Please provide complete and correct information

All fields are mandatory

Please do not use short forms / abbreviations.

Personal Details
Please expand initials in your name -- As the same would be used in our Employment records
Title (Mr./Mrs./Ms.)

First Name
(Mandatory)

Middle Name

Primary Skill / Competency

Source/Channel
(Agency/Internet/Job fair/Walkin/Referral etc.)
If your Source to Accenture is through a Referral, please confirm your referral is through
Employee/Candidate Name :

Employee

Your relation with referral:

1
Effective from 23rd January, 2016

EAF Version 6.0

Candidate

Nationality: . Citizenship:
(Mandatory)
(Mandatory)
If you are not an Indian National, do you have a valid work permit to work in India?
If yes, work permit valid up-to

Do you hold a valid PIO / OCI Card issued by Government of India?

Yes

No

If no, pls provide reason

D D M M Y Y

Gender (Mandatory)

Male

Date of Birth (DD/MM/YYYY)

No

If no, pls provide reason

D D M M Y Y

If yes, Card is valid up-to

Yes

Female
M

Place of Birth
Maiden Name (applicable for married ladies)
Fathers Name (As per PAN Card)
Mothers Name
Guardian Name (If applicable)
Single

Married

Divorced

Widow

Marital Status
Spouse Name
Contact Information

Permanent Phone Number (Mandatory) :

Alternate Phone Number :
Email ID (Mandatory) :
Alternate email ID :
Current Address:

Permanent A

Current Address

PIN
Effective from 23rd January, 2016
Code:

Pe

PIN
Code:

2
EAF Version 6.0

Period of Stay

From (month/year)

To (month/year)

From (month/year)

3
Effective from 23rd January, 2016

EAF Version 6.0