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A

FOR OFFICE
USE ONLY

FOR OFFICE USE ONLY

Candidate ID :

B

Please affix your
Passport Size
Photograph here.

Status :………………………...
TC / Unit : ……......................
Role : ………………………...

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

APPLICATION FOR FRESHERS
NAME OF THE COLLEGE : .............................................................................................................. CITY : ........................................................................

PERSONAL DETAILS

NAME IN FULL
(in Block letters)

.................................................................
(First Name)

.................................................................
(Middle Name)

..................................................................………
(Surname)

DATE OF BIRTH (dd / mmm / yyyy) :

ADDRESS FOR COMMUNICATION :
................................................................................................................

/

/

..............................................................................................................
...............................................................................................................
City : ........................................... State :.......................................

GENDER ( Please Tick ‘’ )

Male

Female

CITIZENSHIP : ……………………………………………………………….

Country :....................................Pincode :…...………………………….
Preferred Contact Number : ...................................................................
Alternate Contact Number :.....................................................................

X STD

EDUCATION LEVEL

DO YOU HAVE A PASSPORT? Yes

No

E-mail : ......................................................................................................
XII STD /
EQUIV.

GRADUATION

POST
GRADUATION

DIPLOMA /
OTHERS

Name of the Qualification Awarded

EDUCATION

Name of the Board / University

Name of the School / College

State

Branch / Stream / Area of Specialization
Simple Average Percentage / CGPA / Grade*
Month and Year of Passing
* ALL PERCENTAGES / CGPA SHOULD BE SIMPLE AVERAGE FOR ALL YOUR SUBJECTS / SEMESTERS / YEARS, INCLUDING ELECTIVES, OPTIONAL SUBJECTS, ADDITIONAL SUBJECTS,
PRACTICAL SUBJECTS AND LANGUAGES.
ANY ACTIVE BACKLOGS ?

Yes

`

GAPS IN EDUCATION (IF ANY): ............. Years.
VER 1C

Number of active backlogs: .................................

No

Reason:..................................................................................................................................
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HRD/REC/F/013

. 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...................... understood..... regardless of when discovered to be false.................................. government agencies or any references I have provided................ may result in my immediate dismissal........ or has an order prohibiting your departure from India....................... Have you at any time been convicted by a court of India for any criminal offence and sentenced to imprisonment.................... Emp........ INFOSYS BPO OTHERS YES NO Please Specify: .............................. IF ANY (Y / N) REASON FOR SEPARATION HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS OR INFOSYS GROUP YES NO COMPANIES (LIKE INFOSYS BPO... PLEASE PROVIDE DETAILS.............................. NO YES YES NO YES NO ............................... (in weeks) PERIOD (MMM / YYYY) ORGANIZATION DESIGNATION FROM TO DURATION GROSS SALARY LEGAL OBLIGATIONS........ DECLARATION .............. ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES? IF YES.... A PARTNER IN ANY FIRM ? ...... Result : Selected Hold Rejected Signature: .......... or are any criminal proceedings pending against you before a court in India....................................................................................... Date of Interview (if differ from Date of Test) :.................. the information on the application form is true and correct... optional subjects......... No............... ......BEEN SELECTED FOR INTERVIEW ? NO YES ................................. . Notice period required.........TAKEN ANY TEST ? NO YES ......... VER 1C 2 of 2 HRD/REC/F/013 .. Place : .... additional subjects........................................ been issued by a court ? YES NO If yes.............) PREVIOUSLY ? IF YES................................ A DIRECTOR IN ANY OTHER COMPANY ? 2...... Specify clearly in case of part time / contract work experience................... (Please Tick ‘’ ) Name : ......... any false statement........................................................................................................... …………………… IF YES....................JOINED ? NO YES RELEVANT DATES NO YES NO YES .... ARE YOU EMPLOYED AS : 1......................................................... FOR OFFICE USE ONLY Date of Test / Interview :..................................................... Date : ............................ or omission of facts on this application or on any supporting documents. : ............... please give details of the same.......... I understand that if I am employed. HAVE YOU OTHER INFOSYS GROUP COMPANIES INFOSYS MISCELLANEOUS RELEVANT DATES ............... misrepresentation............. educational institutions................................BEEN MADE AN OFFER ? NO YES ................................................... and agree to the foregoing and to the best of my knowledge and belief.................. ......... NO YES …………………...................................... Signature : ...................... I authorize Infosys to secure information about my experience from former employers................. I authorize investigation of all statements made in this application and my supporting documents........ I certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives.............................................. practicals and languages.................... ETC................................... 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..............WORK EXPERIENCE PLEASE WRITE ‘NA’ IF NOT APPLICABLE............... My signature below certifies that I have read...........................................................