application blank - rev 1.0 (01!01!2012) , it s blank

8/13/2019 Application Blank - Rev 1.0 (01!01!2012) , IT S BLANK

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Backed by 100 glorious years of experience in steel making, Tata Steel is the world’s 6th largest steel

company with an existing annual crude steel production capacity of 0 !illion Tones "er #nnum $!T"#%&

'stablished in 1(0), it is the first integrated steel plant in #sia and is now the world’s second most

geographically di*ersified steel producer and a +ortune 00 -ompany&

.ur *ision is to be the global steel industry benchmark for Value Creation and Corporate Citizenship.

Tata Steel /ndia is the first integrated steel company in the world, outside apan, to be awarded the Deming

Application Prize for excellence in Total uality !anagement&

Form No. HR/FRM/TAG/LR/01 Rev. No. 1.0Effective Date: 01/01/2012

Confidentia

A!!icant"# Name: A$D%L&HAF'(%E

%ni)*e A!!icant"# 'D:



APPLICATION FOR EMPLOYMENT

We would like to thank you for your interest in suitable career opportunity with Tata Steel. This form isintended to enable you to record important points about yourself, your experience, yourachievements and your aspirations. Please complete the form in detail and use additional sheets ifnecessary. During the interview process, the contents of this application will provide a base for our

interaction.

+er#ona 'nformation

irst !ame "iddle !ame #ast !ame"r. $"s. %&D'# S(%)*'++xpand all !ames-

Position %pplied or )T /0" Who referred you for this position /onsultant %dvertisement Direct %pplication riend0elative10elative and riends.

Please provide the name of the referral- "r. %.0.2(%!

1!ature of 0elationship "3 %T(+0

Date of &irth e4mail )D &,afi)*e.#,i-amai.com

5 6 7 5 5 8 9 : %lternate e4mail )D if any- #,afi)*e.itmai.com

/urrent %ddress 24:75 , Swiss /ounty , !ear P/"/ School , Thergaon , P'!+

/ityP'!+

State"%(%0%S(T0%

P)! Phone withSTD code-

;ffice

< 5 5 7 = = 0es. : 9 : 6 < 7 8 8 > 7

Permanent %ddress 2<45=? , 2%D"% #%T , !+%0 D(%T2)D)( "%S@)D ,@%"S(+DP'0

/ity @%"S(+DP'0

State @(%02(%!D

P)!Phonewith STDcode-

9 = 5 7 7 5 "obile : 9 : 6 < 7 8 8 > 7$ood Gro*!:

$ 3E4

3i#ion: 5/55/5

Left Ri,t

Coor +erce!tion: N6

Left Ri,t

Aerie# 'f an74:

N6

La#t Ma8or &*rer7 'f an74:

NE3ER

ED%CAT'6N &egin with the most recent Aualification and end with Std. B-

/ourse$Degree

SpecialiCationPlease mention

your coresubects-

!ame of )nstitute$'niversity with

#ocation

0egular ull Time$ Part4

time- $/orrespondence

rom

mmm$yy-

To

mmm$yy-

%ggregate "arks

E or /FP%-

$9TECH ELETR'CALENG'NNER

$'T &'NDR' 3$%HA;AR'$AGH4

F%LL T'ME 2005 2010 <=>

12t, 'ntermediate

Mat, &cience Mr#.?.M.+.M 'NTERC6LLEGE @ACRANCH'4

F%LL T'ME 2002 200 55>

10t, Matric*ation

Genera A4 R.D.TATA H'GH&CH66L @&E$RANCH'4

F%LL T'ME 2001 2002 <B>


Confidentia

For 6ffice *#e on7

'niAue %pplicant )D

mailto:[email protected]







Confidentia



6R? E+ER'ENCE +RE&ENT / LA&T EM+L6MENT4

!ame of the +mployer )!;S3S #)")T+D %ddress 0%@++G F%!D() )T )!;T+/( P%02 ,

T%#"'#S), ()!@+W%D) , P(%S+ ? ,P'!+ ,"%(%0%S(T0%

!o. of 0eportees if any-

Total number of +mployees 5.:6.

#%/S

Sales Turnover !%

Dates +mployedrom 58 T( @'#3 ?757 To

T)## D%T+!otice Period in months- =";!T(S

3our DesignationS0.S3ST+"+!F)!++0

!ature of employment Please tick the appropriate box- REG%LAR

0egular $ /ontract $ ;n Probation

0esponsibilities in current 0ole /;F!;S %D")!)ST0%T;0, D%T%ST%F+ %D")!)ST0%T;0, D%T%W%0+(;'S+/;!S'#T%!T.

0eason for considering a change P+0S;!%# %!D P0;+SS);!%# F0;WT(, "3 F0%!D %T(+0 W;02+D ;0 T%T%ST++#, "3 %T(+0 )S /'00+!T#3 W;02)!F W)T( T%T%ST++# %!D "3 &0;T(+0S %!D "3 0)+!DS/'00+!T#3 W;02)!F W)T( T%T%ST++#.

Do you have any commitment bond- to another employer or organiCation that might affect your employment withusH 3es !o

!;

)f yes, please furnish the details

)f selected, when can you oin usH please mention the timeline in months- ?4= ";!T(S.

)n the space provided below, please draw the organiCational structure at your present organiCation highlightingyour level in the structure

;+44444444444;P+0%T);! +B+/'T)G+ST+4444444444S3ST+" +!F)!++0 T0%)!++S+444444444444S3ST+" +!F)!++0&&E9999999999&R. &&TEM ENG'NEERTA99999999999TECHN'CAL ANAL&T

T#44444444444T+%" #+%DP"4444444444P0;@+/T "%!%F+0

SP"444444444S0. P0;@+/T "%!%F+0FP"44444444F0;'P P0;@+/T "%!%F+0D"4444444444D+#)+G+03 "%!%F+0'(4444444444'!)T (+%D&;D44444444&;%0D ; D)0+/T;0

C%RRENT EM6L%MENT& Please share your current emoluments in order to help us in preparing the compensationoffer from our side. 2indly ensure that a eement# of t,e +a7 +er)*i#ite# and $enefit# are clearly andexhaustively documented here. %lso mention the freAuency of payments e.. mont,7 )*arter7 ann*a etc.4.Please attach last three monthsI salary slip and ).T. return of last year.


Confidentia

Name: A$D%L &HAF'(%E

Ae: 25+ermanent Acco*nt N*mer +AN4: CE?+&B<=AEd*cation:$9TECHCom!an7: 'NF6&& L'M'TEDC*rrent +o#ition: &&E &R.&&TEM ENG'NEER4C*rrent !ace of !o#tin: +%NE

F6R 6FF'CE %&E 6NL

'/#evel

/ode Pls. tick appropriate code- E G #ocation



C*rrent Com!en#ationMention > of a#ic J,erever a!!icae

> of $a#ic Mont,7 R#.4Ann*aR#.4

RemarK#/ Additiona 'nformationFrequency of payment 4

A $a#ic N/A 102=0

$

AoJance# Ca#,4 for e.. D. A. Conve7ance Cit7 Com!en#ator7 Ed*cation L.T. A. etc.

+ixed 2earness #llowance 1100Basket of

#llowances$34#,5T#,!edical,etc&&% 1=5B=

Allowances (Cash) – Total 1<B=

C

AoJance# Non 9 Ca#,4 for e.. Co#ted va*e for accommodation medica etc.

)ncluded in the above basket of

allowances

Allowances (Non - Cash) -Total

+er)*i#ite# and $enefit# For e.. 9 Com!an7 car F*e e!en#e# etc.

/ompany provided company carIs

for pickup and drop.

D

Perquisites – Total

E

$on*# +erformance $a#ed Mie#tone $a#ed etc.4

Bonus 'x78ratia 22<5

Performance bonus 1=00

Bonus – Total

F

Retira#:

+rovident F*nd 1B55

Grat*it7 <

&*!erann*ation

Retirals - Total 11B

CTC A$CDEF4 B500<

E!ected Ann*a Gro## %s per industry stander

Fami7 Detai# Please provide the details of your family members in the table below

S.!o.

!ame0elationship with

the person(ighest

*ualification

/urrentDesignation J 3rs.

of +xperience

/urrent;rganiCation

+arning%nnually in 0s.-

1. Ad* Ra#,eed Fat,er 'ntermediate &r.Tec,incian/2< 7r#.

TATA &TEEL NA


Confidentia



2. A&H'A $EG%M Mot,er MATR'C%LAT'6N NA NA NA

B.A$D%L RAF'(%E $rot,er $9TECH +R6@ECT

MANAGER/< EAR&

EM'RATEAL%M%N'%M

NA

. RE&HMA +EREEN &i#ter +o#t9Grad*ation NA NA NA

.

A$6%T 6%R&ELF Please provide answers to the following Auestions, this will help us in a better understanding of you as a

person.

+er#ona #trent,#:

1. &ef9motivated.

2. &ef9di#ci!ine.

B. (*icK Learner.

. &mart JorKer.

. +o#itive t,inKin.

5. ' can ad8*#t in a #it*ation#.

<. Re#!on#ie.

=. He!in mentait7.

+er#ona Area# of im!rovement:1. Tr7in to )*it #ome ad ,ait#.2. ' am *nae to #a7 N6 J,en it come# to ,e!in

a coea*e rearde## of m7 JorK oad.B. Maintain t,e !er#ona and !rofe##iona ife.

o*r career o8ective#:

To JorK in an environment t,at i# cond*cive for effective*tii-ation of m7 e!erience and #Ki# for !romotinf*rt,er KnoJede ac)*i#ition t,ere7 contri*tin tot,e roJt, of t,e orani-ation and m7#ef.

o*r e!ectation# from t,e 8o:

Love to JorK in c,aenin environment.

o*r e!ectation from Tata &tee:

) want to serve with T%T% ST++# till my retirement.%lways provide me, healthy environment.

Location Con#traint# if an74

N6

Lan*ae# KnoJn Start with your mother tongue-:

#anguage 0ead WriteSpeak

()!D) 3+S 3+S 3+S+!F#)S( 3+S 3+S 3+S'0D' 3+S 3+S 3+S

REFERENCE& Five references under whom you have either worked or who know you professionally for at least > months.

!ameDuration J!ature of

association

Designation J;rganiCation

e4mail+,one Jit, &TD code4

(ome ;ffice

A,inav&riva#tava

11 mont,#

Team Lead O AT6&6fficia:

+er#ona:

'ftaK,ar A,med BB mont,# Tec,nica Ana7#t O'nfo#7#

6fficia:

+er#ona:


Confidentia



@7oti Rana8an&a,oo

B5 mont,# &oftJare EnineerO &AA&

6fficia:

+er#ona:


Confidentia



ADD'T'6NAL DETA'L&

(ave you attended any selection process at Tata SteelbeforeH

!;

e# No

'f e# t,en !ea#e f*rni#, t,e fooJin detai#:

Division #ocation "onth$3ear Status

Do you have any relative currently working$ had worked inpast with Tata SteelH 3+S

e# No

'f e# t,en !ea#e f*rni#, t,e fooJin detai#:!ame "0.%.0.2(%!!ature of relationship %T(+0Designation Sr. TechnicianDepartment$ Division "achine Shop#ast date of working 'f t,e !er#on ,a# eft Tata &tee- Working

Do you have any friend +x K /olleague$ /ollege Senior$friend etc.- currently working$ had worked in past with TataSteelH

3+S

e# No

'f e# t,en !ea#e f*rni#, t,e fooJin detai#:!ame G)G2+2 P0%S%D!ature of relationship /ollege Senior J riend.Designation "anagerDepartment$ Division &earing Division#ast date of working 'f t,e !er#on ,a# eft Tata &tee- Working

(ave you ever been arrested, prosecuted or convicted forany criminal offense, other than minor traffic offenses H!; e# No )n the last ten years, have you been convicted of or pleadguilty to any offenceH !; e# No )n the last ten years have you been released from prison ona convictionH !; e# No

)f 3es, furnish details including type of offense and conviction

%re you engaged in any personal business having a bearing$ with possible bearing with Tata Steel e# No

!;

'f 7e# !ea#e !rovide t,e nat*re of $*#ine##:

%ny other information you would like us to know which may have significant bearing on our hiring decision

't"# m7 a#!iration to JorK Jit, TATA &TEEL and ' ,ave Jaited a ot for t,i# moment.


Confidentia

Decaration) hereby declare that my statements on this application and on my resume or documents provided by me to TataSteel are correct to the best of my knowledge. ) acknowledge and agree that providing any false information mayresult in a decision not to hire me or if hired, may result in termination of my employment. ) give consent to TataSteel to institute and conduct a background check to verify the information furnished by me in this form.

Date 7:th !ov ?75= Signature%bdul ShafiAue

Place P'!+

application blank - rev 1.0 (01!01!2012) , it s blank

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