8/29/22, 7:46 AM

HR - 101
(Revised on 01.11.13)

REF:22027162

MUTHOOT FINANCE LIMITED

CORPORATE OFFICE,MUTHOOT CHAMBERS
OPP. SARITHA THEATRE,ERNAKULAM,BANERJIROAD - 682018

APPLICATION FOR EMPLOYMENT

Attach copy of CV and attested copies of testimonials / certificates in support

of information given in this form.

Post applied for: INTERNSHIP - HR

Job Code: 025-INT-0624/22
Name :  Mr. AVINASH SHINDE
Age :  21     Date of birth:  26/11/2000 Place of Birth:  BIDAR
Nationality:  INDIAN Religion:  Hinduism Sex:  Male
Marital Status:  
Single No: of Children:  
Height(cm):  177 Weight(kg):  70 Blood Group:  O +ve
Total Years Of Experience:  0
Identification marks:  BLACK MOLE ON RIGHT HAND
Caste:  Maratha Category:  Other Backward Class Caste Name:  Gondhali
Identity Card No. [Voters ID / National ID/ Aadhaar/Passport ] :  Aadhaar-957906182624
PAN Card No:  LAIPS0776A
Father’s Name:  PRAHLAD SHINDE Occupation:  Others
Mother’s Name:  SAKU BAI SHINDE Occupation:  Homemaker
GrandFather’s Name:  NARAYANRAO Occupation:  Others
Husband’s / Wife’s Name:  KAMALA BAI SHINDE Occupation:  Self employed
Emergency Contact Name:  PRAHLADSHINDE Emergency Contact Relation:  Father
Emergency Contact MobileNo:  8861856253

Marital
Name Occupation Other Relation
Status
ANAND SHINDE Others AUDITOR Single Brother
Ambika shinde Homemaker Married sister
Anita shinde Others engineer Single sister

Name Age Occupation Other Relation

Permanent Address:  KAMALA SHINDE NIWAS ,7TH LINE RAMNAGAR COLONY CHIDRI ROAD ,BIDAR
District:  BIDAR State:  KARNATAKA PINCODE:  585403
Tel No with STD Code:   Type:  Own House
Present Address:  KAMALA SHINDE NIWAS ,7TH LINE RAMNAGAR COLONY CHIDRI ROAD ,BIDAR
District:  BIDAR State:  KARNATAKA PINCODE:  585403
Tel No with STD Code:   Mobile No:  8861437305 E-mail:  avinashshindekamala@gmail.com
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Type:  Own House

Languages Speak Read Write

Hindi Yes Yes Yes
Kannada Yes No No
Marathi Yes Yes Yes
English Yes Yes Yes

1.EDUCATION (Begin with School Leaving):

COURSE
MONTH YEAR %MARKS INSTITUTION UNIVERSITY MAIN SUBJECT
NAME
KENDRIYA
MATH,ENGLISH,HINDI,SOCIAL
10th June 2017 62 VIDYALAYA CBSE
SCIENCE,SCIENCE
AFS BIDAR
GURU NANAK
INDEPENDENT KARNATAKA
ENGISH.HINDI,ECONOMICS,BUSINESS
+2 April 2019 53 PRE STATE
STUDIES,ACCOUNTANCY,STATISTICS
UNIVERSITY BOARD
COLLEGE
Bachelor of GURU NANAK
Business FIRST GRADE
November 2022 75 CBCS FINANCE
Management COLLEGE
(B.B.M) BIDAR
Is there any Gap in your education?
No
   If yes, Reason   

2.PROFESSIONAL / SPECIALISED/ TRAINING

TRAINING TRAINING STIPEND
FROM DATE TO DATE
NAME PLACE DRAWN

3. MEMBERSHIP OF PROFESSIONAL / SOCIAL/ CULTURAL BODIES

ORGANISATION NAME ASSOCIATION PLACE

4. SPORTS AND EXTRA CURRICULAR ACTIVITIES

Give details of the position of responsibility held and your participation in other
activities in your School /
College / University / Elsewhere:
State level volleyball player in 10th

5. AWARDS AND ACHIEVEMENTS

Sl. No Awards and Achievements
1 NCC cadet

6. FITNESS DETAILS
FITNESS DETAILS YES/NO IF YES GIVE DETAILS
DIABETES No
HIGH CHOLESTEROL No
HIGH BLOOD PRESSURE No
HEART RELATED DISEASE No
HAVE YOU EVER BEEN HOSPITALIZED No
ANY DISABILITY No
OTHER CHRONIC DISEASE No

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EMPLOYMENT HISTORY (Begin with present employer & Engagement

after completing
qualifying Examination to be recorded)
NO
REASON LAST LAST
FROM OF TAKE
EMP. NAME TO DATE DESIGN. DUTIES SALARY ALLOW. FOR YEAR PROMOTION
DATE EMP. HOME
LEAVING RATE DTLS.
SUP.

Is there any Gap in your Professional Career?

No
   If yes, Provide more details.  

Have you ever being terminated/dismissed by any of your previous employees?

No
   If yes, Provide more details.  

Experience Domain :
1.Are you a pensioner?
   If yes, what is the monthly rate of pension you draw? Rs.  
2.Mention the name of Bank and Account No. from which you draw the pension  

Reference (other than relations):

NAME DESIGNATION COMPANY MOBILE DESCRIPTION OCCUPATION ADDRESS
NA NA NA 0000000000 Reporting Manager Self employed NA
NA NA NA 0000000000 Reporting Manager Self employed NA

What salary and perquisites do you expect? (INR)  20000

May we refer to your previous employers?  No
How soon could you be free to take - up new appointment, if selected?  60 days
Source through vacancy is ascertained?  External reference (LinkedIn, Facebook, WhatsApp etc.)
Whether any of your friends working with Muthoot Group / Any other Muthoot family
Group. If ‘Yes’, please provide the following details.  No
Name of the Group :  
Name of the employee :  
division / Branch :  
Referral Code, if any :  
Particulars of family members / close relatives (if any) working with Muthoot Finance
/ Other Muthoot
Institutions / Other NBFCs:  No
Name of Relative
Name of the Company & its branch
Position Held
Period of Service From:
           To:
Specify Nature of Relationship

Declaration:

“I HEREBY DECLARE THAT I HAVE NOT BEEN INVOLVED IN ANY CRIMINAL OFFENCE TILL DATE.
I FURTHER
DECLARE THAT I HAVE NOT BEEN SUSPENDED AND / OR DISMISSED AND / OR TERMINATED
DURING MY TENURE
IN ALL PREVIOUS EMPLOYMENTS TILL DATE FOR ANY ACT OF INDISCIPLINE
OR FOR ANY REASONS WHATSOEVER.”
I CERTIFY THAT THE STATEMENTS MADE BY ME IN RESPONSE TO THE ABOVE QUESTIONS ARE
TRUE COMPLETE
AND CORRECT AND TRUTHFUL. I DO UNDERSTAND THAT ANY MISREPRESENTATION
OR MATERIAL OMISSION
MADE IN THIS FORM, OR ANY OTHER DOCUMENT REQUIRED BY THE COMPANY
SHALL RENDER MY APPLICATION
INVALID/TERMINATE OR REMOVE WITHOUT NOTICE. IN FUTURE
IF SELECTED THEN SUCH SELECTION WILL STAND
AS INVALID AND I SHALL ALSO BE LIABLE
FOR ANY LOSS/ DAMAGES/COST INCURRED BY THE COMPANY IN SUCH
CASES.
I HEREBY GIVE MY CONSENT FOR PERFORMING BACKGROUND VERIFICATION BY THE COMPANY OR
ANY COMPANY
AUTHORISED AGENCY.

I DO UNDERSTAND THAT MY APPOINTMENT CONFIRMATION IS SUBJECT TO MEDICAL CLEARANCE

AND POSITIVE
VIGILANCE/BACKGROUND VERIFICATION REPORT. THIS IS NOT A CONFIRMATION
OF MY EMPLOYMENT.
PLACE:BIDAR
DATE :29/08/2022

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-----------------------------------------------------------------
For Office Use Only
-------------------------------------------------------------
REMARKS OF INTERVIEW BOARD/HRD IF SELECTED
SALARY OFFERED
GRADE
ALLOWANCE
DESIGNATION
DEPT.POSTED
DATE OF JOINING
1.GUARANTOR NAME:-           DESIGNATION:-          
GUARANTOR MOBILE/LANDPHONE:-
GUARANTOR ADDRESS:-           
HR DEPT
2.GUARANTOR NAME:-            DESIGNATION:-          
GUARANTOR MOBILE/LANDPHONE:-
GUARANTOR ADDRESS:-            Not In System

EXECUTIVE DIRECTOR/DY.MANAGING DIRECTOR /CHAIRMAN

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