Declaration

Your application Reference Number : 21I20699816270S3 (please quote your application reference number)
I,Chintha Sreekanth do hereby declare that the details given below are correct to
the best of my knowledge.

Business Details : Company Name: Embitel: Embitel technologies Pvt ltd(Client: Larsen&Toubro Infotech Ltd)
Department: Information technology Designation: Software test engineer
Office Address: Building No: 20, 14th&15th Floor,Raidurgam Village Serlingampally Mandal.
City :Hyderabad, Landmark: Ikea Store
Mobile number:9959095525.Office phone: 04068365002 Extension........
Residential Detail Address: 12-11-136, Upper Basthi,
Namalagundu,
sithaphalmandi,Musheerabad,Hyderabad
.................................................................................
City & Pincode: Hyderabad &500061 Landmark: BNR Garden.
Mobile number: 9959095525 Residence Phone: 9573301411.
Permanent Details(optional) : Address: 12-11-136,
Upper Basthi, Namalagundu,
sithaphalmandi,Musheerabad,Hyderabad
City: Hyderabad Pin Code: 500061 Landmark: : BNR Garden.
Mobile Number:9959095525 Telephone Number: 9573301411

VERIFICATION

I....................................................................do hereby declare that which is stated above is true to the best of my
knowledge and belief. Verified today the ............................... day of .....................

Place:

(Signature of declarant)