TATA TECHNOLOGIES: APPLICATION FORM

PLEASE FILL UP THE COMPLETE INFORMATION. INCOMPL ETE OR SUPPRESSION OF ANY DETAILS
MAY LEAD TO DISQUALI FICATION OF YOUR CAN DIDATURE

Name : ____Animesh_______ ______________ ____Singh____________

(First Name) (Second Name) (Last Name)
Permanent Address: __C-39, ITI Township, Mankapur, Gonda,
UP______________________________________________________________________________
City: _____Gonda______ Pin Code: __271308____ State: UP_ Country name: India__________
Tel. No./ Mobile:____8130685265___Email : animeshjabber4321@gmail.com___________________

Current Address: _________________________________________________________________

City: _________ Pin Code: ___________State: _______________Country name: ______________

*Alternate Mobile:___7905784668____________________ Date of Birth :__25__/__07__/_1995_____

EDUCATIONAL QUALIFIC ATIONS

Name of the Institute / College University / Enrollment Completion Grade Full time /
Qualification Name Board Name (dd/mm/yyyy) (dd/mm/yyyy) (%) Part time/
(Please tick) Correspondence

Diploma / BSC / BCom / / / /

/ BA

BE / MSC / MCA / ME/ University of UPES 2014 2018 73.8 Full time
M Tech / MS petroleum and
Energy studies

MBA / CA / Other / / / /

Certification, if any UPES(Catia, UPES 2015 2017

ANSYS, Lean
Manufacturing)

EMPLOYMENT DETAILS (INCOMPLETE OR WRONG DETAILS M AY LEAD TO DISQUALIF ICATION OF

YOUR CANDIDATURE)

Employer 1 (Current Employer Name) Morris Garage Employee From (dd/mm/yy) To (dd/mm/yy) /
motors India ID 02-05-2022 Till date Present
Employment type (Please tick) Permanent (√) Temporary ( ) Contractual ( )
Designation Deputy Manager Reason of Leaving:
Do you have relieving letter/service certificate? Yes ( ) No ( ) Currently serving ( )

Employer 2 (Previous Employer Name) DENSO Employee From (dd/mm/yy) To (dd/mm/yy) /

International India Pvt. Ltd. ID 590 02/07/2022 Till date
29/04/2022
Employment type (Please tick) Permanent (√) Temporary ( ) Contractual ( )
Do you have relieving letter/service certificate? Yes ( 0 ) No ( )

Employer 3 (Previous Employer Name) Employee From (dd/mm/yy) To (dd/mm/yy) /

ID Till date
Employment type (Please tick) Permanent ( ) Temporary ( ) Contractual ( )
Do you have relieving letter/service certificate? Yes ( ) No ( )

Employer 4 (Previous Employer Name) Employee From (dd/mm/yy) To (dd/mm/yy) /

ID
 Till date

Employment type (Please tick) Permanent ( ) Temporary ( ) Contractual ( )

Do you have relieving letter/service certificate? Yes ( ) No ( )

Employer 5 (Previous Employer Name) Employee From (dd/mm/yy) To (dd/mm/yy) /

ID Till date
Employment type (Please tick) Permanent ( ) Temporary ( ) Contractual ( )
Do you have relieving letter/service certificate? Yes ( ) No ( )

Employer 6 (Previous Employer Name) Employee From (dd/mm/yy) To (dd/mm/yy) /

ID Till date
Employment type (Please tick) Permanent ( ) Temporary ( ) Contractual ( )
Do you have relieving letter/service certificate? Yes ( ) No ( )

(PLEASE TICK)
(a) Do you have any of your close relatives working currently with Tata Technologies anywhere in world?
Yes √ No
If yes, let us know the name of your relative _____________________________________

(b) Do you have any pre-existing medical illness? Yes √ No

Please specify, if yes ________________________

(c) Do you wear Spectacles? Yes √No (Left ___ Right ___)

(d) Are you colour blind ? Yes √No

Please specify, Since how many years ________________________

Open for Travel Long Term – Yes√ / No Domestic (Within India) – Yes√ / No International – Yes √/ No

(for work purpose): Short Term – Yes / No Domestic (Within India) – Yes / No International – Yes / No

Relocation (as per requirement) : Yes√ / No Location Preference: Pune

Willing to work in Shift: Yes ( ) No ( √ )

Willing to work six days a week (if req): Yes ( ) No ( √ )

COMPENSATION DETAILS (CURRENT COM PANY)

Current CTC (in INR) 11 lakh Fixed Variable

Expected CTC (in INR) 15 lakh Notice Period: 30 (days)

Mandatory documents:
(a) Last 3 months salary slips indicating the current salary
(b) Latest increment letter supporting current salary
(c) Service/reliving letters for all previous companies
(d) Highest degree Marksheets and certificate for all your educational qualifications
(e) PAN Card & Aadhar Card, Address Proof

DECLARATION
I hereby authorize TATA Technologies Ltd (or a third-party agent appointed by the Company) to contact any of my former
employers as indicated above and carry out all Background Checks (not restricted to education and employment). I authorize
my former employers, agency hired by Tata Technologies for carrying our background checks and educational institutes to
release any information pertaining to my employment/education and I release them from any liability in doing so.

I confirm that the above information is correct to the best of my knowledge and I understand that any
misrepresentation/suppression of facts may result into termination of my employment notwithstanding any legal action from the
Company. I have read, understood and by my signature consent to these statements.

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 NAME (IN BLOCK LETTERS): ANIMESH SINGH
SIGNATURE:
DATE: 06/05/2022

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