Interview Location

Please

Affix

Your Latest
Passport
Photograph
Here

...............................................
Candidate Id

INFOSYS LIMITED

...............................................

Please  in the

Electronics City, Hosur Road, Bangalore - 560 100, India.
Tel.: (080) 28520261-270. Fax: (080) 28520362.

wherever applicable.

Please answer each column fully and neatly in your own handwriting.

APPLICATION FOR EMPLOYMENT
NAME IN FULL

(in
block letters) ................................................................................................................................................................................
(As
it appears on

FIRST
MIDDLE
LAST
passport / legal document)
ADDRESS FOR COMMUNICATION

PERSONAL DETAILS

...................................................................................................

Mobile No. ...............................................................................

...................................................................................................
E-mail. ......................................................................................

...................................................................................................

(Personal E-Mail ID only)

...................................................................................................

CITIZENSHIP(S)

City. ................................ PIN / POSTAL CODE. .............................

..................................................................................................

State. ......................................... Country. ................................

DO YOU HAVE A PASSPORT ?

Day Time Contact No. ...............................................(Optional)

YES

DATE OF BIRTH :
(dd/mm/yyyy)

GENDER:

...................................................................................................

MALE

Languages Known

Read

FEMALE

Write

Speak

Understand

LANGUAGES

(Please highlight foreign languages only)

NO

VER 08.00

1 of 4

HRD/REC/F/013

SIGNATURE OF THE APPLICANT

...... PERIOD (MM/YYYY) FROM TO DURATION (in months) REASON FOR SEPARATION DESIGNATION EXPERIENCE/ RELIEVING LETTER AVAILABLE (Y/N) WORK EXPERIENCE WORK EXPERIENCE ORGANIZATION Are you under any legal obligation to your current employer: YES NO IF YES.......... OPTIONAL SUBJECTS.............. Please Specify: . PRACTICALS AND LANGUAGES GAPS IN EDUCATION (If any) ................................................ Notice period required....... LEVEL X STD XII STD/ DIP.................. ADDITIONAL SUBJECTS......................... VER 08............ Specify clearly in case of part time/contract work experience........................................ Reason................... PLEASE WRITE ‘NA’ IF NOT APPLICABLE................................................... INCLUDING ELECTIVES............................... GRADUATION POST GRADUATION OTHERS NAME OF THE QUALIFICATION AWARDED STATE BOARD / UNIVERSITY NAME OF THE SCHOOL / COLLEGE EDUCATION STATE BRANCH / STREAM / AREA OF SPECIALIZATION * TOTAL AGGREGATE MARKS SCORED FOR ALL SUBJECTS / SEMESTERS / YEARS * MAXIMUM MARKS FOR ALL SUBJECTS / SEMESTERS / YEARS * SIMPLE AVERAGE PERCENTAGE / CGPA / GRADE FOR ALL SEMESTERS / YEARS YEAR & MONTH OF FINAL EXAMINATION *ALL PERCENTAGES / CGPA SHOULD BE SIMPLE AVERAGE FOR ALL YOUR SUBJECTS / SEMESTERS / YEARS............................ .years.......................00 2 of 4 HRD/REC/F/013 SIGNATURE OF THE APPLICANT ......./EQUIV........

......... ...................................................................... or any criminal proceedings are pending against you before a court in India.................................................................................. 3) .................. HAVE YOU INFOSYS - TAKEN ANY TEST ? YES NO - SELECTED FOR INTERVIEW ? YES NO - MADE AN OFFER ? YES - JOINED & QUIT ? YES RELEVANT DATES YES NO OTHER GROUP COMPANIES RELEVANT DATES YES NO YES NO NO ...... 1) .................................................... ..................................... ETC...........................................00 3 of 4 HRD/REC/F/013 SIGNATURE OF THE APPLICANT ......................... NO .......................................................................... A DIRECTOR / PARTNER IN ANY OTHER COMPANY? YES .........................................COMPENSATION AND BENEFITS ANNUAL NEXT REVISION EXPECTED CURRENT YOUR EXPECTATION AT INFOSYS DATE: ................. NO IF YES.................................................................................................................... please give details of the same .............................................................. 2) ....................................................... ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES ? IF YES................ .......... 3) ..............) PREVIOUSLY ? MISCELLANEOUS IF YES....................................................................... VER 08..................................................................................................... ARE YOU EMPLOYED AS : 1............................................... 2) .... Have you at any time been convicted by a court of India for any criminal offence and sentenced to imprisonment......................... PLEASE PROVIDE DETAILS: ........... or has an order prohibiting your departure from India.................... Fixed Salary Variable Pay Other Benefits 1) ............................... ANNUAL GROSS COMPENSATION LIST PROFESSIONAL REFERENCES (PREVIOUS / CURRENT REPORTING MANAGER OR CLIENT AND NOT RELATED) REFERENCES NAME DESIGNATION AND COMPANY EMAIL AND CONTACT NUMBER HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS OR INFOSYS GROUP COMPANIES (LIKE INFOSYS BPO...................... 2) ........... 1) ............ YES NO If yes............. INFOSYS BPO OTHERS YES NO Please Specify ............................................................................................................. ............................................................ been issued by a court............................................................................ ............................. YES NO ............... 3) .................. YES NO ........................................

... ...........................................................................................MODE OF APPLICATION Was your candidature referred to us through Infosys Employee Referral Scheme YES NO If yes....... educational institutions................ ......................................... Employee No........................................ (MM/YYYY) FOR OFFICE USE ONLY Location Preference : 1........................ any false statement..............................................................................................................................................................................00 4 of 4 HRD/REC/F/013 ...................................................................................................................................................................................................................................................................................................................................... please provide following details: NAME EMPLOYEE NO........................................ I certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives...................................................... Place: . may result in my immediate dismissal........................................................................................ Ref.. misrepresentation..................................... Likely Joining Date : ..................................................................... My signature below certifies that I have read........ 3........................................................................................................................................................ Reason for Selection / Hold / Rejection : .............................................................. additional subjects....................................................................................................................................................................................................... government establishments/agencies or any references I have provided... ..................................................................................................................................................................................................................................................................................................................................................................................................... Date of Test : ..................................... and agree to the foregoing and to the best of my knowledge and belief.................................... and for those parties to provide information concerning my qualifications for employment and I hereby release all parties from any liability arising from such investigation............................................................. I authorize Infosys to secure information about my experience from former employers............................................................................... 2. : ........................................................................................................................... DECLARATION I authorize Infosys to conduct investigation to verify facts of all statements made in this application and my supporting documents...... Job/Personal Level : ............ VER 08.... 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........................................................................ ............ : ..................................................................................................................... ................................................................................ Signature: ............................ ...... (Please  ) Role : .................................... understand................................................................................. Date of Interview : .................................................................. .................................. ........... Score : .. or omission of facts on this application or on any supporting documents............. ................................................................................................ ................... ............ Result : Selected Hold Rejected Signature: .. ............................................................................................ ............................................................. INFOSYS ANCHOR: Name : ........................... ................................. regardless of when discovered if found to be false.. the information on the application form is true and correct..................................... optional subjects. No............................................................................. I understand that if I am employed with the company........................................................................................................................ Role : ................................................................................................................................................. Date: .............. .......................... practicals and languages.................................

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