Name of Candidate:

TABLE OF CONTENTS

1. Joining Report

2. Personal Details

3. Address Details

4. Education Qualifications

5. Previous Employment Details

6. Other Details

7. Bank Account Details

8. Communication

9. Personal Identification

10.Medical Details

11.Blood Group Details

12.Nominations

13.Family Members / Dependent Details

14.Reference Check

15.Code of Conduct Declaration

16.Tata Code of Conduct Conflict of Interest Declaration

17.Functional Job Skill Inventory

Name of Candidate:
 Please
attached your
scanned
Passport Size
photo
Personal Details
Date of Joining
Circle
Employee Group On-Roll Contractual Outsourced
Level
(Employee Subgroup)
Business / Function
Title (Mr / Ms)
First Name

Middle Name

Last Name

Gender

DOB (DD.MM.YYYY)

Birth Place

State Name

Country of Birth

Nationality

Marital Status

Date of Marriage

Maiden Name

Father’s/Husband’s
Name
No of children
Have you been
previously employeed Yes / No. If Yes ; Old employee number ____________
TTSL?
Category General/SC/ST/OBC
Yes / No
Do you have any kind
If Yes, Please tick the relevant box
of disability
Orthopaedic Hearing Vision

Name of Candidate:
 Address Details

Employee Name: __________________________

Address of person/s to
Present Address Permanent Address be contacted in case of
emergency

C/o

House No

Street Address

City & Postal

Code
District

State

Country

Telephone
Number/Mobile

E-mail ID :

Name of Candidate:
 Education Qualifications

Diplom
Details Under Graduate Graduation Post Graduation Post Graduation Others
a
Start/End Fro
date of m
Course To
Institute /
Location

Country
Name of the
University
Name of
Course/Certificate
(B.E, B.Sc, B.Com
etc.)
Duration of course
(Yrs/Months)

Final Grade
Branch of Study
(Specialisation in
Electrical /
Commerce /
Physics etc.)
Year of passing
(YYYY)
Qualification Type
(Full time / Part
time /
Correspondence

% Of Marks

Previous Employment Details

** Please start from your latest previous employer

Name of Candidate:
 Previous Organization 1 Previous Organization 2
Start and End From(dd/mm/yy)
Date of
Service To(dd/mm/yy)

Employee ID

Organization name

City & Country

Compensation Package @ time of
leaving (CTC)
Industry
Work contract(Permanent/Consultant
etc)

Area of Responsibility

Designation
Key achievements
Employer PF number
Employer EPS number
PF Trust name
Employers address & Telephone No.
Was it a part of Tata Group? (Yes/No)
Reason for Leaving

Reported to (Name & Designation)

Reported to (Contact No. & Email Id)

(* In case reporting period to above supervisor is less than 9 months, kindly give details of person you
reported to earlier).

Reported to (Name & Designation)

Reported to (Contact No. & Email Id)

Name of Candidate:
 Previous Employment Details

** Please start from your latest previous employer

Previous Organization 3 Previous Organization 4

Start and End From(dd/mm/yy)
Date of
Service To(dd/mm/yy)

Employee ID

Organization r name

City & Country

Compensation Package @ time of
leaving (CTC)
Industry
Work contract(Permanent/Consultant etc)

Area of Responsibility

Designation
Key achievements
Employer PF number
Employer EPS number
PF Trust name
Employers address & Telephone No.
Was it a part of Tata Group? (Yes/No)
Reason for Leaving

Reported to (Name & Designation)

Reported to (Contact No. & Email Id)

(* In case reporting period to above supervisor is less than 9 months, kindly give details of person you
reported to earlier).

Reported to (Name & Designation)

Reported to (Contact No. & Email Id)

Name of Candidate:
 Previous Employment Details
** Please start from your latest previous employer

Previous Organization 5 Previous Organization 6

Start and End From(dd/mm/yy)
Date of
Service To(dd/mm/yy)

Employee ID

Organization name

City & Country

Compensation Package @ time of
leaving (CTC)
Industry
Work contract(Permanent/Consultant etc)

Area of Responsibility

Designation
Key achievements
Employer PF number
Employer EPS number
PF Trust name
Employers address & Telephone No.

Was it a part of Tata Group? (Yes/No)

Reason for Leaving

Reported to (Name & Designation)

Reported to (Contact No. & Email Id)

(* In case reporting period to above supervisor is less than 9 months, kindly give details of person you
reported to earlier).

Reported to (Name & Designation)

Reported to (Contact No. & Email Id)

Name of Candidate:
 Previous Employment Details
** Please start from your latest previous employer

Previous Organization 7 Previous Organization 8

Start and End From(dd/mm/yy)
Date of
Service To(dd/mm/yy)

Employee ID

Organization name

City & Country

Compensation Package @ time of
leaving (CTC)
Industry
Work contract(Permanent/Consultant etc)

Area of Responsibility

Designation
Key achievements
Employer PF number
Employer EPS number
PF Trust name
Employers address & Telephone No.

Was it a part of Tata Group? (Yes/No)

Reason for Leaving

Reported to (Name & Designation)

Reported to (Contact No. & Email Id)

(* In case reporting period to above supervisor is less than 9 months, kindly give details of person you
reported to earlier).

Reported to (Name & Designation)

Reported to (Contact No. & Email Id)

Name of Candidate:
Have you ever been interviewed at Tata Teleservices Ltd? Yes / No (If yes, please give details – When,
Where & by Whom).

__________________________________________________________________________________________

Have you ever been involved in any criminal court case? Yes / No (If yes, please give details).

__________________________________________________________________________________________

References

Give two references not related to you (at least one from your previous employer)

Sl Name Designation Address Telephone Email Id

No. Number

AUTHORISATION TO CONDUCT PRE-EMPLOYMENT SCREENINING

All the information furnished by me in the Candidate Information Sheet is true to the best of my
knowledge. I hereby authorize the company or any third party retained by them to make inquires, either
by written communication, by telephone, online, or in person to any former employer, government
agency, educational institution, state police, military establishment or any other persons or institutions
knowledgeable of my background as to my prior history, work experience, nature of duties, CTC,
performance levels, reliability, responsibility, honesty and any other measures of my character or
personality.

A Photostat, or any other copy, of this instrument bearing my signature or forwarded from my e-mail
address, shall be equally legally valid as the original.

SIGN: _____________________

NAME: _____________________

DATE: _____________________

PLACE: _____________________

Name of Candidate:
 Other Details

Language Known

Name of Language Read Write Understand Mother tongue

Speak
Language 1

Language 2

Language 3

Language 4

Language 5

Personal Identification Marks

Mark 1

Mark 2

Others (if any)

Other Area of Interest

Interest 1

Interest 2

Interest 3

Name of Candidate:
 Bank Account Details
Bank name
Payee’s Name / Employee’s
Bank Name in case of DD
Payable Location for DD -
Postal Code / City
Bank Account no

P.S. : We have tie up with HDFC, ICICI, IDBI, AXIS BANK, STANDARD CHARTERED, CITIBANK for
direct Salary credit arrangement however circles tie up might differ.
Pl attached a cancel cheque any of above bank.

Communication

Official System Generated, once employee joins

Personal

Phones

Mobile Number

Office number

Residence Number

Personal Identification

Name of Candidate:
PAN

Name of Candidate:
Driving Licence ID No
Issuing Authority
Date of Issue
Date of Expiry
Place of Issue
Country where issued
PASSPORT DETAILS:
Passport ID No
Issuing Authority
Date of Issue
Place of Issue
Valid Upto
Country where issued
ECNR Stamped Yes / No

Medical Details

Blood Group Details

Blood Group
RH factor
Medical Examination Details
Examination date
Result (Fit for work / Unfit for
work)
Remarks (if any)

Name of Candidate:
 Nominations

Group Personal
Provident Fund Gratuity Superannuation ESIC Benefit
Accident Insurance

Nominee 1

Nominee’s name

Nominee’s Address

Relationship

Date of Birth

Share (%)

Guardian’s Address

Nominee 2

Nominee’s name

Nominee’s Address

Relationship

Date of Birth

Share (%)

Guardian’s Address

Name of Candidate:
 Group Personal
Provident Fund Gratuity Superannuation ESIC Benefit
Accident Insurance
Nominee 3

Nominee’s name

Nominee’s Address

Relationship

Date of Birth

Share (%)

Guardian’s Address

Name of Candidate:
 Family Members/Dependent Details

Spouse Child1 Child2 Father Mother

First Name

Middle Name

Last Name

Gender

Date of Birth

Nationality

Occupation

Dependent (Yes/No)

Nominee for Mediclaim

Relationship with
Nominee

Name of Candidate:
 CODE OF CONDUCT DECLARATION

From

Name _____________________________________

Emp No. ______________________________________

Function ______________________________________

Department ______________________________________

To,

The CEO / Ethics Counsellor

I hereby acknowledge the receipt of the Tata Code of Conduct.

I have read and understood the Tata Code of Conduct and agree to abide by all its provisions
both in letter and in spirit.

Thank you,

(Signature)

Name of Candidate:
 TATA CODE OF CONDUCT CONFLICT OF INTEREST DECLARATION

From ________________________________________________

Emp No. ________________________________________________

Function ________________________________________________

Department ________________________________________________

TO

THE CEO/ ETHICS COUNSELLOR

I have gone through the TATA Code of Conduct and as per clause 20 of the code of conduct I

would like to herewith declare that I/my family members have the following conflict of

interest.

a)__________________________________________________________________

b)__________________________________________________________________

c)__________________________________________________________________

d)__________________________________________________________________

e)__________________________________________________________________

____________________

(Signature)

Name of Candidate:
 FUNCTIONAL JOB SKILL INVENTORY

Name: ____________________________________

Date of Joining ____________________________________

BU/Function ____________________________________

1. What value addition can you make in TTSL in your new role?

2. What are the special skills/knowledge that you possess, which can be used at TTSL ?

3. Which of the following can you be counted on for (team spirit; leadership skills; organizational
capability etc)?

4. Have you undergone any Six Sigma Training ? If so, briefly describe your six-sigma project.

5. The highpoints of your career

Name of Candidate:
 Document Check List

The Following documents are to be submitted on the day of joining.

Sr No Document Checklist Checked by HR

1. Joining Docket
2. Offer Letter – Acceptance Copy
3. 4 passport – size photographs (red background)
Photocopies of your birth certificate and certificate of your

4. educational qualifications. (Please carry originals for verification

on date of joining)
Relieving letter from previous organization / Letter of acceptance
5.
Resignation
Photocopy of PAN Card (Please carry originals for verification on
6.
date of joining
Photocopies of your driving License and Passport (Please carry
7.
originals for verification on date of joining)
Proof of permanent address (Please carry originals for verification
8.
on date of joining)
9. Recent Salary Revision letter from previous organization
10. Cancelled Cheque of Bank
IT computation sheet received from previous employer – to
11.
estimate income tax in TTSL by you within 2 weeks of your joining

Name of Candidate: