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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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:
Page 10 of 16
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
Page 11 of 16
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etails covering any area of your life
hem?
pose)
Page 13 of 16
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
