CANDIDATE PARTICULARS FORM

(The information shared by the candidate is confidential)

PART ‘A’
Please expand initials (Use Capital Letters Only)
First Name Middle Name Last Name
Suryaprabha Kanchinadham
Permanent Address Present Address
Hno-12,Road no-2, Tripura
Hno-12,Road no-2, Tripura homes,Bandamkommu,
homes,Bandamkommu, Ameenpur road,
Ameenpur road, Ramachandrapuram
Ramachandrapuram

Tel. 9542336031 Alternate Tel. 7680937631

Linkedin ID

ACADEMIC QUALIFICATIONS: (FT – Full-time, PT – Part-time, and C - Correspondence)

School / College / University FT / PT / C # Month & Year Degree/Diploma awarded % or Grade

and the address of the college
From To
Post Graduation 2006 2009 MCA 72

Graduation 2003 2006 B.Sc(Chemistry) 60

PUC/ Equivalent 2001 2003 MPC 83

SSC/ Equivalent 2000 76

Please explain: (a) any gap between academic courses and (b) if you have taken more time than the course
duration.

What is the time required for joining, from the time of receiving an offer from
GSPANN Technologies? 1 week
If hired, will you be able to work extra hours to meet task deadlines? yes
If hired, will you be able to work night shifts? yes
Do you have any Job Offer from other organizations (specify, give details):

1. 2.

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 PART ‘B’

PRESENT/PREVIOUS EMPLOYMENT RECORD

Give full details of your Present and Previous employments in unbroken chronological order.
Please explain the gap (not covered by education/training).

Employer’s Name & Duration (Month & The last position Gross Salary p.a. ** Reason for
Location Year) held (On Leaving) leaving
Mar- System Analyst 1650000
Valuelabs 2021 Till
Flexibility
schedule seeking
work life balance
July- Mar-2021 Sr.Java 900000
2020 Developer Inclusive
Infobelt workplace

May- July-2020 Sr.Java 600000

TekSkills India Pvt Ltd 2017 Developer Skill
diversification
June- May- Java Developer 436000
Leomeridian 2016 2017
Infrastructure Location
constraint
From To Designation

Have you applied for a position in this Company before? If yes, please give details.

Period of application Outcome

2020 Negative

If you have any relatives/friends/acquaintances in this company, working at present or in the past, please
give details.

Name: Relationship:
Venaktesh Mandapaka,Maneendra Yarru Friends

Significant Achievements of your

Curriculum/Co-Curriculum
Certifications

Passport/Visa Details

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Certification and Authorization

The above information is accurate and correct. I understand that any misinterpretation or suppression of
material information will render me liable to be dismissed by the Company or if I have failed to give any
information herein requested, regardless of the time elapsed after discovery.

I authorize, without reservation, the employer, its representatives, employees, or agents to contact and obtain
information from all references (personal and professional), employers, public agencies, licensing authorities,
and educational institutions and to otherwise verify the accuracy of all information provided by me in this
application, resume or job interview. I hereby waive all rights and claims I may have regarding the employer,
its agents, employees, or representatives for seeking, gathering, and using such information in the
employment process and all other persons, corporations, or organizations for furnishing such information
about me.

This application does not constitute an agreement or contract for employment at any time for any specified
period or definite duration. I understand that the Company may determine not to hire me for any lawful
reason.

I understand that no supervisor or representative of the employer is authorized to make any assurances to the
contrary and that no implied, oral, or written agreements contrary to the above-mentioned, are valid unless
they are in writing and signed by the employer’s Manager/Operation.

I will provide all original documents (statutory or otherwise) for verification if employed. I also understand
that, if employed, I must sign an Employment Agreement as discussed at the time of my interview/recruitment
process.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT.

I certify that I have read, fully understand, and accept all the terms of the above Applicant Statement.

4-03-2024 K.Suryaprabha
Date: Applicant’s Signature:

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