CANDIDATE INFORMATION SHEET

All Cummins Entities in India

Full Name: Title Mr First Name Middle Name Last Name

Total Yrs of
Relevant Work
Prior Work
Experience
Experience

Personal Details

Father/Husband's Name Blood Group Marital Status

Maiden Name (if applicable) Date of Birth PAN No.

Place of Origin (State Name) Gender Caste

Aadhaar Card No. Name as per Aadhar Card

Did you have a PF

Did you have a PF contribution If Yes Please mention UAN
Pension (FPS) with your
with the previous organisation (Universal Account Number)
previous Organisation
Do you have any Physical If Yes, Please mention % of
Handicap? disablement

Address Line 1:

Address Line 2:

Permanent City/ Town:

Address Pin Code:
State

Personal Email ID

Address Line 1:

Address Line 2:
Mailing / City/ Town:
Current
Address Pin Code:
State

Personal Email ID

Contact Numbers, with STD codes (e.g 020-26611990)

Additonal Contact
Home
Number
Personal Mobile

Work Experience Details (Start with latest employer)

Duration Salary Last Drawn
Employer Name & Address Last Designation Reason For Leaving
From To (PA)

Career Gap Duration Reason

Do you have any bond with existing company? Current Notice period
Are you a case of Re- Hire? If Yes, please mention you WWID at the time of employment with Cummins

Educational Details (Start with highest degree)

Qualification (Degree/Exam) Duration
Type of Course Institute Board / University Year of Passing % Marks Class
(mention specialization) (years)

Education Gap Duration Reason

Languages Known: *(Levels - 1-Basic, 2-Intermediate, 3-Fluent) (Start with native language)
Language Comprehension Spoken Reading Written

Emergency Contact Person Details

First Name Middle Name Last Name Relation Date of Birth Address Phone No.
 Professional References (Please do not give references of Relatives or Cummins employees)

Name Organization Designation Mobile No. Landline No. Email ID

Previous Salary Details (Attach a copy of your latest salary slip)

Per Month (INR) Per Annum (INR)
Monthly Cash Component
Basic
House Rent Allowance
Special Allowance
Conveyance Allowance
A Education Allowance
Medical Reimbursement
Leave Travel Allowance
Any other allowances (please mention below)

Total A
Retirement Benefits
PF
B
Gratuity
Superannuation
Total B
Variable Pay
C
Performance Pay
Total C
Total A+B+C (Total Compensation)

Please mention your expected salary

I hereby certify that the particulars given above are true and correct to the best of my knowledge and belief, I agree that, at any time in future, if any of this
information is found to be false / incorrect, the company would be free to cancel my selection / appointment or terminate my services.

My personal data may be stored on secured servers and or computer networks in or out of India protected as per Cummins IT policies in force regarding access and
data security. I hereby agree to permit access to your personal data to authorized Cummins Officials in India and abroad for official purposes from time to time.

Signature
Place
Date