Candidate ID: 12711248
A B Please affix
FOR OFFICE
USE ONLY
Status : .............................. your Passport Size
TC / Unit : .......................... INFOSYS LIMITED Photograph here.
Electronics City, Hosur Road,Bangalore - 560 100,India.
Role : ................................. Tel.: (080) 28520261. Fax: (080) 28520362.
APPLICATION FOR FRESHERS
NAME OF THE COLLEGE : .........................................................................................................................................
Sree Vidyanikethan Engineering College CITY : .................................................
Tirupathi
NAME IN FULL
SAI BHARGAV
........................................................... ............................................................. P
...........................................................
(In Block Letters)
(First Name) (Middle Name) (Surname)
ADDRESS FOR COMMUNICATION :
PERSONAL DETAILS
DATE OF BIRTH ( dd / mm / yyyy ):
18-5-264 Sapthagiri Nagar
...........................................................................................................
21/03/1998
__ ___ _______
...........................................................................................................
GENDER (Please Tick 'ü' ) Male Female
...........................................................................................................
City : Tirupati
...................................... State : Andhra Pradesh
.................................. CITIZENSHIP : ...................................................................................
Country : .................................
India Pin Code : 517501
................................
DO YOU HAVE A PASSPORT? Yes No
Preferred Contact Number : ............................................................
8686765369
Alternate Contact Number : ............................................................ E-mail : saibhargav205@gmail.com
.............................................................................................
EDUCATION LEVEL X STD XII STD / GRADUATION POST DIPLOMA /
EQUIV. GRADUATION OTHERS
Name of the Qualificatiion Awarded
J.N.T. UNIVERSITY
Name of the Board / University
Sri Chaitanya Sree Vidyanikethan S.V. Govt.
Children's Academy Engineering College Polytechnic
Name of the School / College
EDUCATION
Andhra Pradesh
State
Computer Science
Engineering
Branch / Stream / Area of Specialization
Simple Average Percentage / CGPA / Grade * 83.6 74.1 86.4
Month and Year of Passing 04 / 2019
* ALL PERCENTAGES / CGPA SHOULD BE SIMPLE AVERAGE FOR ALL YOUR SUBJECTS / SEMESTERS / YEARS, INCLUDING
ELECTIVES, OPTIONAL SUBJECTS, ADDITIONAL SUBJECTS, PRACTICAL SUBJECTS AND LANGUAGES.
ANY ACTIVE BACKLOGS ? YES Number of active backlogs: ..................................... NO
GAPS IN EDUCATION (IF ANY): ........ Years. Reason: ......................................................................................................................................
VER 1C 1 of 2 HRD/REC/F/013
PLEASE WRITE 'NA' IF NOT APPLICABLE.
Specify clearly in case of part time / contract work experience. Notice period required.......................................... (in weeks)
PERIOD( MM / YYYY )
WORK EXPERIENCE
LEGAL
DESIGNATION GROSS REASON FOR OBLIGATIONS.
ORGANIZATION SALARY SEPARATION IF ANY ( Y / N )
FROM TO DURATION
HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS OR INFOSYS GROUP
COMPANIES (LIKE INFOSYS BPO, ETC.) PREVIOUSLY ? YES NO
IF YES, HAVE YOU INFOSYS OTHER INFOSYS GROUP COMPANIES
RELEVANT DATES RELEVANT DATES
- TAKEN ANY TEST ?
NO YES ................................. NO YES .................................
- BEEN SELECTED FOR INTERVIEW ?
NO YES ................................. NO YES .................................
- BEEN MADE AN OFFER ?
NO YES ................................. NO YES .................................
- JOINED ?
NO YES ................................. NO YES .................................
MISCELLANEOUS
ARE YOU EMPLOYED AS : 1. A DIRECTOR IN ANY OTHER COMPANY ? YES NO
2. A PARTNER IN ANY FIRM ? YES NO
IF YES, PLEASE PROVIDE DETAILS .......................................................................................................................................................................
ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES ? YES NO
IF YES, INFOSYS BPO OTHERS Please Specify ...........................................................................................................................
Have you at any time been convicted by a court of India for any criminal offence and sentenced to imprisonment, or are any criminal
proceedings pending against you before a court in India, or has an order prohibiting your departure from India, been issued by a court ?
YES NO
If yes, please give details of the same .....................................................................................................................................................................
I certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives,optional subjects,additional
subjects, practicals and languages.
I authorize investigation of all statements made in this application and my supporting documents. I authorize Infosys to secure information
about my experience from former employers, educational institutions, government agencies or any references I have provided, and for those
DECLARATION
parties to provide information concerning my qualifications for employment and I hereby release all parties from any liability arising from such
investigation.
I understand that if I am employed, any false statement, misrepresentation, or omission of facts on this application or on any supporting
documents, regardless of when discovered to be false, may result in my immediate dismissal. The company will have the right to withdraw my
letter of appointment or to terminate my training / subsequent appointment at any time without notice or compensation.
My signature below certifies that I have read, understood, and agree to the foregoing and to the best of my knowledge and belief, the
information on the application form is true and correct.
Date : ...................................... Place : ................................................. Signature: ...............................................................
Date of Test / Interview :.............................................. Date of Interview (if differ from Date of Test) :..............................................
FOR OFFICE
USE ONLY
Result : Selected Hold Rejected (Please 'ü' )
Name : .......................................................................................... Emp. No. : ............................ Signature : ....................................................
VER 1C 2 of 2 HRD/REC/F/013
