EMPLOYMENT APPLICATION FORM

PERSONAL INFORMATION
Kindly affix a
First Name Middle Name Last Name
Passport size
Mr/Ms
Photograph
(Expand all
names)
Date of Birth e-mail :

Correspondence Address:

City: PIN Office

Phone (with
State:
STD code) Res.
Permanent Address :

Phone(with STD
PIN
City: State: code)
Mobile
Father’s / Husband’s Name:

Father’s / Husband’ Occupation details:

DETAILS OF DEPENDENTS:
Name Age Relationship Occupation

EDUCATION (Begin with the most recent qualification and end with Std. X)
Graduatio
Aggregate
Name of Institute /University n
Course/Degree Specialization Location Marks
(Month/Yr.
(% or CGPA)
)
ABOUT YOURSELF
The answers to the following questions will help us get a better understanding of you as a person.
Your personal strengths Significant Achievements

Learning objectives for next 3 – 5 years Your expectations from Tata Projects Limited including role,
career growth, etc.

Your intended contribution to Society Any family constraints

OTHER INTERESTS: Cultural, sports, community work and hobbies from school onwards & details of memberships of association

WORK EXPERIENCE
PRESENT / LAST EMPLOYMENT
Name & Address of the Employed from:
Employer:

To:
Your Designation at the time of joining Your Current Designation: Reason For Seeking Change
the organisation:
Role & Responsibilities

PREVIOUS EMPLOYMENT DETAILS

Name of the Locatio Designation Duration Monthly Salary Reason for Leaving
organization n At the At the From To Starting Final
time of time of (in DD/ (in DD/
joining leaving MM/ MM/
YYYY) YYYY)

SALARY DETAILS
Fixed Salary (Monthly) Variable / Perks (Annual) Retiral Benefits
Basic Bonus / PLR PF

Gratuity etc.
HRA Company car

Conveyance LTA Pension

Allowances
Location based Others Total (C)
Allowances (please specify)
Superannuation Others Total (A) + (B) + (C)
(please specify) =
Any Other Allowances Others Any Reimbursements
(please specify) (please specify) (medical, uniform,
etc.)
Total (A) Total (B) Current Annual Gross

Total Monthly Total Annual Expected Annual

Emoluments Emoluments Gross

If yes, Nett gain at current value :

Do you have employee stock options? Yes
{(Current Market Price – Issue price) x No. of stocks}
No
TRAINING
Training/Development Programs attended / IT Skills Dates attended
Institute / Organization Location
acquired From To

ADDITIONAL DETAILS
If Others, Specify Nationality :
Nationality Indian Others
Do you have work permit to work in India? Yes No
Do you hold a valid Passport? Yes No
(for Indian citizens only)
If Yes, Division : Location :
Have you attended any selection process at Yes No
Tata Projects Limited before?
Month/Year: Status :
If Yes, his/her name :
Do you have any relative / friend employed Yes No Division/Location :
Within Tata Projects Designation :
How are you related :
Do you have any relative as a Director of Tata Group of Companies? If Yes, his/her name :
Yes No Name of the Company:

If Yes, Details
Have you suffered from any major illness
/surgery /accident in the last five years? Yes No
Language Proficiency

______________________________ Read Write Speak ______________________________ Read Write Speak

______________________________ Read Write Speak ______________________________ Read Write Speak

OPTIONAL
If selected ‘Yes’, please provide the details :
Differently Abled Yes No

Ex-servicemen Yes No

Caste SC ST OBC General

Religion Hindu Muslim Christian Others

Have you ever been arrested, prosecuted or convicted for any criminal offense, other than If Yes, furnish details including type of offense
minor traffic offenses ? Yes No and conviction
In the last ten years, have you been convicted of or plead guilty to any offence? Yes No
In the last ten years have you been released from prison on a conviction? Yes No

Do you have any commitment to another employer or organization that might affect your employment with us? Yes No

Any other information you would like us to know which may have significant bearing on our hiring decision :
REFERENCES
Give references under whom you have either worked or who know you professionally for at least 12 months.
Name Duration & Organization & Designation e-mail Phone (with STD code)
Nature of Home Office
Association
Off:

Per:

Off:

Per:

Off:

Per:

I hereby declare that my statements on this application and on my resume or documents provided by me to Tata Projects Limited
are correct to the best of my knowledge. I acknowledge and agree that providing any false information may result in a decision not
to hire me or if hired, may result in termination of my employment. I give consent to Tata Projects Limited to institute and conduct
a background check to verify the information furnished by me in this form.

Date: Place: Signature:

FOR OFFICE USE ONLY

HOD ASSESSMENT:

Assessment A++ A+ A B+ B
Rating

Date: _____________________________ Signature:________________________________

RECOMMENDATION / ENDORSEMENT BY TOP MANAGEMENT:

Date: _____________________________ Signature:________________________________

HR RECOMMENDATION:

Date:_____________________________ Signature: ________________________________