Interview Location

Please affix
your latest
Passport
Candidate id Photograph

INFOSYS LIMITED Here

Electronics City, Hosur Road, Bangalore - 560 100, India.
Tel.: (080) 28520261. Fax: (080) 28520362.

Please  in the wherever applicable.

Please answer each column fully and neatly in your own hand-writing.

APPLICATION FOR EMPLOYMENT

NAME IN FULL
(in block letters)
(As it appears on passport / legal document)

SOMSUBHRO SEN
....................................................................... .................................................... …………………………………………………..…..
FIRST MIDDLE LAST

ADDRESS FOR COMMUNICATION

Mobile No.
..MIG-G9...Niva Park Phase 1 ..........7980474728...........................................................................
Bramhapur...............................................................
PAN Card No.
................CQZPS0072D................................................................
..................Badamtala........................................................................
............... E-mail:
................somsubhrosen.sap@gmail.com..........................................
.................................
PERSONAL DETAILS

(Personal E-Mail ID only)

.........................................................................................................
CITIZENSHIP(S)

......................................................................................................... ……………India……………………….

City: .........Kolkata............................ DO YOU HAVE A PASSPORT?

YES NO
PIN / POSTAL CODE.....700096.....................

State: .............West Bengal....................................Country:

.........India......................

Day Time Contact No 7980474728 ................................(Optional)

DATE OF BIRTH (as per passport / legal document): GENDER:MALE

(dd/mmm/yyyy)
MALE FEMALE OTHERS

…………28/11/1988………………………………...
Do not wish to disclose

VER 9.1 1 of 4 HRD/REC/2022

SIGNATURE OF THE APPLICAN

T
 DIPLOMA/EQUIV POST GRADUATION
LEVEL GRADUATION OTHERS
(if applicable) (if applicable)
Bachelor of
Name of the Qualification Awarded Commerce

University of
State Board/University
Calcutta

K.K Das college

Name of the School/College
EDUCATION

West Bengal
State

Accountancy
Branch/Stream/Area of Specialization Honours

46.00
* Percentage / CGPA

2011 & May

Year & Month of Final Examination

*ALL PERCENTAGES / CGPA SHOULD BE AS PER THE DEGREE CERTIFICATE OR FINAL YEAR MARKS SHEET (Documents
will

GAPS IN EDUCATION (If any) ……NA……….years.

Reason:………………NA………………………………………………………………………
PLEASE WRITE ‘NA’ IF NOT APPLICABLE
SPECIFY CLEARLY IN CASE OF PART TIME CONTRACT WORK EXPERIENCE NOTICE PERIOD REQUIRED- 75 (Already on
Notice period…………….
PERIOD (MMM/YYYY) EXPERIENCE/
RELIEVING
FROM TO DURATION REASON FOR
PAYROLL ORGANIZATION* DESIGNATION LETTER
(in months) SEPARATION
AVAILABLE
(Y/N)
Avanzar IT Consulting Pvt LTD 25.10.2021 Still Going 20 SAP FICO For Better & YES
(Current Co.) On Consultant Challenging
Projects

KPMG India Services LLP 18.01.2021 23.10.2021 10 SAP Associate For Better YES
Consultant Opportunities
WORK EXPERIECE

SGN Software Pvt Ltd 01.08.2018 16.01.2021 29 SAP FI For Better YES
Consultant Opportunities

INTIME IT Service Pvt LTD 05.12.2017 16.07.2018 7 SAP Associate For Better YES
Consultant Opportunities

TEOCO Software Pvt Ltd 09.07.2015 30.11.2021 28 Associate For Better YES
7 Media Opportunities
coordination
Analyst
QTECH management services 06.11.2012 17.02.2015 27 Account & For Better YES
Admin Officer Opportunities

NO
Are you under any legal obligation to your current employer: YES NO

IF YES, Please Specify: ……………………………………………………………………………………………………………………..…………

* Please do specify “Payroll Organization” if you are working on a contractual basis

Disclaimer: Please be informed that work experience provided by you will be validated through Background check

VER 9.1 2 of 4 HRD/REC/2022

SIGNATURE OF THE APPLICANT

 NEXT REVISION EXPECTED YOUR EXPECTATION AT
ANNUAL CURRENT
DATE: ……………………. INFOSYS
10.35 19.00
Fixed Salary in Lakhs (INR)
COMPENSATION AND BENEFITS

1.5 1.5
Variable Pay in Lakhs (INR)

1………………………………. 1………………………………. 1……………………………….

Other Benefits
2………………………………. 2………………………………. 2……………………………….

3………………………………. 3………………………………. 3……………………………….

11.85
ANNUAL GROSS
COMPENSATION
in LAKHS (INR)

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS or INFOSYS GROUP YES YES NO
COMPANIES (like INFOSYS BPO, ETC.) PREVIOUSLY?
IF YES, HAVE YOU INFOSYS OTHER GROUP COMPANIES
RELEVANT DATES RELEVANT DATES

- TAKEN ANY TEST? YES NO ………………….. YES NO …………………..

- SELECTED FOR INTERVIEW? YES NO . ………08.07.2023………….. YES NO

…………………..
- MADE AN OFFER? YES NO .… ……………….. YES NO …………………..

- JOINED & QUIT? YES NO .… ……………….. YES NO …………………..

ARE YOU SERVING/ENGAGED AS A DIRECTOR, PARTNER, SOLE PROPRIETOR OR IN YES NO

ANY OTHER EQUIVALENT POSITION IN ANY COMPANY, FIRM OR BUSINESS ENTITY?

IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...

MISCELLANEOUS

ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES YES NO
IF YES, INFOSYS BPM OTHERS Please specify ………………………………….

HAVE YOU AT ANY TIME BEEN CHARGED, ACQUITTED OR CONVICTED BY A COURT YES NO
OF LAW IN INDIA OR OUTSIDE INDIA?

IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...

HAS ANY WARRANT FOR YOUR ARREST OR SUMMONS FOR YOUR APPEARANCE BEEN YES NO
ISSUED OR AN ORDER PROHIBITING YOUR ENTRY INTO OR EXIT FROM ANY COUNTRY,
BEEN ISSUED BY A COURT OF LAW OR ANY GOVERNMENTAL AUTHORITY?

IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...

HAVE YOU AT ANY TIME BEEN SUBJECT TO OR ARE BEING SUBJECT TO ANY
YES NO
INVESTIGATIONS BY THE FINANCIAL MARKET REGULATOR SUCH AS SECURITIES AND
EXCHANGE BOARD OF INDIA?
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...

ARE YOU AWARE OF YOU BEING SUBJECT OF ANY INVESTIGATION BY ANY

YES NO
GOVERNMENTAL AUTHORITY?
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...

ARE THERE ANY CRIMINAL PROCEEDINGS PENDING AGAINST YOU BEFORE ANY YES NO
COURT OF LAW IN INDIA OR OUTSIDE INDIA?
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...

VER 9.1 3 of 4 HRD/REC/2022

T

SIGNA TURE OF THE APPLICAN

 ARE YOU SUBJECT TO ANY *SANCTIONS LAWS? YES NO

IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...

*Sanctions Laws means all applicable financial, economic and trade sanctions (whether primary or secondary), and export control
laws and regulations (or any similar restrictions) imposed by the United Nations or the governments of Australia, the United Kingdom,
European Union and the United States of America or any other country.

I authorize Infosys to conduct investigation to verify facts of all statements made in this application and my supporting doc uments. I
authorize Infosys to secure information about my experience from former employers, educational institutions, government
establishments/agencies or any references I have provided, and for those parties to provide information concerning my qualifications
for employment and I hereby release all parties from any liability arising from such investigation.

I certify that the academic marks / CGPA are as per the University Guideline (percentage/CGPA mentioned on the Degree certificate or
DECLARATION

final year marks sheet)

I understand that if I am employed with the company, any false statement, misrepresentation, or omission of facts on this application or
on any supporting documents, regardless of when discovered if found to be false, may result in my immediate dismissal. The co mpany
will have the right to withdraw my letter of appointment or to terminate my training/subsequent appointment at any time without notice or
compensation.

My signature below certifies that I have read, understand, and agree to the foregoing and to the best of my knowledge and bel ief; the
information on the application form is true and correct.

Date : ........10.07.2023................................. Place : ........KOLKATA............................. Signature: ...........Somsubhro

Sen...................................................

VER 9.1 4 of 4 HRD/REC/2022

T

SIGNATURE OF THE APPLICAN