HIRE FORM

This form is to be completed by the Candidate and submitted to the

Human Resources Office for approval before an employee can be hired.

GENERAL INFORMATION

ME: Lakshmi Tulasi LAST NAME: Chennasubbannagari MIDDLE INITIAL:

EMAIL
N# 54211 DOB: 03/22/1993 crrtulasireddy@gmai
ADDRESS:
HOME CELL
live:snrece_1 PHONE:
NA
PHONE:
6177502431

Quincy CITY: Boston STATE: MA ZIP: 02151

TATUS: SINGLE ☐Yes MARRIED ☐

GC EAD Yes☐ GREEN CARD ☐ CITIZEN ☐ REFUGEE ☐ OTHERS ☐:LIST OTHERS:     H4 EAD     
US:
OPT ☐ START DATE:     01/06/2022      EXPIRATION DATE:       05/29/24    H1-B ☐EXPIRATION DATE:          
Yes ☐ No No☐ ___________
ISA SPONSERSHIP (H1/GREENCARD)
(EXPECTED DATE OF SPONSERHIP)

EMPLOYEMENT INFORMATION

6 months
HAVE MANY YEARS HAVE YOU LIVED IN UNITED STATES?

ARE YOU CURRENTLY EMPLOYEED? Yes ☐ NO No☐ START DATE END DATE
(IF KNOWN)

POSITION OR TYPE OF EMPLOYEMENT DESIRED Business Analyst

NOTICE PERIOD
AVAILABLE DATE TO START WORKING ASAP YES ☐ NO ☐ No
REQUIRED
LOCATION PREFERENCES
ARE YOU WILLING TO RELOCATE Yes Yes☐ NO ☐ (EVERYWHERE, ENTIRE EAST
COAST, CENTRAL, PACIFIC)

AVAILABILITY FOR SKYPE (DAY/WEEK) TIME? from 01/24/2022

ARE YOU TRAVELING OUTSIDE OF THE COUNTRY IN THE NEXT Yes ☐ No ☐      
3 MONTHS? (IF YES, EXPECTED DATE OF LEAVING)

EDUCATION AND TRAINING INFORMATION

HIGH SCHOOL GRADUATE OR GENERAL EDUCATION (GED) TEST PASSED? Yes ☐ No ☐

IF NO, LIST THE HIGHEST GRADE COMPLETED          

Revised 06.2011
 MOST RECENT COLLEGE
DATES ATTENDED OTHERS GRADU DEGREE & YEAR MAJOR OR SUBJECT
NAME AND LOCATION MONTH/YEAR (SPECIFY) ATED
ICFAI University- Hyderabad, Yes ☐ Masters
India Finance
2015-2017
No ☐
2010-2014 Yes ☐ BTech Electronics and
JNTU University Bachelors Communications Engineerinng
No ☐
Yes ☐

No ☐
Yes ☐

No ☐

OCCUPATIONAL LICENCE, CERTIFICATE NUMBER WHERE EXPIRATI

ISSUED ON DATE
OCCUPATIONAL LICENCE, CERTIFICATE NUMBER WHERE EXPIRATI
ISSUED ON DATE

EMERGENCY CONTACT

Siva LAST NAME: Moole RELATIONSHIP:

8722031359 ALTERNATIVE PHONE NUM

CITY:

LAST NAME: RELATIONSHIP:

ALTERNATIVE PHONE NUM

CITY:

Digiinfotek does not discriminate on the basis of race, age, creed, color, religion, national origin or ancestry, sex, gender, disability, veteran status, genetic
information, sexual orientation, gender identity or expression, or pregnancy. Digiinfotek is an equal opportunity/equal access/affirmative action employer
fully committed to achieving a diverse workforce and complies with all Federal and State laws, regulations, and executive orders regarding non-
discrimination and affirmative action.

Revised 06.2011