torrent EMPLOYMENT APPLICATION FORM arour Important instructions: APPLICATION FORM No 1. Details ied shoud be accurate 2, Mention NA‘, ny information isnot appeabe te you 3. Keep your documents ready in support of information furnished in the form. Position Applying for : .. Company Name > Unit : ae SS aS iste Name Last Name: Litt ti tit tt tit tt Gender: mE] FO] Date of Birth Age yes. vein i a _ a fev Bot a ae = — — Marital $tatUs.c.rcnmnnenmnnennn Date of Marriagt ‘Age! Organization & | Health History Relation Name Dow | Etsation| Protesion | rere | ee ey Spouse Father Mother Chien 4p 5 i fe} “ < « o i = sisings Fa “ a © @ fe} 2 Fatheriniaw ‘Mother inlaw Fi Brother) Fi Sisterinewiy Page 1 of 4Education Record (SSC onwards) Degree | specialization| start Date End Date peal Institute/University/ | Grade/ caPA% | (Distance |Medium of Instruction Reg/Part time] No. of Attempts & Is there any gap in your education (ee ed No Reason Program Name Institute Stat Date | End Date | Grade/CGPA/% Please mention your Professional Awards Special Achievements (Hf any) Employment History Do you have any professional membership? Ityes, please speciy the details Total Years of Experience Organization Working Period | Designation | Reporting T | AMYRISTC | Reason & rr of Location Joining | Leaving | Joining Leaving] Name | Desig| Joining Leaving) Leaving 's there any gap in your career No Reason Cech end {lfrequired, you may attach current Organization's Organogram in separate chee!) Particulars Name Designation Contact No. Head Superior Immediate Superior My Position | Immediate Subordinate Subordinate Page 2014 a > fo} © & na 2 in} x ia fe) i (py(Furrish your detailed break up of compensation separately) Se “Amount Ry Particulars amour Particulars Detaiis 1. | Fixed Pay (nouding Reta) (Onn House/Folatve's House 2 | Variable Pay ‘Accommodation | Rented House 3. | Any other Company Arranged Total CTC ‘Onn Transportation Expected CTC Company Aranged Last 9 years Appraisal details increment Year Performance Rating ‘Amount (Rs LPA) % nn 1. Blcod Group 2. Allergies (senstive to) 2, Doyoueutertom: []Respietoy Dieorder _[[] Heat Diesease [1] BeodPreseue -[] Diabetes CJ astima (1) nbercutsis (1 colour stncnoss (C1 others - Specify (incuding accidental history} 4D you have any physical limitations? (Yes/No) yes, please slate in bret 5. Height oms 6. Weight kgs Coe 1. Mention your2 Strengths & Weshnesses: + Strengths: 4 2 + Weaknesses: 1 2 2. Languages Known (Please 'Y’ appropriate column) Read Write Speak + Engish + Hind + Mother Tongue (Specity) oo000 oooo oooo + Any Other 3. Wiling to work at any location? (Yes/No) Iino, please speciy the preferred location(s to work 4. Do you have contract/bond agreement with the present employer? (Yes/No) It yes, please specily the details I selected, within how much time can you join (Notice period)? a > fo) ise SG na = in x [se fe) te 5, Do you have any known personirelatives working with Political body/Reguiatory bady Judiciary body? (Yes/No) lt yes, please specity the details py Page 3 of 46. Doyou have any known person/relatives working or have worked with Tortent Group in any capacity (ike Employees, Service providers, Contractors, Consultants, approved vendors and likewise)? (Yes/No) Ityes, please speciy the details in the below mentioned table Details Details Name Name Relationship Relationship Group Company Group Company Designation Designation Department Department Location Location Contact No. ‘Contact No. 7. Have you ever been involved in any misconduct or discipinary case or criminal case? (YesiNo} tyes, please speciy the details 8. Have you ever been interviewed by any ofthe Torrent Group companies earlier? (Yes/No) ItYes, Please speoly the details, Group Company Position Location of Interview Date of interview Professional References (Preferably Reporting Managers of your past employment) = = Deouraon | compery | _comactne 1 Cried Please provide any other Information which is relevant to your application. | hereby declare that all the details fumished above are true to the best of my knowledge and bel. | further dectare that my appointment may be cancelled, al any stage, | am found ineligible anclior the information provided by me's found to be incorrect ‘Signature OF Candidate Date & Place a > fo) © & 5 2 in} x ia fe) i torrent Page 4 of 4