAGE)
P.G.DEGREE/ 1stYr
P.GDIPLOMA
2nd Yr
AVERAGE OF THE
P.G.MARKS(INPERCENT
AGE)
TITLE OF THE PROJECT WORK SUBMITTED FOR DEGREE/DIPLOMA

TITLE OF THE PROJECT WORK SUBMITTED FOR POST GRADUATION/ POSTDIPLOMA

Name of the Working Profile with Experience (in Years)

NAME OF YOUR FAMILYMEMBERS DATE OFBIRTH RELATIONSHIP OCCUPATION

FAMILY DETAILS

IS THERE ANYTHING YOU WISH TO MENTION, WHICH WILL HELP US IN CONSIDERING YOURAPPLICATION?

RELATIVES/ ACQUAINTANCES IN TATA GROUP

NAME & P.SNO RELATIONSHIP POSITION COMPANY

GENERALDETAILS

REGISTRATION PAGE
You have to deposit a Application Fee of Rs 1000/- Via PAYTM
SCAN & PAY: PAYTM QR CODE
PAYMENT VERIFICATION
NAME :-

PAYTM NUMBER:-

TRANSACTION ID:-

DATE:-
DECLARATION UNDER SECTION 314 OF COMPANIES ACT AS AMENDED IN1974
(STIKE OUT WHICHEVER IS NOTAPPLICABLE)
1. I hereby declare that I am not connected with any director of the companyas 2.IherebydeclarethatIamnot apartner/relativeofMr.
hispartnerorhisrelativeasdetailedundersection6oftheCompaniesAct1956.
A director of the company as
IherebyaffirmthatmyanswerstotheforegoingquestionsaretrueandcorrectandIunderstandandagreethatmisrepresentationoromissionoffacts
calledforinthisapplicationorothercompanyrecordsshallautomaticallyresignedthecontractofemployment.Iauthorizeinquirywithregardtomy
character,abilityandhabitstoanyandallpersonsandagreetoholdsuchpersonsharmlesswithrespecttoanyinformationthatmaygive.

DATE: PLACE: SIGNATURE OFAPPLICANT:

Please send Scan copy of Application Form with all necessary copy of documents on

Mail ID :- rajesh.hrmanager@tatagroupmail.in