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    ‘Company-Confidential ‘Application Forms Offshore Mahindra Tech Mahindra Limited Sharda Conte, Of Kae Road Pune 08 Annlication for Employment Personal Information ene Secon KUmon Vash Ft Gon Nowe Mie Name Senate Name ofFatier PoFa gt, KUMAR WS nomeotmaner Lana Prde egh_ ate ot tn 3-45 -L9Torso0 opin OTT A mantaisutin Sr age Natonatiy_ Nd dawey Passport PP) No: _M fq peg ba Place of PP issue: Prubane elu? ot of PPiesueZ4- OC -P-O14 oy ofpPexpiy: I~ OC -odh you don't have a valid PP, have you applied for one? (pis use (x) mark for selection) No If have applied for PP, Application No: Dt. of Application: Have you ever been refusedidenied visa anytime? _(pls use (v) mark for selection) [yap al If visa denied, give details: Country Type of Visa Reason of Refusal/Denial When Denied (dato) Present Address (PIN code mandatory) — Hovse nw Se ay! Ao anmehe Nos — Mocs dgl ab an APUT Ww or) pn_SGenr ig Landline Tt Mooi Ne_-F 9 2¢-Ba 9 Ieeg Permanent Address (PIN code mandatory) (Write “Same as above" in case Present and permanent addresses are same) bi Evdotn, Po JortotelVare Yid Raywank Dur Ke pdipoea , Que Giga, ra_1 549 Fo | Res. Tet woviens QW IT asen Email: Prinay Sever veg io £9 tl G0 seconsay: See ‘Jeon Signature of Applicant: 5 f Mahindra Resource Managemént Group -TAG Page 10f4 ‘Company-Confidential ‘Application Forms -Offshoro RMG-TAG-V3 Do you have any reltive(s) working with any ofthe Mahindra Group Companies including Tech Mahindra)? (pls use (\) mark for selection) Yes. - It yes, please give details below: - Name of Relative: Relationship: Name of Company: Name of Relative: Relationship Name of Company: ‘Education Details (Only those done through Govt recognized institutes/universities) : College! University ‘Namo of ‘Duration (MMIYY) a |_ Education Degree! Level - Paton AMT) T Specialization | Percentage Watrculsion’SSC7 Equivalent | S86 | 9009 |vn3 fy g intermediate/HSCT Equivalent HSCE [59g | Qous $30. Diploma! “Equivalent a Graduation” (Senne Cues ONR son | oda] Cy Post-Gracvation? Equivalent Employment History (Need to cover gaps of more than 1 month in employments & education) PresentiGurrent Employment . ‘Name oF Emprover: wipe feck, industry Type a | AaareRE: Wy WORE Hemno | o Period of Service ‘ 2 oy o Se are sel (oonmary) Starting Salary | current tary Reason forsseitng NEM From | To “eal nastnee"® — op g¢ [ 8 | ele | __0€9 241 (“bro bya ‘Your Current Designation (as documented): ‘Name and Designation of Your immediate Supervisor. S0m vary Jif roy Oy Previous Employment/ Jobs [ S|” Name and Address of Emp id Period Designation Last Sak Ne Employer (ust iy coomuyvry) = Drawn (run ne apron ens + From To (Per Annum) opel gary xr, | SSF Pte. * | Cc2Ey0 toffee ial : Signature of Applicant: 8 ahindra Resource Management Group - TAG Page 2014 sil Company-Confidentiat ‘Application Forms - Offshore RMG-TAG-V.3 s. Name and Address of Emp id Period Designai tast Salary 0 Employer ‘musty (oom) awn N° | puaseabote aetna Nea) foe 1; (eeranum 7 = oan 1 ic z esa Professional References tT Reference No 7 Reference No 2 Reference No 3 |” Name / Designation Hoya Bs Pree “coats ADELA Oe E Nature of Association | °"¢) Pecadago | Se ‘General Have you ever applied for a job with any of the Mahindra Group Cos. in the last 6 months? Yes Ityes, give detais: Name of Company Position Applied For Reason for Not Joining Aq Ipa Joining Time required: 4 ‘ (months) ‘Any additional information you feel relevant to your candidature: Salary expect Declaration | comity that 1. The information furnished above is factually correct and subject to verification by Tech Mahindra Lw. 2 All my education qualifications have been acquired from insitues duly recognized by Govt. established statutory authorities, 3-1 accept that an appointment given to me can be revoked, if any of above information has been misstated or unstated oe 2206 HH Beat we 4 Tech Mahindra is an Equal Employment Opportunity Emy in the Company. All qualified and eligible applicants will their race, religion, colour, gender, age, nationality, Of their professional ability, competence, and requi ployer. it promotes and supports a diverse workforce at all levels Feceive due consideration for employment without any regard to origin or disability. All applicants will be evaluated solely on the basis irement of the essential functions of the positions they have applied for. Mahi Resource Management Group - TAG Page 3.0f4 | i | ‘Company-Confidontiat ‘Applicaton Forms - Offshore RUG-TAG-V.3 YOUR PRESENT EMOLUMENTS (ANNUAL) = Qsqsv DR CCA Conveyance oe Towanicea Pi Sees | pees Gross Income PF ee Modical : mms 2er ‘Any other Deductions (Pls specify here and below) Gross Deductions Net Salary per Annum lofray vo Note: You are free to modify the contents/components of your salary in the blank column and delete those listed above if ‘not applicable to you. how ‘of Applicant Tech Mahindra 23-00 9 Resource Management Group - TAG | Sopp Ve, Pages ota Ba ion Consent Form Dosh Sonbogr Monae. foe ian aan hereby authorize Tech Mahindra Mmited, or a third party agency/agent engaged by Tech Mahindra to contact any former employers as indicated in the Application Form / Resume -and carry out all background checks, not restricted to education and employment, deemed appropriate through the selection procedure. | authorize former employers, agencies and educational institutes etc.,to release any information pertaining to rfiy employment / education and | release them from any liability in doing so. | co'nfirm that the information provided by me in the Application Form / Resume is correct to the best of ‘iny knowledge. | Understand thaL any misrepresentation of Information .on the "Applica'tion Form may, in the event of m/ ‘obtaining employment, result In action based on Tech Mahindra policies. 99-66.

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