CAPGEMINI FS-SBU
A-1, Technology Park, Talwade, Pune –
412114. INDIA
ASSOCIATE PARTNERS TEAM Background Verification
GAP001EVF02 Version 3.0 WEF October 1, 2006
BACKGROUND VERIFICATION ANNEXURE 1
Information Release Form
I hereby authorize Capgemini FS-SBU (or a third party agent appointed by the
Company) to contact any former employers as indicated above and carry out all
Background Checks not restricted to education and employment deemed appropriate
through this selection procedure. I authorize former employers, agencies, educational
institutes etc. to release any information pertaining to my employment/education
and I release them from any liability in doing so.
I confirm that the above information is correct to the best of my knowledge and I
understand that any misrepresentation of information on this application form may,
in the event of my obtaining employment, result in action based on company policy.
First Name Middle Name Last Name
RAVIKUMAR PUDI
Date D D / M M / Y Y Y Y
1 0 0 6 1 9 8 9
Signature
CAPGEMINI FS-SBU
A-1, Technology Park, Talwade, Pune –
412114. INDIA
ASSOCIATE PARTNERS TEAM Background Verification
GAP001EVF02 Version 3.0 WEF October 1, 2006
BACKGROUND VERIFICATION ANNEXURE 2
PERSONAL DETAIL
Mr Ms
Title
. .
First Name Middle Name
Last Name
Candidate’s Name
RAVIKUMAR
PUDI
Know by other name (if
any)
[e.g. Maiden / Former
Name]
Father’s Name KAMINAYUDU
D D / M M / Y Y Y Y
Date of Birth (DD/MM/YY)
0 1 0 1 1 9 6 1
5-194, DOKALAVARI Period of stay
STREET, GUNDUGOLANU
Permanent Address
POST,BHIMADOLE MANDAL, 35 YEARS
WESTGODAVARI DISTRICT,
ANDHRAPRADESH-534427
Landmark Details NEAR CENTRAL BANK OF INDIA
8-3-374/2, Period of stay
Current Address YELLAREDDYGUDA, 1 YEAR
AMEERPET, HYDERABAD,
TELANGANA-500073
Landmark Details NEAR BSNL OFFICE
Contact Number +916303115052
E-mail ID RKPD.JAVA@GMAIL.COM
Passport/ PAN / SSN COGPP9630B
EDUCATION DETAILS*
Mention the detail ONLY of the highest degree obtained.
Details of degree COMPLETED are to be mentioned. (PURSUING degree details are not
required)
College or Institute Name GITAM DEEMED UNIVERSITY
College or Institute Address GITAM INSTITUTE OF TECHNOLOGY AND MANAGEMENT
University Name GITAM DEEMED UNIVERSITY
University Address GANDHI NAGAR, RUSHIKONDA, VISAKHAPATNAM,
ANDHRAPRADESH-530045
Name of Degree MASTER OF TECHNOLOGY
Period From (DD/MM/YYYY) To (DD/MM/YYYY)
09/08/2011 06/08/2013
Seat Number (ID/Roll 1220611124
Number)
Qualification Gained Full Time - YES
Part Time
CURRENT EMPLOYMENT
Employer’s Name NPCI
Employee ID / Code 24994
SY.NO. 205/1(PART)&205/5(PART) OF NARSINGI(V),
Employer’s Address
GANDIPET(M), RANGA REDDY DISTRICT, HYDERABAD-
500075
Employer’s Phone No. +91 2240009100
Employer’s Fax No.
Full Employment-- YES
Contract (If on contract through an Outsourcing
Employment Status Agency, please provide Name, Address & Telephone
Number of the agency)
Designation / Position LEAD SOFTWARE Departmen BHIM
Held DEVELOPER t
Reason for Leaving LOOKING FOR BETTER OPPORTUNITIES
Date of Joining: Date of Leaving:
D D / M M / Y Y Y Y D D / M M / Y Y Y Y
2 2 / 0 8 / 2 0 2 4 0 7 / 0 1 / 2 0 2 5
Name of Supervisor / Manager: Contact Number: E-mail Address:
SACHIN P 9490726331 Sachin.p1@npci.org.in
PREVIOUS EMPLOYER
Employer’s Name LTIMINDTREE
Employee ID / Code 10704350
Employer’s Address SKYVIEW-BLDG 20-FLR 14 & 15, MADHAPUR,
HYDERABAD, TELANGANA-500081
Employer’s Phone No. +919323780307
Employer’s Fax No.
Full Employment-- YES
Contract (If on contract through an Outsourcing
Employment Status Agency, please provide Name, Address & Telephone
Number of the agency)
SENIOR Departmen DIGITAL ENGINEERING
Designation / Position
SOFTWARE t
Held
ENGINEER
Reason for Leaving LOOKING FOR BETTER OPPORTUNITIES
Date of Joining: Date of Leaving:
D D / M M / Y Y Y Y D D / M M / Y Y Y Y
2 0 / 0 4 / 2 0 2 2 0 3 / 0 7 / 2 0 2 4
Name of Supervisor / Manager: Contact Number: E-mail Address:
COGNIZANT
Employer’s Name
Employee ID / Code 714753
Employer’s Address 115/535, OLD MAHABALIPURAM ROAD, OKKIAM
THORAIPAKKAM, CHENNAI - 600097
Employer’s Phone No. +9140 44514444
Employer’s Fax No. +9140 40248765
Full Employment-- YES
Contract (If on contract through an Outsourcing
Employment Status Agency, please provide Name, Address & Telephone
Number of the agency)
SENIOR Departmen
Designation / Position
SOFTWARE t
Held
ENGINEER
Reason for Leaving LOOKING FOR BETTER OPPORTUNITIES
Date of Joining: Date of Leaving:
D D / M M / Y Y Y Y D D / M M / Y Y Y Y
0 3 / 0 7 / 2 0 1 8 1 8 / 0 4 / 2 0 2 2
Name of Supervisor / Manager: Contact Number: E-mail Address:
Employer’s Name HEXAWARE TECHNOLOGY
Employee ID / Code 36572
Employer’s Address H-5, SIPCOT IT PARK, NAVALUR POST, SIRUSERI,
TAMILNADU-603103
Employer’s Phone No. +9122 67919595
Employer’s Fax No. +9122 67919500
Full Employment-- YES
Contract (If on contract through an Outsourcing
Employment Status Agency, please provide Name, Address & Telephone
Number of the agency)
Designation / Position SENIOR Departmen
Held SOFTWARE t
ENGINEER
Reason for Leaving LOOKING FOR BETTER OPPORTUNITIES
Date of Joining: Date of Leaving:
D D / M M / Y Y Y Y D D / M M / Y Y Y Y
1 9 / 0 1 / 2 0 1 7 2 7 / 0 2 / 2 0 1 8
Name of Supervisor / Manager: Contact Number: E-mail Address:
Employer’s Name ACCENTURE SERVICES PVT LTD
Employee ID / Code 11013339
DIVYASHREE ORION TOWER A,B,B SY.NO.66/1, NAGA
Employer’s Address
HILLS ROAD, SERILINGAMPALLY, RAIDURG VILLAGE,
HYDERABAD, TELANGANA-500032
Employer’s Phone No. +9180 4559 0000
Employer’s Fax No.
Full Employment-- YES
Contract (If on contract through an Outsourcing
Employment Status Agency, please provide Name, Address & Telephone
Number of the agency)
SOFTWARE Departmen
Designation / Position
ENGINEERING t
Held
ANALYST
Reason for Leaving LOOKING FOR BETTER OPPORTUNITIES
Date of Joining: Date of Leaving:
D D / M M / Y Y Y Y D D / M M / Y Y Y Y
2 7 / 0 8 / 2 0 1 4 0 5 / 0 2 / 2 0 1 6
Name of Supervisor / Manager: Contact Number: E-mail Address:
