Tech Mahindra Limited. Sharda Centre, Off Karve …

1 Company-Confidential Recruitment Forms RMG Procedure Page 1 of 2 Tech Mahindra Limited. Sharda Centre, Off Karve Road, Pune-411 004 Application for the Post of TA/ JTA/ OA (Grade 0 / 1) Personal details (In Capital Letters Only) Name _____ 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)

2 Alternative Contact Details (Please provide details other than given earlier in this form so that information could be communicated in case 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 & In-case of Non Indian National Only Do you have a valid work permit to work in India/for Indian Company?

3 Yes / No If yes, please attach a copy of the same with this Application Form Family Background Relationship Name AgeHighest Educational Qualification Current OccupationFather Mother Sister (s) Brother (s) Please affix Passport size colour photograph Company-Confidential Recruitment Forms RMG Procedure Page 2 of 2 Education Qualification Duration (Year) From To Name of the CollegeSpecialization/ Branch %age(upto two decimals) 10th 12th Diploma B.

4 Sc / BCA BE / B. Tech ME / M. Tech / MCA / M. Sc Languages (Only Foreign Languages other than English) (; mark appropriate Column) Language ProficiencySpeak ReadWrite Career Objectives (write in brief about your aspirations and career plan for next three years) _____ _____ _____ _____ Details of relatives (if any) in any of the Mahindra Group of Companies Name Relationship Name of Company Position _____ _____ Declaration I certify that the information furnished above is factually correct and subject to verification by Tech Mahindra Ltd.

5 I also certify that I am at present in sound mental and physical condition to undertake employment with Tech Mahindra Ltd. I also agree to myself being located at any location of Tech Mahindra Ltd 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 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 _____