Please

paste
TATA TOYO RADIATOR LIMITED photograph
here
EMPLOYMENT APPLICATION FORM

Position Applied For:

A. PERSONAL INFORMATION :

1. Name in full (Block letters)

___________________________________________________________________________
(Surname) (Name) (Middle Name)
2 Present Address
____________________________________________________________________________
_____________________________________________________________________________
3. Permanent Address
____________________________________________________________________________
____________________________________________________________________________
4. Phone: Office: Res: Cell:
e-mail/s: __________________________________________________________

5. Date of Birth ________________ Place and state of Birth _____________________________

Nationality : Religion : Marital Status : .

6. Category * (Tick whichever is applicable)

General OBC SC ST

* We are an equal opportunity employer.

7. Languages known (Please put a tick mark in the relevant boxes) :

Language Speak Read Write

8. FAMILY DETAILS: (Please provide details of your parents, spouse and children)

Name Relation Profession

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B. EDUCATION:
9. Starting from highest degree (Please specify part time courses with an Asterisk *):
Class/
Degree / Name of Institute/ Period Rank/% of
Specialisation
Diploma University From To Marks
Obtained

10. Please specify if you have participated in any extra curricular activities in School or College : Any
position/offices held
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11. Are you a member of any Professional Association or Body ? If so, give details :
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C. EMPLOYMENT :

12. Please specify the current employment first, followed by the previous employer and so on :
(Use separate lines for significantly different positions in the same organisation)
Name & Address of the Duration Reasons for Salary drawn
Position
Employer From To leaving per annum/Rs

(If required, please attach extra sheets)

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13. Please draw organisation chart to show your current position (Indicate 2 levels above & below yourself,
besides peer level )

14. Please indicate the important/key responsibilities handled by you

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15. Specify your career achievements till date (Attach additional. sheets if required):
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16. What is your career objective?

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17. Please list your hobbies and any specific interests :

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18. Have you any relation/acquaintance employed in TACO Group? If so, give particulars:
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19. Passport Details: No.________________ Dated ____________ Issued at _____________________

REFERENCES :
20. Please give the names of two persons who know you but are not your relatives. The company may refer to
these Persons:

1) Name & Address: __________________________________________________________________

___________________________________________________________________
___________________________________________________________________
Phone: (Office) ___________________Res.____________________ Cell:____________________

2) Name & Address: ___________________________________________________________________

___________________________________________________________________
___________________________________________________________________
Phone:(Office) ___________________Res.____________________ Cell:___________________

21. Please detail your existing Gross Emoluments in the Annexure. Please attach Xerox copy of your last pay
slip / additional sheet if necessary.

22. Have you previously applied to this Company or have been interviewed? If yes, when and for which post?
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23. Have you ever been convicted / involved in any criminal litigation ? If yes, give details.
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24. Minimum Expected Salary Per Annum : ______________________________________________

25. Notice period required to join : ______________________________________________

I hereby certify that the above statements are true and correct to the best of my knowledge and belief.

I understand and fully agree that any statements made herein which are found to be erroneous or
otherwise incorrect, which tend to mislead the Company will be sufficient cause for the Company to
terminate my services from the Company at any time during my employment.

Signature ___________________________ Date ________________________

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 Annexure
SALARY COMPENSATION DETAILS

Name of Candidate: _________________________________Educational Qualification ______________

Position Applied for: _________________________________Experience (Years) _______________

Sr Salary Components Salary drawn Salary Drawn Offer Per

No Per month/ Rs Per Annum / Rs Month/ Rs
Monthly Salary Components
1 Basic Salary
2 House Rent Allowance
3 Conveyance
4 Special Allowance
5 Others Pl specify
6 Others Pl specify
7 Others Pl specify
8 Others Pl specify
Monthly Total
Annual Salary Components
1 Leave Travel Assistance
2 Medical Allowance
3 Performance Incentive/Bonus
4 Company Car (Annual Cost)
5 Others Pl specify
6 Others Pl specify
7 Others Pl specify
Retirement Benefits
1 Provident Fund
2 Superannuation
3 Gratuity
C) Total of Retirement Benefits
D) Total Annual Salary CTC (A+B+C)
Any other Benefits not listed out above.

Expected Annual Salary CTC : Rs _ _ _ _ __ _ _ _ _ _ _ _ _ _

_________________ ___________________ ______________________

SIGNATURES: CANDIDATE MANAGER-HR PRESIDENT-HR