CANDIDATE APPLICATION FORM

(to be filled prior to first interview)

I. Personal Details
Name: Mr/Mrs/Ms
(as in your passport) Last First Middle

Date of Birth: Place of Birth: Mother Tongue:

Present Address:

City: State: Pincode: Home Tel No:

Business Tel No: Mobile: Personal Email Id:

Permanent Address:

City: State: Pincode: Tel No:

Emergency Contact details Name: Relationship:

PAN #: Existing Saving Account # Branch Name:

Passport #: Place of Issue: Expiry Date: Citizenship:

Do you have valid WP or VISA for any country: Y/N If Y, Visa Type /Valid till Country:

Have you ever applied for a Work Permit/Visa: Y/N If Y, When: Country:

Have you ever been rejected a Work Permit/Visa: Y/N If Y, When: Country:

Languages Known Read/Write Speak Languages Known Read/Write Speak

II. Family Background

Name Age Occupation Name Age Occup
Father Child 1

Mother Child 2

Spouse

Siblings

III. Professional Certification/ Institute

Certification/Training[Soft/Technical] Year Certification/Training[Soft/Technical] Year

IV. Professional Achievements(Awards/Recognition)/ Extra Curricular Activities

V.Have you ever been interviwed in KPIT? Y/N Do you have Relatives/Friends in KPIT? Y/N

If Y, Name: Relationship: Yrs/Mths Known:

VI. Miscellaneous Details

Why do you want to leave your current Organisation ?

1
 CANDIDATE APPLICATION FORM
(to be filled prior to first interview)

Why do you want to join KPIT (Min 50 words)?

VII. References
Professional Professional Personal Personal

Name

Relationship

Years Known

Company Name

Title or Occupation

Home Tel No

Business Tel No

Declaration

I, hereby declare that the above information provided by me is true and accurate to the best of my knowledge. Any falsification of this information will hold
me liable and result in termination of my employment with the company, as per the company's prevailing rules and regulations/policies.

PLACE: DATE: SIGNATURE: