Company-Confidential Application Forms - Offshore RMG-TAG-V.

Tech Mahindra Limited

Registered Office: Gateway Building, Apollo Bunder,
Mumbai 400001, India Please affix
techmahindra.com Passport-size
connect@techmahindra.com Photograph here

Application for Employment

Personal Information

Ravi Ramdas pakhare

Name
First / Given Name Middle Name Surname / Last Name

Name of Father Ramdas gopalrao pakhare Name of Mother Rama ramdas pakhare

Date of Birth 04/06/1993 Place of Birth Achalapur Marital Status Single

Nationality: India Passport (PP) No:

Place of PP Issue: Dt. of PP Issue: Dt. of PP Expiry:

If you don’t have a valid PP, have you applied for one? (pls use (√) mark for selection) Yes No

If have applied for PP, Application No: Dt. of Application:

Aadhar Card No. 322740703806 Universal Account Number (UAN-12 Digit) 100507436382
(Not applicable for freshers)

Have you ever been refused/denied visa any time? (pls use (√) mark for selection) Yes No

If visa denied, give details:

Country Type of Visa Reason of Refusal/Denial When Denied (date)

Present Address (PIN code mandatory)

Flat No: 305, B Wing, Ganga Kingstone, Near cloud nine, NIBM anex, Mohammadwadi, Pune,

Pin 411060

Landline Tel: Mobile No: 8329965537

Permanent Address (PIN code mandatory) (Write “Same as above” in case present and permanent addresses are same)

Narayanpur Road,Shree Nagar, near ganesh mangalam, Deomali, Achalapur, Dis: Amravti

Pin 444805

Res. Tel: Mobile No: 8329965537

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E-mail:
Primary: pakharer@gmail.com Secondary:

Signature of Applicant:

Do you have any relative(s) working with any of the Mahindra Group Companies including Tech Mahindra)?
(pls use (√) mark for selection) Yes No

If yes, please give details below: -

Name of Relative: Relationship: Name of Company:

Name of Relative: Relationship: Name of Company:

Education Details (Only those done through Govt recognized institutes/universities)

College/ University Name of Duration (MM/YY)

Education Specialization Percentage
(with Location) Degree/ Level From To
Matriculation/SSC/ Subodh Highschool 10th 06/2007 06/2008 Science 81.84%
Equivalent
Intermediate/HSC/ SLVP Junior Collage, 12th 05/2009 05/2010 General Science 57.50%
Equivalent Achalapur
Diploma/ Gurudatta Collage of Tech & Diploma in 3D 3D Animation 76%
animation & VFX 05/2011 05/2013
Equivalent Science
Graduation/
Equivalent
Post-Graduation/
Equivalent

Languages (Indian & Foreign)

pls use (√) mark for selection
Sl. No. Language Speak Read Write
1 English   
2 Hindi   
3 Marathi   

Employment History
(Need to cover gaps of more than 1 month in employments & education)
Present/Current Employment

Name of Employer: Infobahan Software Solutions Industry Type: IT

Client: Mursion

Address: Infobahn Software Solutions Office No. 103,

C11 D.B. Plaza, R.D.C., Raj Nagar Ghaziabad, Period of Service
Uttar Pradesh -201002 (DD/MM/YY) Starting Salary Current Salary
Reason for seeking change/leaving:
From To

Email & Ph. No.(s) of Employer 06/12/2021 30/04-2022 1500000 LPA 1500000LPA

Your Current Designation (as documented): Name and Designation of Your Immediate Supervisor:
Senior Environment Artist Alex Zelenin - Creative Director

Previous Employment/ Jobs

S. Name and Address of Emp Id Period Designation Last Salary
No. Employer (Must fill) (DD/MM/YYYY) Drawn

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(Please also give Telephone Nos.) From To (Per Annum)

1 Byjus- Banglore TNL21851925
January 2021 November 2021 8.2 LPA 8.2 LPA

2 ModulusPI- Hyderabad MP/3178 6.6 LPA 7.32 LPA

November 2019 December 2020

3 Advid- Pune 302 3.6 LPA

July 2017 November 2019 5.4 LPA

4 Artificial Machines- Pune 190 April 2015 July 2017 2.1 LPA 3 LPA

Signature of Applicant:
S. Name and Address of Emp Id Period Designation Last Salary
No. Employer (Must fill) (DD/MM/YYYY) Drawn
(Please also give Telephone Nos.) (Per Annum)
From To
6

Gap Reason (If there is gap in between employment or Education & 1st Employment)
I had done short animation course from arena animation in 2013-2014 and after that i had done freelancing work for a
year 2014-2015. from 2015 I have started my Official cerrier.

Professional References

Reference No 1 Reference No 2 Reference No 3

Name / Designation Rohit Khatri Rohit bhandare sahil bhardwaj

Email id and Mob. No. 8000019901 9766347285 7015973969

Nature of Association Byjus Advid Infobahan software solutions

General

Have you ever applied for a job with any of the Mahindra Group Cos. in the last 6 months? Yes No

If yes, give details:

Name of Company Position Applied For Date of Application Reason for Not Joining

Salary expected: 2000000 /pa Joining Time required: May (months)

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Any additional information you feel relevant to your candidature:

Declaration
I certify that:
1. The information furnished above is factually correct and subject to verification by Tech Mahindra Ltd.
2. All my education qualifications have been acquired from institutes duly recognized by Govt. established statutory authorities.
3. I accept that an appointment given to me can be revoked; if any of above information has been misstated or unstated.

29/04/2022 Pune
Signature of Applicant Date Place

Tech Mahindra is an Equal Employment Opportunity Employer. It promotes and supports a diverse workforce at all levels
in the Company. All qualified and eligible applicants will receive due consideration for employment without any regard to
their race, religion, colour, gender, age, nationality, origin or disability. All applicants will be evaluated solely on the basis
of their professional ability, competence, and requirement of the essential functions of the positions they have applied for.

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YOUR PRESENT EMOLUMENTS (ANNUAL)

Basic
6,97,980.00

DA

CCA

HRA 2,79,192.00

Conveyance 19,200.00

LTA 34,896.00

Any Other Allowances/ Payments

(Pls specify here and below)

1,81,680.00

Variable Component 1,00,000.00

114540
Gross Income
PF 21,600.00

Medical 15,000.00

Insurance 4,047.00

Any other Deductions

(Pls specify here and below)

Gross Deductions

Net Salary per Annum 14,99,995.00

Note: You are free to modify the contents/components of your salary in the blank column and delete those listed above if
not applicable to you.

29/04/2022 Pune
Signature of Applicant Date Place

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Background Verification Consent and Authorisation

Pakhare Ravi Ramdas

I _______________________________________________________________,
Last name First name Middle name

I hereby authorize TechMahindra to collect and process my personal data as described in ‘Background
Verification Privacy notice’ of TechMahindra, including the collection and processing of sensitive personal
data, and share my personal data with and obtain from the third parties as necessary to carry out the requested
services: police, courts, suppliers of court and police information, employers, employment agencies, educational
institutions, credit and consumer reporting agencies, government agencies and other public bodies, regulatory or
processional bodies, references I provide, other organizations with which I have been associated, and other
publically available print or online sources. I understand that these third parties may be located in countries or
regions other than my country of residence, including places where I have previously resided, studied or
worked. I further provide my consent to Tech Mahindra to share my verifications results/status in form of
report/summary with their clients as per the contractual obligations as and when requested.

I hereby declare and affirm that the information I provide to Tech Mahindra is complete and accurate and that I
have not omitted any relevant information unless permitted to do so in accordance with local law. I understand
that a false statement or omission of facts may preclude an offer of employment or may result in the withdrawal
of an offer of employment if my employment with Tech Mahindra has commenced.

Name: Ravi Ramdas Pakhare Signature :

Date: 29/04/2022

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