Company-Confidential Application Forms - Offshore RMG-TAG-V.

Tech Mahindra Limited

Sharda Centre, Off Karve Road, Pune-411 004
Please
Application for Employment affix
Passport
-size
Personal Information
Photogr
aph here
Name NAGENDRA V
First / Given Name Middle Name Surname / Last Name

Name of Father V. REDDEPPACHARI Name of Mother V. RATHNAMMA

Date of Birth 13/05/1993 Place of Birth VAYALPAD Marital Status MARRIED

Nationality: INDIAN Passport (PP) No: K9464199

Place of PP Issue: HYDERABAD Dt. of PP Issue: 01/02/2013 Dt. of PP Expiry: 31/01/2023

If you don’t have a valid PP, have you applied for one? (pls use (√) mark for selection) Yes No

If have applied for PP, Application No: Dt. of Application:

Have you ever been refused/denied visa

Yes any time? No

(pls use (√) mark for selection)

If visa denied, give details:

Country Type of Visa Reason of Refusal/Denial When Denied (date)

Present Address (PIN code mandatory)

13-118-3, Achari's Residency, BALAJI NAGAR, OPP.to. M.D.O OFFICE, BYPASS ROAD, NEAR SAI BABA TEMPLE,
VAYALPAD, CHITTOOR(DIST), ANDHRA PRADESH Pin: 517299

Landline Tel: Mobile No: 8919127396

Permanent Address (PIN code mandatory) (Write “Same as above” in case present and permanent addresses are same)

9-12, KOTHAPETA STREET, VAYALPAD,

OBULAMPALLE, CHITTOOR, ANDHRA PRADESH Pin: 517299

Landline Tel: Mobile No: 8919127396

E-mail:
Primary: NAGENDRA.VADLA@HOTMAIL.COM Secondary:

Resource Management Group - TAG Page 1 of

Company-Confidential Application Forms - Offshore RMG-TAG-V.3

Signature of Applicant: V. NAGENDRA

Resource Management Group - TAG Page 2 of

Do you have any relative(s) working with any of the Mahindra Group Companies including Tech Mahindra)?
(pls use (√) mark for selection) No

If yes, please give details below: -

Name of Relative: Relationship: Name of Company:

Name of Relative: Relationship: Name of Company:

Education Details (Only those done through Govt recognized institutes/universities)

College/ University Name of Duration (MM/YY)

Education From To Specialization Percentage
(with Location) Degree/ Level
Matriculation/SSC/ JAWAHAR NAVODAYA SSE 2007 2008 SSC 70%
Equivalent VIDYALAYA,
VALASAPALLE,
CHITTOR DIST
Intermediate/HSC/ JAWAHAR NAVODAYA SSCE 2008 2010 MPC 65%
Equivalent VIDYALAYA,
VALASAPALLE,
CHITTOR DIST
Diploma/
Equivalent
Graduation/ SRI VENKATESWARA BACHELOR OF 2010 2013 B.Sc ( MEC ) 90%
Equivalent UNIVERSITY, TIRUPATI SCIENCE
Post-Graduation/
Equivalent

Employment History
(Need to cover gaps of more than 1 month in employments & education)
Present/Current Employment

Name of Employer: DXC TECHNOLOGY Industry Type: IT

Address: RGA Techpark, Marathahalli - Sarjapur Rd,

Carmelaram, Hadosiddapura, Chikkakannalli, Bengaluru, Period of Service
Karnataka 560035 (DD/MM/YY) Starting Salary Current Salary
Reason for seeking change/leaving:
From To
To Increase my Learning Curve 26/09/18 Till Date 12.50 LPA 12.91 LPA
Email & Ph. No.(s) of Employer:
Team_HR@dxc.com
Ph: +91-44-22628080 / 22623880
Your Current Designation (as documented): Name and Designation of Your Immediate Supervisor:
Product Test Engineer Suresh Kumar Yashoda, Application Test Manager

Previous Employment/ Jobs

S. Name and Address of Emp Id Period Designation Last Salary
No. Employer (Must fill) (DD/MM/YYYY) Drawn
(Please also give Telephone Nos.)
From To (Per Annum)
1 Company: DXC Technology 11555057 26/09/18 Till Date Professional 1 12.91 LPA
Test Engineer
Address: RGA Techpark, Marathahalli
- Sarjapur Rd, Carmelaram,
Hadosiddapura, Chikkakannalli,
Bengaluru, Karnataka 560035

2 Company: Amdocs 144208 09/01/2017 21/09/2018 DWH BI Test 7.50 LPA

Engineer
Address: CyberCity Tower 2,
 Magarpatta, Hadapsar, Pune,
Maharashtra 411013
3 Company: Magna Infotech / Quess IT 754969 12/10/2015 06/01/2017 Software Test 5.10 LPA
Staffing Engineer

Address: 5/4-2, S.R. Infotech

Complex, Tavarekere Main Rd,
Tavarekere, D.R. College, S.G. Palya,
Bengaluru, Karnataka 560029
4

Signature of Applicant: V. NAGENDRA

S. Name and Address of Emp Id Period Designation Last Salary
No. Employer (Must fill) (DD/MM/YYYY) Drawn
(Please also give Telephone Nos.) (Per Annum)
From To
6

Professional References

Reference No 1 Reference No 2 Reference No 3

Name / Designation Suresh Kumar Yashoda / Application Bharat VSN / DWH BI Test Lead RamGopal / ETL Test Engineer
Test Manager
syasoda@dxc.com bharat.kumar@amdocs.com rramayanam2@dxc.com,
Email id and Mob. No. 9840515574 9739740629 8500805087
Test Manager Test Lead ETL Test Engineer
Nature of Association

General

Have you ever applied for a job with any of the Mahindra Group Cos. in the last 6 months? No

If yes, give details:

Name of Company Position Applied For Date of Application Reason for Not Joining

Salary expected: 20 LPA /pa Joining Time required: 1 Week (months)

Any additional information you feel relevant to your candidature:

Declaration
I certify that:
1. The information furnished above is factually correct and subject to verification by Tech Mahindra Ltd.
2. All my education qualifications have been acquired from institutes duly recognized by Govt. established statutory authorities.
3. I accept that an appointment given to me can be revoked; if any of above information has been misstated or unstated.

V. NAGENDRA 14/07/2021 BANGALORE

Signature of Applicant Date Place

Tech Mahindra is an Equal Employment Opportunity Employer. It promotes and supports a diverse workforce at all levels
in the Company. All qualified and eligible applicants will receive due consideration for employment without any regard to
their race, religion, colour, gender, age, nationality, origin or disability. All applicants will be evaluated solely on the basis
of their professional ability, competence, and requirement of the essential functions of the positions they have applied for.
 YOUR PRESENT EMOLUMENTS (ANNUAL)

Basic 478,404
DA

CCA

HRA 239,208
Conveyance 382,660
LTA 38,316
Any Other Allowances/ Payments
(Pls specify here and below)

Gratuity 23,000

Gross Income
PF 57,408
Medical

Insurance 12,683
Any other Deductions
(Pls specify here and below)

Management & Professional 59,800

Incentive Compensation
Plan(Target)

70091
Gross Deductions

1160709
Net Salary per Annum

Note: You are free to modify the contents/components of your salary in the blank column and delete those listed above if
not applicable to you.

V. NAGENDRA 14/07/2021 BANGALORE

Signature of Applicant Date Place