Application for the Post of

TA/ JTA / OG/ ELTP/ PT

AFFIX RECENT
PHOTO HERE
Personal Details ( In Capital Letters Only)

________________________________________________________________
First Name Middle Name Last Name/ Surname

Date of Birth ___________________________Place of Birth _____________________________

Nationality _________________________ Marital Status ______________________________

Present Address

_________________________________________________________________________________
____________________________________________________________________________________________________

Distt ____________________ State____________________ Pin-code _______________________

Tel/Landline No (with STD CODE) _______________ MOBILE _____________________________

Permanent Address

_____________________________________________________________________________________________________________________________ __________

_________________________________________________________________________________

Distt ____________________ State ____________________ Pin-code_____________________

Tel/Landline No (with STD CODE) _______________ MOBILE_____________________________

E-mail id 1) _________________________________ 2) _________________________________

(in Capital letters) (in Capital letters)

Alternative Contact Details

(Please provide details other than given earlier in this form so that information could be communicated in case
of failure to reach you through either of the above address)

Name of Person _______________ Tel (with STD code)/Mob No ___________________________

Details of Passport

Passport No. ______________ Place of Issue ________________ Dt. of Expiry _________________

If not held, have you applied for a Passport? Yes / No

If yes, give Application No_______________ Passport Office Receipt No & Date.________________

Page 1 of 3
 In case of Non Indian Nationals Only

Do you have a valid work permit to work in India/for Indian Company? Yes / No
If yes, please attach a copy of the same with this Application Form

Family Background
Relationship Name Age Highest Educational Current Occupation
Qualification
Father

Mother
Sister (s)
Brother (s)

Educational Background
Qualification Duration (Year) Name of the College Specialization/ %age
From To Branch (upto two
decimals)
th
10

th
12

Diploma

B. Sc / BCA

BE / B. Tech

ME / M. Tech /
MCA / M. Sc

Languages (Only Foreign Languages other than English) ( mark appropriate Column)

Proficiency
Language
Speak Read Write

Career Objectives (write in brief about your aspirations and career plan for next three years)

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Page 2 of 3
 Details of relatives (if any) in any of the Mahindra Group of Companies

Name Relationship Name of Company Position

__________________________________________________________________________________________

__________________________________________________________________________________________

Project Undertaken (leave blank if information not available)

Organization (Where project undertaken):

_______________________________________________________________________________________

Project Title:
_______________________________________________________________________________________

Project Description ( in brief):

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Extra Curricular Activities

_________________________________________________________________________________
_________________________________________________________________________________

Additional Information

Do you currently hold an offer from any Company? (Tick) Yes No

If ‘Yes’, please mention name of the Company:______________________________________

Declaration

I certify that the information furnished above is factually correct and subject to verification by Tech Mahindra
Ltd / MSAT. I also certify that I am at present in sound mental and physical condition to undertake
employment with Tech Mahindra Ltd. / MSAT. I also agree to myself being located at any location of Tech
Mahindra Ltd / MSAT or Its client/s. I accept that an appointment given to me on this basis can be revoked or
my services with Tech Mahindra Limited / MSAT could be terminated if any information stated above is
verified and found to have been incorrect/misstated or unstated by me.

Signature of Applicant ______________________ Date______________ Place ______________

Page 3 of 3