Please affix your

Scanned Photo
here.

APPLICATION FORM

CANDIDATE CATEGORY: FRESHER ( ) LATERAL ( ) REHIRE ( )

(Please tick (√) the relevant category)

POSITION APPLIED FOR: Date:

Name:
(in block letters)
FIRST MIDDLE SURNAME
Present Address: Permanent Address :

Date of Birth: Age:

PERSONAL DETAILS

Tel No (Res): Tel No (Off):

Mobile No:

E-mail id:

Marital Status:

Nationality:

Passport No and Validity:

(Please Tick (√) wherever applicable)

Language Can Speak Can Read Can Write
1.
2.

3.

4.
 Relation Name Age Education Employment
Father
PERSONAL DETAILS

Mother

Spouse

Children

Sibling

Educati Name of the Year School / College Subject / % or CGPA

on Qualification Awarded (mm/yyyy) / University Specialization (Rank if any)
From To
X Std
ACADEMIC QUALIFICATIONS/ TRAINING RECEIVED

XII Std

Graduation

Post
-Graduatio
n

Others

SIGINIFICANT ACHEIVEMENTS:

EXTRA CURRICULAR ACTIVITIES:

TRAINING & SPECIAL COURSES ATTENDED DURING PROFESSIONAL CAREER:

PROFESSIONAL MEMBERSHIP:
Name & Address of Professional Grade of Membership Level of involvement
Institutions / Social Organizations
 Duration Total
(mm/yyyy) Last position
Organization Remuneration Reason for leaving
held
From To P.A. (*)

(*) Please attach details of your current compensation package in the format given.
WORK EXPERIENCE

Significant contribution made in your existing job so far:

Please draw below the organization chart of your Please give us a detailed description of your
present Company, clearly indicating your level currentvision?
What prompted you to apply to our company and what is your career job responsibilities:
and direct reports:

Notice period required to join: Salary Expected:

 Details of any Director positions held in any company (including any family business):

(Please Tick (√) wherever applicable)

How did you come to know of opportunities in Vedanta? Was it through the following?

Search Firm ( ) Recruitment Consultant ( ) Print Media Advertisement ( )

Employee Referral ( ) Internet Job Board ( ) Company Website ( )

Others (Please specify):

Any location constraints (Please describe):

MISCELLANEOUS

Have you undergone selection process with any Vedanta Group Companies (HZL, MALCO,
BALCO, Vedanta Alumina, Sterlite Industries) previously? Yes ( ) No ( )

IF YES,
Company Name:

Position Applied for: Year:

Were you selected for an interview? Yes ( ) No ( )

Were you made an offer? Yes ( ) No ( )

Were you previously employed with us? Yes ( ) No ( )

 Any additional information which you feel will be helpful to us in considering application for
employment with us:

List two references, other than relatives (Preferably your immediate superiors)

Name Designation Organization Telephone/ Mobile/ Email

REFERENCES

Do you have any relatives in this company: Yes ( ) No ( )

If yes, please mention the name(s), Company, Location, Department, Designation and Nature of Relationship

I hereby certify that all the information provided above is true and correct to the best of my knowledge. Any false or
misleading information provided on this form or any other document may result in the employment being
terminated.

Place:

Date: Signature:

Current Compensation Work Sheet

Name:
Current Employer:
Position:
Location:
Compensation Details Amount in INR Remarks
I) Monthly Payments

Basic
HRA
Allowances
Provident Fund
Any others
TOTAL
TOTAL - Monthly Payments Annualized

II) Annual Payments

Bonus ( realistic estimate)

LTA
Medical
Gratuity
Super Annuation
Any other payments/allowances
TOTAL - Annual Payments

III) Car Benefits( if applicable)

Vehicle Repair/Maintenance
Petrol
Driver Wages
TOTAL

GRAND TOTAL - Annual (I + II + III)

NOTES OF OTHER BENEFITS WHICH ARE NOT INCLUDED ABOVE

1) Mediclaim, Accident Insurance: If so, premium value

2) Car: If so, type and lease value per month
3) Club membership
4) Annual Holidays: Value of the same
5) ESOP: To include only Value of Options (which will be forfeited within the next 6 months should he/she leaves
to join Vedanta)
This value will be difference between Offer price and Market price multiplied by no of such shares which he/she
will forfeit should the candidate join Vedanta
6) Any other