ASSENT SOFT SOLUTIONS

#303,RAMAKRISHNA NIVAS, BAPU NAGAR

HYDERABAD – 500 038
Online Examination for Requirement

Application Form
For Office use only

Roll No. ________________

1. Name (in Capital Letters)

2. Father Name (in Capital Letters)

3. Educational Qualification

. a) Highest Educational Qualification

b) 2nd Highest Educational Qualification

c) Month & year of passing :

4. Date of Birth
D D M M Y Y Y Y

5. Are you (i) Fresher / experienced person (ii) Employed

d) Experience in I.T. area if any, (in years)

6. Sex: (Tick the appropriate box) : Male Female

7. PERMENT ADDRESS (in capital letters)

Phone No. with STD Code.:(_____)__________________ Mobile No. _____________________

8. Present ADDRESS (in capital letters)

Pone No. with STD Code.:(_____)__________________ Mobile No. _____________________

9. Fees : Rs.250/- (Rupees two fifty rupees only) per candidate. Demand Draft should be
in favor of “Assent Soft Solutions” payable at Hyderabad

DD Number Date Issuing Bank Issuing Branch Amount

(Rs.)

250/-

10 Phone No. with STD Code.:(_________)__________________ Mobile No. _____________________

Email ID : ___________________________________________________________
I ______________________________S/o,D/o/W/o_______________________
hereby declare that all the particulars stated in the application are true to the best
of my knowledge and belief.
I agree to abide by the rules and regulations of Assent Soft Solutions. If any of
the above are found to be false, I understand and accept that my examination
will be cancelled. The decision of ASS Directorate will be final and binding on
me.

Place :
_________________________________
Date : Signature of the Candidate
 ASSENT SOFT SOLUTIONS
#303,RAMAKRISHNA NIVAS, BAPU NAGAR
HYDERABAD – 500 038

Software Testing Examinations For the Requirement

HALL TICKET
Roll Number
Name of the Candidate (as in application) (to be allotted by ASS)
and mailing address including PIN code in Block letters
(To be filled in by candidate exactly as in application form)
________________________________________

____________________________________________

____________________________________________

____________________________________________
Affix attested
Photograph *
Email ID (Should mention) : ____________________________________

Date, Time and online for Examination (to be allotted by ASS)

________________________________
Signature of designated ASS Official
You should send application below address to before due date

Address:
ASSENT SOFT SOLUTIONS
#303,RAMAKRISHNA NIVAS, Bapu Nagar,Near Umash Chandra Statue
HYDERABAD – 500 038