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User:300195Conputer :PCI7S645Submit time:04-08-2015 11:05:48 (Please fill in the details with utmost attention, as these shall be verified by Cognizant Technology Solutions and/or by its| authorized representatives. [Fathers Name: KRISHNASWAMY K__|SSN Grams Date of Birth: 23/12/1988 fee “ions Pi Phone Number: 9842213344 I 'Place ¢ of Birth: ‘Nationality: | jottce Phone Number: [Coimbatore Indian ‘Sex Femme Passport N “Misia Number: 9566423333 Please provide address inputs for the last 7 years. We would require the Complete address details with landmark, door numbers, street name, City and pin code specified. _____Pincode: 641004 [Phone: 9566423333 y: From April2010 To till date _ [Nature of Location: Rented Address 1: EEE EE | User:300195Computer:PC173645Submit time:04-08-2015 11:05:48 “[Pincod City: Nature of Locatior Please add up as many as columns to fill up your address details ifrequired [Previous Address User:300195Computer:PC173645Submit time:04-D8-2016 11:05:48 ‘Teertify that the statements made in this application are valid and complete to the best of my knowledge. I understand that Cognizant Technology Solutions is an at will employer, ‘false or misleading information may result in termination of employment, with or without ‘cause and with or without notice. |Lunderstand that Cognizant Technology Solutions may request a credit and/or ‘background check from a credit reporting agency or related service. | understand that I ‘have a right to make a written request within a reasonable time for the disclosure of the | name and address of the credit-reporting agency so that I may obtain a complete \Gisclosure of the nature and scope of any investigation. \ |Lunderstand that the records will be used for employment purposes only and will not be |given to unauthorized persons. | Lauthorize Cognizant Technology Solutions, and/or its agents to conduct a reference ‘check so that a hiring decision may be made. In the event that Cognizant Technology ‘Solutions is unable to verify any reference stated in this application, itis my iresponsibility to furnish the necessary documentation. | Lunderstand that this application or subsequent employment does not create a contract of| ‘employment nor guarantee employment for any definite period of time. ‘Thave read, under SIGNATURE: t hat [NAME(IN BLO‘ and py my signature e: ' 04 Joe pore :

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