Ref.

HMQY0570/5618/M&M

MAHINDRA & MAHINDRA LIMITED

Job Application Form

Passport Size
Post applied for : ________________________________________ Photograph
(In Block Letters)

Personal Particulars
Candidate Name: Gender*: Male Female
Present Address: Phone number
Present Occupation
Employee Id*:
Postal Code ( ) Email Address:
Permanent Address: Nationality*:
Religion*:
Job Location applying for*: Age: Job Available start date *:

Family Particulars (please include parents, spouse, siblings and children)

Name Relationship Age Occupation
Father
Mother
Spouse
Children
Brothers/Sisters

Emergency Contact (person to be notified in the event of emergency)

Name: Relationship:
Address:
Tel No. (Home/Office): Handphone No.:

National Service / Reservist Details

Status Liable Exempted Completed Not Applicable
Date of Enlistment: Date of Completion:
Unit (for reservist): Last Rank Held:
Reasons for Exemption:

Any other talent, skill or knowledge that you have acquired, which you believe would add to your
application? If yes, please furnish details :

Mahindra & Mahindra Ltd Page 1 of 4

Educational Details (Primary/Secondary/Diploma/Degree/Post Graduate)
Name of Institute From To Highest Standard Attained

Professional Qualification / Training Courses (either completed or currently pursuing)

Name of Institution From To Certification Attained

Professional Membership Details

Name of Institution Valid From Expiring On Type of Membership

Language Proficiency (please tick accordingly)

Languages / Dialects English Mandarin Malay Tamil Telugu Hindi Teochew Other
Spoken & Written

Spoken Only

Computer Literacy Skills

Standards (please tick)
Types of Software (spreadsheet, wordprocessing, programming languages, software used in the course of work)
Advance Intermediate Elementary

In less than 100 words, please tell us why you applied for this job and why you think you are the best person for the job.

Mahindra & Mahindra Ltd Page 2 of 4

Employment History (In chronological order, starting with the most recent employer)
Name & Address of Employer: From (Date):
To (Date):
Commencing Salary:
Postal Code ( ) Current/Last Salary:
Starting Position: Current/Last Position:
Brief Description of Duties & Responsibilities:

Reasons for Leaving:

Name & Address of Employer: From (Date):
To (Date):
Commencing Salary:
Postal Code ( ) Current/Last Salary:
Starting Position: Current/Last Position:
Brief Description of Duties & Responsibilities:

Reasons for Leaving:

Name & Address of Employer: From (Date):
To (Date):
Commencing Salary:
Postal Code ( ) Current/Last Salary:
Starting Position: Current/Last Position:
Brief Description of Duties & Responsibilities:

Fill In Your Uniform Size Details For 7 Days Training Purpose:

Shirt Size -
Dear candidate, you have to fill your uniform size for 7 days training
purpose only: Paint Size -
T-Shirt Size -
Blazer Size -
Shoe Size -
Trouser Size -
Please explain the reasons why you are interested in working with Mahindra & Mahindra Ltd Company:

Reasons for Leaving Previous Job:

Mahindra & Mahindra Ltd Page 3 of 4

General Information
Have you ever been convicted in any court of law? Yes No
If yes, please furnish details :

Have you ever been discharged, dismissed or terminated from your previous employment? Yes No
If yes, please furnish details :

Have you ever been declared bankrupt? Yes No

If yes, please furnish details :

Are you suffering from any handicaps, ailments, disease or is under long term medication? Yes No
If yes, please furnish details :

Do you possess a valid driving licence? Yes No

If yes, please furnish details :

Have you ever made a previous job application with the MAHINDRA & MAHINDRA LTD? Yes No
Position : Date of Application :

Do you have any friends / relatives working in the MAHINDRA & MAHINDRA LTD? Yes No
Name : Relationship :

Are you a veteran?

Yes No Date of Birth: Martial Status:

Please indicate your hobbies :

May we contact your past employers for a reference check? Yes No

Expected Salary Notice Period Earliest Commencement Date

Declaration
Instructions for filling job application form

I hereby declare that the information furnished is correct and true to the best of my knowledge. I fully understand, accept and agree that if at any
time after my appointment with the MAHINDRA, it is found that I have made a false declaration, the MAHINDRA & MAHINDRA LTD
has the absolute right to dismiss my employment forthwith.

I fully understand that I have to undergo a pre-employment medical examination and passing it is a condition precedent to my confirmation of
appointment. I express my willingness to be examined and to furnish the consulting physician with full details of my previous medical history.

Fill in your past employment record with details of your first employment at the top followed by subsequent employment details and total salary/
emoluments received. Specify perks if not included.

Fill in your academic, technical or professional qualifications High School onwards. Specify marks obtained in English language or literature
separately. Also mention any course of study you are presently pursuing or intend to pursue.

Applicant's Signature: Place: Date:

Job Type, Days/hours available to work

I have no preference.

Mon Tue Wed Thurs Fri Sat Sun

Employment Status: Part-Time Full-Time Work From Home Night Shift

Please fill the form and send it through E-mail.

Head of Department: HR Representative:

(Signature/Date) (Signature/Date)

Mahindra & Mahindra Ltd Page 4 of 4