D. E.

Shaw India Private Limited

APPLICATION FOR EMPLOYMENT

First Name: Last Name:

Date of Birth Father’s Name:

Email ID Mobile Number:

Current Address: Permanent Address:

When will you be available for internship:

Do you have a valid Indian Passport:

EDUCATION:

Degree Year of Institution Specialization GPA Rank/Place in

Graduation Class
Tenth

Twelfth
Bachelors

Masters

WORK/INTERNSHIP EXPERIENCE:

Employer From To Position Gross Compensation

 D. E. Shaw India Private Limited

SCORES [Competitive Examinations]:

Examination Year Score/Rank

JEE Main
JEE Advanced
GATE
GRE
State Entrance Exams (Please Specify)
Other Entrance Exams (Please Specify)

CODING CONTEST [Participation Details]:

Contest Year Rank

ACADEMIC SUBJECTS OF INTEREST:

Please mention your top 3 Subjects of Interest:

1.
2.
3.

AWARDS/ACHIEVEMENTS/HONORS:

Declaration : I declare that the information provided in this form is true to the best of my knowledge. In the event that any
information provided is found to be a misrepresentation, I would be liable to any action deemed appropriate by the firm.

Date: Applicant’s signature

 Please attach any additional information which you feel would add to your candidature.