Company Confidential Application Form-Offshore RMG-TAG-V.

Application for Employment

Personal Information

Name (as per Aadhar Card): _sayak

Roy___________________________________________________________________________
(First Name) (Middle Name) (Last Name)

Father’s (Full name): _kalyan kanti roy_______________________________Mother’s (Full Name): ___________Sangita

Roy_____________________

DOB (DD/MM/YYYY): _____24/04/2000______________Place & State of Birth: _______________kolkata west bengal_________

Nationality: _____Indian______

Male/Female/Transgender: ______________Male_______ Aadhar No: ______________________________________________

Marital Status: Single Married Separated, Widowed Spouse Name: ___________________single___________

PAN NO: _________DNNPR8773L__________________________ UAN Account NO:

_________________________________________
Passport Details-
Passport No Pace of Issue Date of Issue (DD/MM/YY) Date of Expiry (DD/MM/YY)

If you don’t have valid Passport and have applied for passport application: -
Application No: ___________________________________ Date of Application: ________________________________

Present Address (PIN code Mandatory):

________7,ambaganBansdronikol-70___________________________
__________________________________________________________________________PIN:
_______________700070_______
Landline: _______________________________________Mobile No:
_________8582817333__________________________________
Email: [email protected] Primary___________________________________Secondary:
___________________________________________

Permanent Address (PIN code Mandatory): 7,ambagan Bansdroni kol-70

___________________________________________________________________________________________________
__________________________________________________________________________PIN:
____________________700070__
Landline: _______________________________________Mobile No:
_____________8582817333______________________________
Email: Primary___________________________________Secondary: ___________________________________________

Emergency Contact Detail:

Name: ________________kalyan kantiroy____________________________Relationship:
_______________________father________________
Address: ____________________________________________________________________________________________
Landline: __________________________________________Mobile No:
___________9331934079____________________________
Do you have any relative(s) working with any of the Mahindra Group companies including Tech Mahindra? : NO
If yes Please give details below: -
Name of Relative/s Relationship Mahindra Gp Company Emp ID Department

Signature of the Applicant: ___________s.roy____________Date: ______________________25/05/2022_________

Education Details: (Only those done through Govt recognized Institute/Universities)

College/University Duration (MM/YY)

Name of
Education fro Specialization Percentage
(With Location) Degree /Level To
m
Matriculation/SSC/ cbse
Equivalent central model school 80
Intermediate/HSC/
Equivalent
Institute of sports science and sports
Diploma/ technology management 63
Equivalent
Graduation/
Equivalent
Post -Graduation/
Equivalent

Employment History:

Present /Current Employment

Name of the Employer Industry Type:
Address:
Email and Phone No of Employer :
Period of Services : Current Designation:
Start Date (DD/MM/YY): Name of Reporting Manager:
End Date (DD/MM/YY): Designation of Reporting Manager:
Current CTC: Current Monthly In hand:
Variable/Incentive If any: Variable Payout frequency :

Previous Employment/ Jobs:

Period (DD/MM/YYYY)
Name and Address of Employer Last Salary Drawn
Sr No Emp Id (Must fill) Designation

(Please also give Telephone Nos.) From To (Per Annum)

4
 5

Signature of the Applicant: _____s.roy__________________ Date:

__________________25/05/2022_____________
Gap Details- Gap Reasons in Education & Employments:
(Need to cover gaps of more than 1 month in employments & education)

Period (MM/YYYY)
Sr No Reason
From To
1

Professional References :( Please provide detail of three professional references who are known to you)

Details Reference No 1 Reference No 2 Reference No 3

Full Name
Designation
Email ID
Contact No
Nature Of Association

General:
Have you ever applied for a job with any of the Mahindra Group Cos. in the last 6 months? NO

If yes, give details:

Name of Company Position Applied For Date of Application Reason for Not Joining

Any additional information you feel relevant to your candidature:

________________________________________________________________________________________________
________________________________________________________________________________________________

Expected CTC :

Joining Time required :

 I certify that:
1. The information furnished above is factually correct and subject to verification by Tech Mahindra Ltd.
2. All my education qualifications have been acquired from institutes duly recognized by Govt. established statutory
authorities.
3. I accept that an appointment given to me can be revoked; if any of above, information has been misstated or unstated.

Signature of the Applicant: ____s.roy___________________Date: 25/05/2022_______________________________

General Declaration

Have you ever discharged, dismissed or terminated from your previous employment? NO

If yes, kindly furnish details ________________________________________________________________________

________________________________________________________________________________________________

Are you willing to work in shift timings as suggested by Management? YES

Have you signed an employment bond with previous employer (s)? NO

If yes, kindly furnish details ________________________________________________________________________

________________________________________________________________________________________________

Are you suffering from any handicap/s, ailments or are you under long-term medication? NO

If yes, kindly furnish details ________________________________________________________________________

________________________________________________________________________________________________

Are you under any service agreement or Bond? NO

If yes, kindly furnish details ________________________________________________________________________

________________________________________________________________________________________________

Do you have history of drug, alcohol abuse, depression, and /or any other psychological disorder? NO

If yes, kindly furnish details ________________________________________________________________________

________________________________________________________________________________________________

Have you ever been convicted by any court of law on grounds including civil, criminal, and socio-economic or
cybercrimes or other acts punishable under the Information Technology Act? NO

If yes, kindly furnish details ________________________________________________________________________

________________________________________________________________________________________________

Please details out if any Court order has been passed by the Court
________________________________________________________________________________________________
________________________________________________________________________________________________

I certify that

The information furnished above is factually correct and subject to verification by Tech Mahindra Ltd.

Signature of the Applicant: __s.roy_____________________Date: _25/05/2022______________________________

Background Verification (BV) Undertaking

● I’m fully aware that Tech Mahindra conducts Background Verification through external Agency.

● The information I have shared is subject to strict validation and verification, conducted by
professional background Agencies.
● I have been made aware that the following are covered in my background verification
o Last 2 employments (Including present employment) or all employment in the last 3 years.
▪ Duration

▪ Designation

▪ Salary

▪ Highest Education

● I’m aware I need to share correct/factual information during my candidature with Tech Mahindra.

● Documents required for background verification provided by me are true copies of originals.

● I have understood that a background verification coded RED would lead to

o Termination of the job without any prior notice.
o Blacklisting of Individual Candidature.
o Recovery of liquidated Damages of INR 30,000/- from me (I Acknowledge that this is a
conservative estimate of Genuine cost incurred by the company towards my recruitment,
training etc.)
o Institution of Criminal and Civil Action against me for any wrongful act of mine.

I hereby confirm and declare that all the information I have shared is true and correct and in case of any
variation/deviation then I’m liable face to above mentioned consequence.

Signature of Candidate: …………s.roy…………………

Name of Candidate: …………………………

Sayak roy
Date: …………………………25/05/2022…………….

Location: ……………………kolkata ………………

Undertaking for Domestic BPS

▪ I have been explained the salary structure and the salary offered to me, is as discussed and agreed
by me.
▪ I agree and have given consent to the Training and Background Verification Undertaking.

▪ I am willing to work in shifts (24*7) including night shifts.

▪ I agree to work, on an average of 6 days in a week.

▪ I understand that during the training period I will NOT be paid the Performance Incentive.

▪ Performance Incentive will be paid from GO LIVE date ONLY.

▪ Performance Incentive is based on monthly performance.

▪ Door to door pickup & drop will be given only during Odd Hours. (Starts/Ends after 10 PM). A
nominal charge of INR 500/- (For both sides) will be deducted (in case of usage of company
transport).
▪ The company transport is on shared basis, employees from other processes may also be required to
share the same transport.
▪ I understand that Tech M does not deal with any consultant for BPS hiring and I have not paid any
money to anyone for employment with Tech M.

I have read all the above points carefully, accept the same and do not have any objection in working under
above said terms and conditions.

Signature of Candidate: ……………s.roy………………

Name of Candidate: …………………………
Sayak roy
Date: ……………………………………….
25/05/2022
Location: ……………………………………
Kolkata

CONFIDENTIALITY AGREEMENT

I, Mr./Ms.___________________Sayak Roy___________________ would like to state the following:

1. I understand that Tech Mahindra Ltd will conduct an evaluation _______________

___________________________.

2. I understand that any software, documentation or any other material that I produce during the course of the
evaluation is legal property of Tech Mahindra Ltd/Tech Mahindra Ltd's Customer and I shall not have any claims
or rights towards the same.

3. I understand that during the course of the evaluation I should not use any software, systems, ideas, concept,
designs, documentation or any other material, belonging to any individual or body corporate, without a prior
permission from such individual or body corporate. I will also keep Tech Mahindra Ltd informed, prior to such
usage.

4. I understand that during the course of evaluation, I should, at all times, observe secrecy in respect of any
technical, trade or business data, customers' names/business details or any other information that might
come to my knowledge or possession, which according to the Company, are necessarily confidential and
form valuable property of the Company. I shall not disclose nor cause the disclosure of any such data in
any manner whatsoever.

5. I also understand that I am prohibited from using any information, specifically identified by Tech Mahindra
Limited as confidential or may be reasonably construed as Confidential, for purposes other than the purpose for
which it is disseminated. Also, I am prohibited from reproducing or disclosing such Confidential Information to
 any third party without the written permission of Tech Mahindra Ltd except for carrying out the purpose for
which the information is disseminated.

6. On completion/cession of my evaluation, I shall return to Tech Mahindra Ltd all tangible forms of the Confidential
Information provided by Tech Mahindra Ltd, including any copies made by me and shall not thereafter use or
disclose the Confidential Information provided by Tech Mahindra Ltd.

7. I understand the consequences of violating the requirements of clauses mentioned hereinabove, which
may extend up to Tech Mahindra Ltd taking suitable disciplinary and/or legal action against me in
accordance with the laws of India.

Signature of Candidate: …………s.roy…………………

Name of Candidate: …………………………

Sayak roy
Date: ……………………………………….
25/05/2022
Location: ……………………kolkata ………………
 CODE OF CONDUCT

I, Mr./Ms. __________sayak roy________________ residing at ____________________Bansdroni_______

_______________________________________________ hereby agree to complete the evaluation provided by Tech
Mahindra in accordance with the requirements provided herein. I understand that Tech Mahindra reserves the right
to update and modify the requirements contained herein from time to time, and such a changed requirements shall
apply to me with the same force and effect as the original requirements.

Code of Conduct
● The Trainee working must be able to understand written and spoken English well enough to comprehend
basic emergency warnings such as; stop, keep out, Fire Exit, Restricted, etc
● The badge provided by Tech Mahindra shall be prominently display on the exterior clothing while being in
the premises of Tech Mahindra.
● The Trainee may limit his enter to only those areas, locations and doors to which he is authorized.

● The Trainee shall not use or authorize to use any information asset and other equipments without the
authorization from the designated owner of the equipment. Additionally, if authorized, its use should be in
accordance with the requirements and recommendations of the designated owner.
● Flammable liquids, gases and materials will not be allowed on Tech Mahindra property without prior
authorization of Tech Mahindra.
● The Trainee shall immediately report to the Tech Mahindra Trainee to whom he administratively reports
any incident of fire, theft, sabotage, environmental incidents (including spills), injury, suspicious behavior,
etc. discovered by him.
● The Trainee shall not carry out unauthorized use, removal, destruction, or defacing of Tech Mahindra
resources or property.
● No photography or any sound or video recordings shall be done at Tech Mahindra’s Site without the
written consent of Tech Mahindra.
● The Trainee shall not disclose or discuss with any third party or unauthorized person, matters relating to
Tech Mahindra (e.g. Information on premises, discussions, people, etc.) which they might come across
during their evaluation period with Tech Mahindra.
● The Trainee must comply with all applicable laws and regulations while being on the premises of Tech
Mahindra.

I acknowledge my understanding of the above requirements and undertake to comply with it. Further, I understand
the consequences of violating the requirements of clauses mentioned herein which may extend to Tech Mahindra
taking suitable disciplinary and/or legal action.

Signature of Candidate: ……………………………

s.roy
Name of Candidate: …………………………
Sayak.roy
Date: ……………………………………….
25/05/2022
Location: ……………………………………
Kolkata