Job Application Form
Syntel Int. Private Limited
PERSONAL DETAILS
Selec
Name:
t
PHOTOGRAPH
As per Aadhar Card First Name Middle Name Last Name
Current Address: Street/House No.
Street address District
ZIP / Postal
City Code
Country
Permanent
Street/House No.
Address:
Street address District ESIC No: 1234567890
ZIP / Postal
City Code
Country Blood Group: Select
Telephone/ No: With Mobile:
Email ID:
STD Code (With country code)
Date of Birth: 1/Jan/2000 Passport No: Valid Till Date:
Place of Birth: Aadhar No: PAN Card No:
Marital Status: Select Gender: Select UAN No:
Nationality
Indian No Country Name Nationality ID
Emergency Contact Details - Mandatory Contact No:
Relation:
(person to be notified in the event of an emergency) (With country code)
Full Name:
FAMILY DETAILS
Sr. No. Name Relation **Date of Birth Nationality Occupation
1 Father*
2 Mother
3 Spouse*
4 Select Child 1
5 Select Child 2
6 Select Child 3
Note:
* Father/Spouse name is mandatory for generation of Provident Fund No
** Under Group Mediclaim Insurance Policy (You, Your Spouse and up to 2 dependent children would be covered).
DOB is mandatory while sharing data with Insurance company.
EDUCATIONAL DETAILS (Start from SSC)
Percentage/
Sr. No. University/Institute Name City State Qualification From Date To Date
Grade
1
6
7
Do you have any break in your Education: Select
Kindly explain the reason for the break:
Professional Certification / Qualification (Completed and currently pursuing)
Percentage/
Sr. No. University/Institute Name City State Qualification From Date To Date
Grade
1
Computer Language / Tech Skill Proficiency
Duration
Sr. No. Skills Standards
From To
1 Select
2 Select
3 Select
4 Select
Job Application Form <Version No> Page 1 of 4
Job Application Form
Syntel Int. Private Limited
Employment History (in chronological order, starting with the most recent employer)
Employer Name From (Date) To Date
Last drawn
Reason for Total
Salary (With ₹ 0yr/s - 0m
Leaving Experience
currency)
Previous
Organisation Last Position
Employee ID/
Address Held
Code
Supervisor Supervisor
Supervisor Name
Designation Email id
Nature of Supervisor Email id of
Employment
Select Contact No Employer
Employer Name From (Date) To (Date)
Last drawn
Reason for Total
Salary (With ₹ 0yr/s - 0m
Leaving Experience
currency)
Previous
Organisation Last Position
Employee ID/
Address Held
Code
Supervisor Supervisor
Supervisor Name
Designation Email id
Nature of Supervisor Email id of
Employment
Select Contact No Employer
Employer Name From (Date) To (Date)
Last drawn
Reason for Total
Salary (With ₹ 0yr/s - 0m
Leaving Experience
currency)
Previous
Organisation Last Position
Employee ID/
Address Held
Code
Supervisor Supervisor
Supervisor Name
Designation Email id
Nature of Supervisor Email id of
Employment
Select Contact No Employer
Employer Name From (Date) To (Date)
Last drawn
Reason for Total
Salary (With ₹ 0yr/s - 0m
Leaving Experience
currency)
Previous
Organisation Last Position
Employee ID/
Address Held
Code
Supervisor Supervisor
Supervisor Name
Designation Email id
Nature of Supervisor Email id of
Employment
Select Contact No Employer
Employer Name From (Date) To (Date)
Last drawn
Reason for Total
Salary (With ₹ 0yr/s - 0m
Leaving Experience
currency)
Previous
Organisation Last Position
Employee ID/
Address Held
Code
Supervisor Supervisor
Supervisor Name
Designation Email id
Nature of Supervisor Email id of
Employment
Select Contact No Employer
Employer Name From (Date) To (Date)
Last drawn
Reason for Total
Salary (With ₹ 0yr/s - 0m
Leaving Experience
currency)
Previous
Organisation Last Position
Employee ID/
Address Held
Code
Supervisor Supervisor
Supervisor Name
Designation Email id
Nature of Supervisor Email id of
Employment
Select Contact No Employer
Employer Name From (Date) To (Date)
Last drawn
Reason for Total
Salary (With ₹ 0yr/s - 0m
Leaving Experience
currency)
Previous
Organisation Last Position
Employee ID/
Address Held
Code
Supervisor Supervisor
Supervisor Name
Designation Email id
Nature of Supervisor Email id of
Employment
Select Contact No Employer
Employer Name From (Date) To (Date)
Last drawn
Reason for Total
Salary (With ₹ 0yr/s - 0m
Leaving Experience
currency)
Previous
Organisation Last Position
Employee ID/
Address Held
Code
Job Application Form <Version No> Page 2 of 4
Job Application Form
Syntel Int. Private Limited
Supervisor Supervisor
Supervisor Name
Designation Email id
Nature of Supervisor Email id of
Employment
Select Contact No Employer
Employer Name From (Date) To (Date)
Last drawn
Reason for Total
Salary (With ₹ 0yr/s - 0m
Leaving Experience
currency)
Previous
Organisation Last Position
Employee ID/
Address Held
Code
Supervisor Supervisor
Supervisor Name
Email id Designation
Nature of Supervisor Email id of
Employment
Select Contact No Employer
Job Application Form <Version No> Page 3 of 4
Job Application Form
Syntel Int. Private Limited
Break in Employment: Select Total IT Experience:- Non IT Experience:- Total Experience
Kindly explain break in service
General Information
Have you ever been convicted in any court of law? OR Is there any ongoing
Select
court case against you (Civil / Criminal)?
If Yes, kindly furnish details:-
Have you ever been discharged, dismissed or terminated from your
Select
previous employment?
If Yes, kindly furnish details:-
Are you suffering from any disability, which you intend to disclose at your sole
Select
discretion?
If Yes, kindly furnish details:-
Have you ever made a previous job application with Atos/Eviden Group? Select
If Yes, kindly furnish details:-
Do you have any friends/relatives working with Atos/Eviden Group? Select
If Yes,
Relationship:
kindly share Name of the Relative
How did you come to know about this vacancy? Select
Have you ever been refused a VISA / Work Permit? Select
If Yes, kindly furnish details:-
Have you signed an employment bond with your past employer’s Select
If Yes, kindly furnish details:-
Expected Salary (INR - Per Annum) Notice Period (in days) Earliest Joining Date
DECLARATION & CONSENT
I hereby declare that the information furnished by me is correct and true to the best of my knowledge. I fully understand accept and
agree that if at any time after my appointment with Eviden, it is found that I have made a false declaration, Eviden has the absolute
right to terminate my employment forthwith. I also authorize Eviden to conduct a reference check of my antecedents as appropriate
through a third party vendor.
I also fully understand that I have to undergo a pre-employment medical examination and passing it is a condition precedent to my
confirmation of appointment. I express my willingness to be examined and to furnish the consulting physician with full details of my
previous medical history.
I hereby agree and am I aware that, Eviden Group will process my personal data based on my consent given in this job application
form. I understand that this is needed to perform various obligations under an employment contract which I have agreed and
entered with Eviden Group. This consent is essentially needed to perform related pre-contractual duties and the necessity to comply
with required legal obligations.
Candidate
Signature Date
Name
Atos Internal - 1.0.2
Job Application Form <Version No> Page 4 of 4
