Professional Documents
Culture Documents
Date :
Affix your photograph
Date of Birth: _______________________________
Name :
Father's/ Spouse Name
Current Address
8) Are you suffering from High BP? (Yes / No) Since how many years ? -------- Medicines taken:-----------------------------------------
9) Are you suffering from Diabetes ? (Yes / No) Since how many years ?-------- Medicines taken :-----------------------------------------
10) Are you suffering from major heart disease ? (Yes / No) If yes, details --------------------------------------------------------------
19) Are you taking any treatment from Psychiatrist ? (Yes / No) If yes, details --------------------------------------------------------------
20) Are you having swelling in groin (hydrocoel/hernea/varicocoel) ? (Yes / No)--for male candidates only
Certified that the particulars given by me in the foregoing above are true, complete and to the best of my knowledge & belief.
If any of this information is found to be false/ incomplete / incorrect, the company can cancel my appointment letter or terminate
my employment service contract / employment.
I have / have not undergone pre-employment medical check up for TATA TECHNOLOGIES in the past.