Application for the Post of

TA/ JTA / OG/ ELTP/ PT
AFFIX RECENT
PHOTO HERE
Personal Details ( In Capital Letters Only)
________________________________________________________________
First Name
Middle Name
Last Name/ Surname
Date of Birth ___________________________Place of Birth _____________________________

Nationality _________________________

Marital Status ______________________________
Present Address

_________________________________________________________________________________
____________________________________________________________________________________________________

Distt ____________________ State____________________ Pin-code _______________________
Tel/Landline No (with STD CODE) _______________ MOBILE _____________________________
Permanent Address
_____________________________________________________________________________________________________________________________ __________

_________________________________________________________________________________
Distt ____________________

State ____________________ Pin-code_____________________

Tel/Landline No (with STD CODE) _______________ MOBILE_____________________________
E-mail id

1) _________________________________ 2) _________________________________
(in Capital letters)

(in Capital letters)

Alternative Contact Details
(Please provide details other than given earlier in this form so that information could be communicated in case
of failure to reach you through either of the above address)
Name of Person _______________ Tel (with STD code)/Mob No ___________________________
Details of Passport

Passport No. ______________ Place of Issue ________________ Dt. of Expiry _________________
If not held, have you applied for a Passport?

Yes / No

If yes, give Application No_______________ Passport Office Receipt No & Date.________________

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In case of Non Indian Nationals Only
Do you have a valid work permit to work in India/for Indian Company?

Yes / No

If yes, please attach a copy of the same with this Application Form
Family Background
Relationship

Name

Age

Highest Educational
Qualification

Current Occupation

Father
Mother
Sister (s)
Brother (s)

Educational Background
Qualification

10

th

12

th

Duration (Year)
From
To

Name of the College

Specialization/
Branch

%age
(upto two
decimals)

Diploma
B. Sc / BCA
BE / B. Tech
ME / M. Tech /
MCA / M. Sc
Languages (Only Foreign Languages other than English) ( mark appropriate Column)
Language

Speak

Proficiency
Read

Write

Career Objectives (write in brief about your aspirations and career plan for next three years)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

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Details of relatives (if any) in any of the Mahindra Group of Companies

Name

Relationship

Name of Company

Position

__________________________________________________________________________________________
__________________________________________________________________________________________
Project Undertaken (leave blank if information not available)
Organization (Where project undertaken):
_______________________________________________________________________________________
Project Title:
_______________________________________________________________________________________
Project Description ( in brief):
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Extra Curricular Activities

_________________________________________________________________________________
_________________________________________________________________________________
Additional Information

Do you currently hold an offer from any Company? (Tick)

Yes

No

If ‘Yes’, please mention name of the Company:______________________________________

Declaration
I certify that the information furnished above is factually correct and subject to verification by Tech Mahindra
Ltd / MSAT.
I also certify that I am at present in sound mental and physical condition to undertake
employment with Tech Mahindra Ltd. / MSAT. I also agree to myself being located at any location of Tech
Mahindra Ltd / MSAT or Its client/s. I accept that an appointment given to me on this basis can be revoked or
my services with Tech Mahindra Limited / MSAT could be terminated if any information stated above is
verified and found to have been incorrect/misstated or unstated by me.

Signature of Applicant ______________________ Date______________ Place ______________

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