Interview Location
fuNE
Candidate id
Infoss
INFOSYS LIMITED
1001638616 Electronics City, Hosur Road, Bangalore 560 100, India
Tel.: (080) 28520261. Fax (080) 28520362. GLAM CIT
Please in the wherever applicable.
Flease answer each column fully and neatly in your own hand-writing.
APPLICATION FOR EMPLOYMENT
NAME iN FULL
(in blouk letters)
(As it appears on passporti iegaldocument)
********
RATIKSHA
FIRST MADHUKAR.. MIDDLE
******
NALAVADE*** *******'*********|
LAST
ADDRESS FOR COMMUNICATION
OR.NO.6|6|1, NANDANNAN. | Mobile No. . 99+01688.24 . ******** ****-****.****
COLONYNR.AGANGIB! *" nai: 1al.awadepratk.sh.a.gmail.com
(Personal E-Mail ID only)
SCHOO ANTOSH.NAGAR CITIZENSHIP(S)
KATRA ***************************************** ********* *****
NDIAN. ****************
City rUNE DO YOU HAVE A PASSPORT?
PIN/POSTAL CODE..l.!QM6.. YEsNo
State MAHARAS.HTRA County NDIA..****
Day Time Contact No. ..
(Optioral
DATE OF BIRTH (as per passport/ legal document):
GENDER:
(dd/mmm/yyyy)
MALE FEMALE
28081996 . . . .
VER 3.2 1 of 3
HRD/RECIF/016
SIGNATURE OF THE APPLICANT
LEVEL POST
OTHERS
Name of the XSTD XIl STD/ GRADUATION GRADUATION
Qualification Awarded DIPJEQUI
State Board/University
HSC BTth
CBSE LBSE SPPU
Name cf the
School/College KENDRIYA KENORIYA |BMa RATI VIDYP-
VIDYALAYANO.3 VDYALAYA No. REM,COuEGE
State
9BRD AFS, PuNE 3,9BRD, fNE ENGG UNE
-
3ranch/Stream/Area of Specialization
MAHARASHIRA MeHeRASHTEA MeHARPS HIRE
COMPUTER
Total Marks Scored in Final
Year
ScIENCE SuENCE
9.2 40+ 174
Maximum Marks
10
Percentage i CGPAA
5005900
9.2 81.4 10.35
Yaar& Month of Final Examination
APRIL 2012 |APRIL 2014 JUL 2018
ALL PERCENTAGESI CGPA SHOULD BE AS PER THE DEGREE CERTIFICATE OR FINAL YEAR MARKS SHEE' o ents
will
GAPS IN EDUCATION (If any) .Nh..years. Reason:....NH.. **************** * * * * *********************************
PLEASE WRITE 'NA' IF NOT APPLICABLE
SPECIFY CLEARLY IN CASE OF PART TIME CONTRACT WORK NOTICE PERIOD REQUIRED.
EXPERIENCE asr****s******
PERIOD (MMM/YYYY) EXPERIENCE
RELIEVING
PAYROLL ORGANIZATION* FROM TO
DURATION DESIGNATION
REASON FOR
LETTER
(in months) SEPARAT:ON
AVAILABLE
(YIN)
HSSoCIATEDESIREFor
ATOS-SyNTEL TLL
AssociElCAREERCHANGE
CONSUUAN
2.5yrs
2018 DATE &ExPLDRESKIL N
Are you under any legal obligation to your current employer:
YES No
IFYES, Please Specify: * *
***** *
***************'********** .* .
Please do specify "Payroll Organization"
it you are working on a contractual basis
Disclaimer: Please be informedthat work experience provided by you willbe validatedthrough Background check
2 of 3
VER 8.2 HRD/RECIF/016
SIGNATURE OF THE
APPLICANT
NEXT REVISION EXPECTED
ANNUAL CURRENTT YOUR EXPECTATION AT
DATE: INFOSYS
Fixed Salary 3.3L
6L
Variable Pay
*******.
. ****** '***'**
Other Benefits
-
. .
2...
3..... . ** **** '*****'
. . ***'**
***
ANNUAL GRCSS
COMPENSATION 3,30,000 6,00,000
HAVE YOU UNDERGONE ANY SELECTION PROCESS WiTH INFOSYS or !NFOSYS GROUP
COMPANIES (like iNFOSYS BPO, ETC.) PREVIOUSLY? YES No
IF YES, HAVE YOU INFOSYS OTHER GROUP COMPANIES
RELEVANT DATES
RELEVANT DATES
- TAKEN ANY TEST?
YES No ******''*************
YES NO *********************|
SELECTED FOR INTERVIEW? YES
NO V
-
s N 2
- MADE AN OFFER?
VES LNo V ************ YES No
JOINED & QUIT?
YES NO V ********* YES No **
ARE YOU EMPLOYED AS: 1. A DIRECTOR/ PARTNER IN ANY
OTHER COMPANY?
YES NO
IF YES, PLEASE PROVIDE DETAILS.
ARE YOU CURRENTLY EMPLOYED WITH ANY OF
THE INFOSYS GROUP COMPANIES YES No
IF YES, INFOSYS BPM OTHERS
Please specify. ************ ********"
Have you at any time been ccnvicted by a court of India for
any criminal offence and sentenced
to imprisonment. or any criminal proceedings are pending against you before a court in India,
or has an order
YES NO
prohibiting your departure from india, been issued hy a court,
If yes. please give details of the same..
****************************** **** ******************* *********
***************************************************** *********
authorize Infosys to conduct investigation to
authorize infosys to secure information about verify facts of all statements made in this application and my supporting documents. I
my experience fron tormer
estaolishments/agencies or any references I have provided, and for those parties toemployers,
for employment and T provide
educational institutions, government
information concerning my qualifications
hereby release all parties from any liabiliy arising from such investigation.
I certify that the academic marks/ CGPA
final year marks sheet)
are as per the University Guideline (percentaye/CGPA mentioned on the Degree certificate or
understand that if I am employed with the
company, any false statement,
on any supporting documents, regardless of when discovered if found to bemisrepresentation, or omission of facts on this application or
will have the right to withdraw
false, may result in my immediate dismissal. The company
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, understand, 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 ..28102.120.21 UNE.
Dlace: ..
Signature... **********
VER 8.2 3 of 3 HRD/RECIF/016
SIGNATURE OF THE
APPLICANT
