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Note: Fill all the items; If not applicable please state Not Applicable (NA). Attachadditional sheet if required, to give complete details.

POSITION APPLIED FOR Graduate Apprentice

NAME IN FULL( IN BLOCK LETTERS)

Date of Birth & Age

Blood Group

Religion / Community : ( FC, BC, SC, ST )

Native Place

Mother tongue

PAN No:

Permanent Address with PIN Code

(With Telephone / mobile number )

Present Address with PIN Code

(With Telephone / mobile number)

MARTIAL STATUSSingle / Married / Widower /Divorced

Husband / Wifes Name

Date of Birth of spouse

Occupation of spouse

Date of Marriage

Name of Children M / F Date of Birth

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WHEELS INDIA LIMITEDPADI, CHENNAI-600 050.

APPLICATION FOR EMPLOYMENT

Affix recentPass port sizephotograph inthe hard copy

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FAMILY BACKGROUND

Fathers Name

Age

Occupation/PlaceMothers Name

Age

Occupation/Place

Brothers and Sisters

Name Age M/F Single/

Married

Occupation /Place

EDUCATIONAL BACKGROUND (BOTH ACADEMIC & TECHNICAL,

STARTING WITH SSLC)

Exam Passed Class /

% Marks

Name & place of the

School & College

Year Electives / Specialization

From To

TRAINING

Nature of training (apprenticeship/

special/training/ courses undergone)

Duration(Date) Institution / Place

From To

Present Company:

Name & Full

Address ( with PIN

Code)

Period (Date) Designation Reporting to Reason for seeking

change

From To On

joining

Present

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Previous

Companys Name

& Full Address

( with PIN Code )

Your Designation Period of

Service(Date)

Total Salary drawn

Rs. PA

Reason for

leaving

On

joining

While

leaving

From To On

joining

While

leaving

Present salary and Perquisites details:

MONTHLY ANNUAL

BASIC Bonus / Exgratia

DA PF

HRA LTA

Conveyance allowance Superannuation

Incentive Medical reimb / allce

Special allowance Others, if any

Other allowances

Telephone allowance

Medical allowance

Education allowance

TOTAL/MONTH TOTAL/MONTH

TOTAL/ANNUM TOTAL/ANNUM

TOTAL CTC /ANNUM

Job Description with Present Company / details of jobs / skills you are capable of handling by virtue

of your qualifications and experience (use bullet points)

1.

2.

3.

4.

5.

6.

Have you any relatives working in Wheels India, Axles India or any other T.V.S. Group Companies?

If so, please give details.

Name Relationship Name of the Company DepartmentDesignation /

T. No.

1.

2.

3.

3

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REFERENCES: Three responsible persons (not related to you ) who will vouch for your conduct and

work performance.

NAME Occupation, Full Address ( with

PIN Code ) & Telephone

Numbers

How is known to the applicant

1.

2.

3.

What Salary and perquisites can you accept?

Date on which you can join if selected:

Declaration

I hereby declare that the above particulars furnished by me are true to the best of myknowledge and belief and these will form the basis of the contract of employment, if I am

employed by Wheels India Limited, if at a later date, any of the particulars furnishedherein by me is found untrue or not correct, the Company will have the right to terminatemy services without notice or compensation.

PLACE:

DATE : NAME / SIGNATURE

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