HSBC Electronic Data Processing India Pvt.

Limited

Job Application Form

* Please mark "N/A" wherever not applicable in this application form

Position Applied for Job Reference

NA NA

For Human Resources Department Use Only

Candidate No. Result Code Staff ID (If application is successful.) JO Schedule
NA NA NA NA

Personal Particulars
Full Name (First, Middle, Last) Former Name / Maiden Name Other Names Gender Blood Group
First - Manish NA NA Male AB+
Middle Female
Last - Kumar
Marital Status Place of Birth (City/State/Country) Date of Birth (dd/mm/yy)

Unmarried Hazaribagh, Jharkhand, India 19/10/2000

* National ID Number * Residency Number * Social Security Registration Number

Adhar Number - 323669464679 NA NA
* PAN Number (For India staff) * PF Number (For India staff) * Other Identification numbers

NA NA
KYNPK4634K
Address & Contact details
Current Address Period of stay Address in Chinese (For China Candidates)
244/B, Bundel Nagar Dipugarha, Hazaribagh, Jharkhand
From (dd/mm/yy)

Post Code 825301 Post Code

To (dd/mm/yy) Till date
Prominent Landmark:

Landline Number (Mandatory) Cell Phone Number – 8102773126 Email Address – manimehta810@gmail.com

Permanent Address Period of stay Address in Chinese (For China Candidates)

Belergadda, Jalma, Hazaribagh, Post – Bahimar, Ps - Katkamsandi
From (dd/mm/yy)

Post Code To (dd/mm/yy) Post Code

Prominent Landmark:

Landline Number (Mandatory) Cell Phone Number - 8102773126 Email Address - manimehta810@gmail.com

Emergency Contact Person

Full Name – Tetraj Mehta Name in Chinese (For China Candidates) Relationship - Father

NA
Landline Number (Mandatory) Cell Phone Number - 9835949511 Email Address – tetrajmehta12@gmail.com

NA

Passport Information (Please fill the fields below if you possess a passport,otherwise please mark as N/A)
Passport number Issue Date Expiry Date

Issued at (Name City/Country) Issuing Authority

Page 1 of 6
Family Details
*Spouse
Full Name Date of Marriage

Address (if different from Current Address) Landline Number (Mandatory)

Cell Phone Number

If employed, company of employment Position Held

*Children
Full Name Gender Date of Birth

* This information will be used for insurance purposes

Parents
Landline Number
l Name Date of Birth Address Cell Phone Number
(Mandatory)
Father's Name 25/01/1970 Belergadda, Jalma, Hazaribagh, Post – Bahimar, Ps - 9835949511
Tetraj Mehta Katkamsandi
NA

Mother's Name 12/12/1973 Belergadda, Jalma, Hazaribagh, Post – Bahimar, Ps - 6205185502

Manju Bala Mehta Katkamsandi
NA

Please provide details of any relative working in this company / HSBC group.

Education Qualifications
Enrollment / Roll / SSN Date (mm/yy) Main Subject /
Name and Complete Address of School/College/University Grade
Number From ~ To Specialization
Highest Education Level 03192071235 09/02/2020 To Accounts, Cost, Taxation, B+
17/01/2021 Financial Management etc.
CMA INTERMEDIATE
The Institute of Cost Accountants of India

Last two levels 210120461308 01/07/2017 To Accounts, Cost, Taxation, B+

30/11/2020 Financial Management,
Bachelor of Commerce Economics etc.

Training
Date (mm/yy) Name of the Course /
Name of Institution Main Subject / Specialization
From To Certificate Obtained
The Institute of Cost Accountants of India 01/02/2020 30/04/2020 Ms-Office Word, Excel, Power Point

The Institute of Cost Accountants of India 01/06/2022 25/06/2022 Industry Oriented Training
Programme

Alantia Institute of Information Technology 01/10/2021 30/03/2022 SAP FICO & Integration

Language Proficiency (Please tick the appropriate : H = High, M = Moderate, L = Low)

Spoken Read Written
Languages Known
H M L H M L H M L
(Mother Tongue) H H H
(ENGLISH) H H H
(HINDI) H H H Page 2 of 6
Employment History (Current Employer)
Name of Employer (Current) Address of Current Employer

Telephone Number Employee Code/Number Department Designation

Employment Period Line Manager's Name Line Manager's Contact Number Line Manager's Email Address
From To

Reason for Leaving

First Salary Drawn Was this position Agency Details (Temporary or Contractual)

Last Salary Drawn Permanent Temporary Contractual

Employment History (Last 2 Employers)

Name of Employer (1) Address of Current Employer

Telephone Number Employee Code/Number Department Designation

Employment Period Line Manager's Name Line Manager's Contact Number Line Manager's Email Address
From To

Reason for Leaving

First Salary Drawn Was this position Agency Details (Temporary or Contractual)

Last Salary Drawn Permanent Temporary Contractual

Employment History (Last 2 Employers)

Name of Employer (2) Address of Current Employer

Telephone Number Employee Code/Number Department Designation

Employment Period Line Manager's Name Line Manager's Contact Number Line Manager's Email Address
From To

Reason for Leaving

First Salary Drawn Was this position Agency Details (Temporary or Contractual)

Last Salary Drawn Permanent Temporary Contractual

Have you ever been employed by any HSBC company or subsidiary? No Yes Please specify

References (From two persons not related to you- Please refer Page 5 for referral guidelines)- For New Joinees Only
Landline Number
Full Name Designation / Profession Cell Phone Number Email Address
(Mandatory)
RAHUL GOVIND HR EXECUTIVE 9995320910 rahul.govind@hsbc.co.in

Page 3 of 6
GAPS BETWEEN EDUCATION AND EMPLOYMENT

Any gap for 3 months or more in education or employment or in between employments needs to be
mentioned in MM/YYYY format with an explanation on the same

NAME: MANISH KUMAR

FROM: ________________ TO: ___________________

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________________________________________________

FROM: ________________ TO: ___________________

_____________________________________________________________________________________
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_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________________________________________________

FROM: ________________ TO: ___________________

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________________________________________________

SIGNATURE: ____________________ DATE: 27/05/2022

INTERNAL
Other Information
Please account for any and all gaps in education or employment
From To Reason Complete Address and Location

From To Reason Complete Address and Location

From To Reason Complete Address and Location

Are you holding a certificate of unemployment? (For candidates in China only.)

No Yes 1) Expires on

Personal file kept by: 2) Issuing Office

For all candidates:

Do you have a criminal record?

No Yes (please specify)

Have you held any unauthorised outstanding dues from any bank/financial institution?

No Yes (please specify)

Have you ever suffered from any disability, physical or mental illness in the past?

No Yes (please specify)

The following section is for new joinees only:

HSBC Group Service Centre requires its staff to be flexible to working shifts. Would you require leave from work during the first 6 months of joining ?
Are you willing to adhere to this guideline?
No Yes No Yes (please specify)

From where did you learn about this vacancy?

Staff with our Company

Name ： Staff Number ：

Department ： Relationship ：

Newspaper Agency Job Fair Walk-in

HSBC Booth Internet College Recruiting Phone Enquiry

Client Referral Former Employee Executive Search Other Source

Expected Salary Date available to report to duty if employed

Notice period with the present employer? 2 LPA 01/06/2022

3 days
To be filled by HR Department
Other Special Skills (e.g. Typing, Shorthand, Personal Computer, Driving , etc) Test Result: QPT. Sales Test. CCSQ. etc.

Typing Skills (English) : w.p.m. Typing Skill (Chinese) : w.p.m.

PC Skills ：

Other Skills ：
 1. Residence Address details for last five years
Supplementary Information
2. Dates should be in DD/MM/YYYY format

NAME: MANISH KUMAR

Sno PERIOD OF STAY Complete Address (with landmark)

244/B, Bundel Nagar Dipugarha, Hazaribagh, Jharkhand, 825301

FROM: 01/07/2015 (Opposite to Police Academy)
1
TO: 03/06/2019

Punte Kali PG, Vivekanand Road, Grish Park, Kolkata, West

Bengal, 700006
FROM: 01/07/2019 Landmark : Chhoti Elichi
2
TO: 28/02/2020

244/B, Bundel Nagar Dipugarha, Hazaribagh, Jharkhand, 825301

FROM: 01/03/2020 (Opposite to Police Academy)
3
TO: 30/06/2021

Shivanpur Post – Ankorha, Dist – Aurangabad, Bihar, At –

FROM: 01/07/2021 NPGCL Limited
4
TO: 30/12/2021

244/B, Bundel Nagar Dipugarha, Hazaribagh, Jharkhand, 825301

FROM: 01/01/2022 (Opposite to Police Academy)
5
TO: Till Now

FROM:_______________
6
TO:__________________

INTERNAL