Company- Confidential

CANDIDATE APPLICATION FORM

Please fill in the details with utmost attention, as these shall be verified by
the Company and/or by its authorised representatives.

All details are compulsory to fill.

PERSONAL DETAILS

Name of Candidate: Kanika Singh

Date of Birth (dd/mm/yy): 31/03/1998 Place of Birth: Delhi

Gender: Female Nationality: Indian

Father’s Name: Late. Devendra Singh Mother’s Name: Yashwanti Singh

Marital Status: Unmarried E-mail Address: kanikasingh3103@gmail.com

Spouse Name (if applicable): Mobile:

Blood Group: O+
Emergency Contact Details: Name -
Contact Number - 9211426500
Relation – Mother

RESIDENTIAL ADDRESSES

PERMANENT ADDRESS: B 309, street no-3, Majlis park, North west Delhi- 110033

Landmark: Near Goel Medicos

City: Majlis Park State: Delhi Pin Code: 110033 Phone No.: 7011821789

CURRENT ADDRESS: B 309, street no-3, Majlis park, North west Delhi- 110033

Landmark: Near Goel Medicos

City: Majlis Park State: Delhi Pin Code: 110033 Phone No.: 7011821789

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 Company- Confidential

Qualification Institution/ Degree and Mode Marks (%) Duration

University Name Specialization (Regular/Dist /CGPA
ance Obtained
learning)
From To
(mm/yy) (mm/yy)

CBSE Board All subjects Regular 7.0 CGPS July/2012 July/2013

10th
CBSE Board Commerce Regular 67 % July/2014 July/2015
12th
IGNOU University BSW Distance 57% July/2018 July/ 2022
Learning

Graduation

IGNOU University MSW Distance Result awaited

Learning

Post-Graduation

Any other
diploma 1

Any other
diploma 2

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Company- Confidential

Employment Record: Starting with your present or most recent employer, please list last 2 employments.
When listing consulting or temporary assignments, under “Employer”, state the name of the consulting or
temporary agency that placed you at the client site. Complete and accurate dates (month/year) must be
provided.
EMPLOYER 1 (Current): Skills Root Edu Tech Employee Id: From (mm/yy): 16Jan2024 To (mm/yy):11Oct2024
Consulting India Pvt Ltd

Street Address: DLF Phase 3, Gurugram, Haryana Employer’s Remuneration/Salary:

Phone No.: 30400
739485988
0
City: Gurugram State: Haryana Country: India Postal Code: 122002

Job Title: Project Coordinator UAN No. as per Salary Slip: 101885106864

Reason for leaving: Commitment issue form the organization

Employment Status: (Please check the relevant Supervisor’s Details:

box)
Name: Rishabh Kumar
Full Time Title: Project Manager
Contract /Through Outsourcing Agency
Phone No.: 7394859880
Outsourcing Agency Details: rishabh@skillroot.org.in
E-mail id:
Name:
(Preferably
Address:
official)
Tel No.:
HR Manager’s Details:
Name: Sachin Kumar

Phone No.: 8586001558

E-mail id: sachin@skillsroot.org.in

(Preferably
official)

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Company- Confidential

EMPLOYER 2:
Employee Id: From (mm/yy): To (mm/yy): 30Nov2023
(Previous) Tata Strive
13Oct2022
Street Address: Core 1, Second floor, Scope Minar, Nirman Vihar Employer’s Remuneration/Salary:
Phone No.:
789898980
0
City: Nirman Vihar State: New Delhi Country: India Postal Code: 110094

Job Title: Team Member- Center Mobilization & UAN No. as per Salary Slip: 101885106864
Placement

Reason for leaving: Due to family reasons.

Employment Status: (Please check the relevant Supervisor’s Details:

box) Shivani Chaddha
Name:
Full Time Senior YDM Trainer
Title:
Contract /Through Outsourcing Agency
9910855934
Phone No.:
Outsourcing Agency Details: Shivani.chaddha@tatastrive.com
E-mail id:
Name:
(Preferably
Address:
official)
Tel No.: HR Manager’s Details:
Name: Anurag Rathore

Phone No.: 7898989800

E-mail id: Anurag.rathore@tatastrive.com

(Preferably
official)

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Company- Confidential

EMPLOYER 3: Janhit Society for social welfare Employee

From (mm/yy): 16Sep2019 To (mm/yy):10July 2022
(Previous) Id:
Street Address: Lal Bagh Azadpur, New Delhi Employer’s Remuneration/Salary:
Phone No.: 20000
92100895
44

City: Azadpur State: New Delhi Country: India Postal Code:110033

Job Title: Paralegal Worker UAN No. as per Salary Slip:

Reason for leaving: Salary Growth

Employment Status: (Please check the relevant Supervisor’s Details:

box) Kumar Azad
Name:
Full Time Center Head
Title:
Contract /Through Outsourcing Agency
8287954660
Phone No.:
Outsourcing Agency Details: NA
E-mail id:
Name:
(Preferably
Address:
official)
Tel No.: HR Manager’s Details:
Name: Moni Kumari
8130783225
Phone No.:
E-mail id: NA
(Preferably
official)

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 Company- Confidential

EMPLOYER 4:
Employee Id: From (mm/yy): 1Jan2017 To (mm/yy):31Aug2019
(Previous) Kripa Kalyan Samiti

Street Address: Adarsh Nagar, Delhi- 110033 Employer’s Remuneration/Salary:

Phone No.: 14500
925064201
4

City: Adarsh Nagar State: New Delhi Country: India Postal Code:110033

Job Title: Helpdesk Counselor UAN No. as per Salary Slip:

Reason for leaving: Salary Growth

Employment Status: (Please check the relevant Supervisor’s Details:

box)
Name: Kanchan Kumar Singh
Full Time Title: President
Contract /Through Outsourcing Agency
Phone No.: 9250642014
Outsourcing Agency Details: NA
E-mail id:
Name:
(Preferably
Address:
official)
Tel No.: HR Manager’s Details:
Name: Kanchan Kumar Singh

Phone No.: 9250642014

E-mail id: NA
(Preferably
official)

Other Details:

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

Any additional information you feel relevant to your candidature:

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Company- Confidential

DECLARATION & AUTHORISATION

I certify that:

• I am at present in sound mental and physical condition to undertake employment with Tech Mahindra Foundation.
• If upon investigations, any of this information is found to be incomplete or inaccurate, I understand that the contract
will be subject to dismissal at any time during my employment.
• I certify that the statements made in this application are valid and complete to the best of my knowledge and subject
to verification by Tech Mahindra Foundation. I understand that false or misleading information may result in
termination of the contract.
• I hereby authorise Tech Mahindra Foundation and/or any of its subsidiaries or affiliates and any persons or
organisations acting on its behalf, to verify the information presented on this application form and to procure an
investigative report for that purpose.
• I hereby grant authority for the bearer of this letter to access or be provided with full details of my previous records. In
addition, please provide any other pertinent information requested by the individual presenting this authority.
• I am aware that no Money/fee/postage/ gift to be paid or given in goodwill to any one during the process of
verification and I have informed my family members as well regarding this.
• I am aware that during the Address verification, no photographs or documents to be shared with verifier through any
medium (WhatsApp, Email, Etc.).

Date: 15/12/2024
Signature:

Name (In Block Letters:)

Documents Required (Compulsory) Attached Yes/ No

Yes
Completed & Signed Application Form
Copy of Relevant Education and Employment Yes
Certificates
Yes
One Passport Size Photograph
Yes
Identity Proofs