TATA MOTORS LIMITED Bombay House 24 Homi Mody Street Mumbai 400 001

PERSONAL INFORMATION BLANK JAMSHEDPUR-PUNE-LUCKNOW-DHARWAD-MUMBAI-RUDRAPUR-AHMEDABAD Full Name (in block letters) Mr./Ms. Institute / College: Degree at graduate level: First Name
(For Graduate Students only)

Middle Name Institute / College:

Surname

(For Post Graduate Students only)

Degree / Diploma at Post graduate level:

Branch: Year I / II / III / IV Post graduate specialization: Post applied for: (Put Mark) Programme Preference (Put 1 /2 ) Location preference (Applicable only for Graduate Engineer Trainee Program) (Put 1/2/3/4) for reference only Graduate Manufacturing/Plant roles Engineer Jamshedpur Trainee (GET) Techno-commercial roles Pune Officer Lucknow Trainee (OT) Pantnagar Post Graduate MBA Sanand Trainee (PGT) MTech Dharwad Engineering Summer Mumbai / Offices all over India Internship Management Program (SIP) Present Address : Mobile No.: Email: Telephone No.: Email: Category: (SC/ST/OBC/General (all others) Date of birth Place of birth Marital Status Married / Single Father/Mothers name & occupation Languages known: Underline mother tongue and Put mark against
Speak/Read/Write

Permanent Address :

Nationality

State of Domicile

Telephone No.: Email Id: Passport size photograph (Please sign on the photograph in such a way that a part of the signature appears on the form)

Language

Speak

Read

Write

Height: cms Vision: Normal / Corrected Physical disability, if any

Weight: Kgs Spectacles (Lens) No:

Details of any major illness / accident / operation Particulars of any relatives who are employees or Directors of Tata Motors (Specify relationship) Give details of membership or office held in any social/cultural/professional/student/political organization

TATA MOTORS LIMITED Bombay House 24 Homi Mody Street Mumbai 400 001

EDUCATION BACKGROUND Examination SSC/Equivalent HSC/ISC/PUC Equivalent Graduation Branch: 1st Year 2nd Year 3rd Year 4th Year Post Graduation Specialization: 1st Year 2nd Year Any other course (Please specify) School/College/Institute Board/University Year % Marks
(upto 2 decimal points)

Details of Marks during Graduation: Year Percentage/Grade / CGPA Marks (Semester wise) Rank * Main Subjects ** Subjects not cleared in 1st attempt (if any)

1st Year 2nd Year 3rd Year 4th Year *Specify whether University/College/Class rank *Please underline the subjects that interest you the most

Details of Marks during Post Graduation: Year Percentage/Grade /CGPA marks (Semester wise) Rank (Specify whether University/College/Class rank) Main Subjects (Please underline subjects that interest you the most) the

1st Year 2nd Year

TATA MOTORS LIMITED Bombay House 24 Homi Mody Street Mumbai 400 001

Prizes / Scholarships :

Extra-curricular activities : Activities participated in dramatics NSS,NCC etc.) (Sports, debates, Level of Participation (Inter-class, college, University, State etc.) Achievements / Prizes won Year

School

College

Hobbies :

Project Work / Dissertation : Title Brief Outline Year

Experience: Work, Vocational/Summer Training etc. Duration / Period (From To) Employer Position and nature of work Emoluments

Career Choice: What are your long term and short term career goals? What has influenced your thinking while evaluating your career options?

TATA MOTORS LIMITED Bombay House 24 Homi Mody Street Mumbai 400 001

Reason for applying to Tata Motors :

Strengths and areas of improvements : Strengths Areas of improvement

I hereby certify that particulars given herein are true to the best of my knowledge and belief. If any information is found to be false or incomplete, the Company is free to cancel my selection/appointment or terminate my training/service.

Date:

Place:

Signature:

Please furnish any other information that you may wish to, on a separate sheet(s) of paper, if required, and attach the paper(s) to the form. Please choose size of the extra sheet(s) to match the form.

FOR OFFICE USE Campus Selection Test Score Group Discussion Personal Interview Date: Total Score Decision:

Qualitative Remarks :

Signature:

Panel Member 1

Panel Member 2

Panel Member 3

Panel Member 4

HR

Name: Designation: