VOLTAS LIMITED

HUMAN RESOURCE DEVELOPMENT DEPARTMENT

Voltas House “B”, T.B.Kadam Marg, Chinchpokli, Mumbai 400 033.

Position applied for

Date of Birth
Name (In Block Letters)
(DD/MM/YYYY)

Mr./Ms.

First Name Middle Name Last Name

Present Address Contact Nos. Permanent Address

Res:

Mobile:

Pin Code Pin Code

Type of Accomodation Own Rented Type of Accomodation Own

Email

Education Qualifications (Beginning with school final)

Month & Year of

Examination Name of School/College/University Principle Subject
Passing

Prizes/Scholarship secured for academics

List your extra-curricular activities and position of responsibility held (beginning with college)

Personal Particulars

Vision Normal/Corrected Lens No Left

Do you suffer from any other disability and/or disease- diabetes / hypertension/heart disease/anyother? Yes / No

If yes, please provide details :

Voltas has adopted the "Affirmative Action" Policy of the Tata G

Religion : objectives under this policy, we need correct data from all em
request you to provide us these details.
Caste: SC ST NO

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(Make it bold/Mark (√), whichever is applicable)

Other Information: Ex Servicemen / Differently abled

PASSPORT DETAILS: (Mention details exactly as given in the passport) ECNR/ECR

Passport No: Date of Issue: Date of Expiry: Place of Iss

Name: Spouse’s Name :
Father’s Name Mother’s Name :
PAN No.
(If not, then submit any other document proof of applied for the same at the time of joining)

* UNIVERSAL ACCOUNT NUMBER (UAN) OR PREVIOUS PF MEMBER ID ( UAN is Mandatory)

I have got AADHAR Number Yes / NO If YES Please provide AADHAR No
If you have applied in the past for employment in our Company please give details

Position Applied for:

Interviewed on: Place:

Are you willing to work anywhere in India? (Yes/No)

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Employment Record (Beginning with first full time employment, ending with present job)

Period Designation Nature of Work

Employer’s Name /
and Reason for
Nature of Business
From To Joining Leaving Leaving

Present Emoluments (Attach last drawn salary slip)

Basic+DA (Consolidated) Rs. Any other perquisites (monthly)/Project Allowance*

HRA/Housing* Rs. Provident Fund (Rate)

Conveyance Rs. Super-annuation Benefits

Incentives Rs. Leave Travel Assistance

Other Allowances/ Rs. Ex-gratia / Bonus

Rs. Medical Facilities

Rs. Any other perquisites (Annual)

Rs. Cash Allowance

Present Annual Gross Emoluments

What Gross Salary do you expect?

May we write to your employer?

If selected, when can you join?

List of Programmes (including residential programmes) attend in professional / technical areas

Give an organization Chart showing your present position in relation to the total organization structure and the people supervis
position and mention the specific function you direct

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Page 4 of 16
What was your most significant achievement in the past? Please give details covering any area of your life

What are the activities you enjoy most and how do you plan to pursue them?

In Work Life:

In Personal Life:

Briefly describe the nature of foreign travel, if any (Place; Duration; Purpose)

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Languages Known (excluding English)

Language Speak Read

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Family Partculars

Dependents

Marital Status Yes / No Wife's/Husband's Name DoB & Age Occupation/Name of O

Children's Name

Dependents
Yes / No Name DoB & Age Occupation/Name of O

Father

Mother

Brother

Sister

Do you have any relatives/friends in VOLTAS? Please give details, if yes

References (Other than Relatives)

Name
Name
Occupation
Occupation

Address Address

Contact No.
Contact No.

Declaration by Applicants

I declare that the particulars given in this application, are correct and I have not knowingly withheld any fact or circumstances, which would, if d
unfavourably

Place Signature

Date
NOTE: AN INCOMPLETE FORM WILL NOT BE CONSIDERED
Interview Comments:

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Interview Comments:

Place Date

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 HR-2

OLTAS LIMITED
OURCE DEVELOPMENT DEPARTMENT

Passport Size Photograph

Contact Nos.

Res:

Mobile:

Own Rented

Grade/% of Marks/ Rank If, Any

eginning with college)

Right
eart disease/anyother? Yes / No

has adopted the "Affirmative Action" Policy of the Tata Group. To help us achieve our
ves under this policy, we need correct data from all employees. Hence, we sincerely
t you to provide us these details.

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 ECNR/ECR

Place of Issue:

t the time of joining)

give details

Place:

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with present job)

Annual Gross Emoluments

Joining Leaving

Rs.

Rs.

Rs.

Rs.

Rs.

Rs.

Rs.

Rs.

sional / technical areas

he total organization structure and the people supervised by you, if any. Underline your

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Page 12 of 16
etails covering any area of your life

hem?

pose)

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 Write

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 Occupation/Name of Organisation

Occupation/Name of Organisation

knowingly withheld any fact or circumstances, which would, if disclosed, affect my application

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 Interviewer Signature

Date

Page 16 of 16