Interview Location

Please affix
Trivandrum your latest
Passport
Candidate id Photograph
Here
INFOSYS LIMITED
1007353327 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)

KHALIDH
....................................................................... ....................................................
PUTHUPPARAMBIL
…………………………………………………..…..
FIRST MIDDLE LAST

ADDRESS FOR COMMUNICATION

Puthupparambil House +91- 9207781233

Mobile No. .....................................................................................
.........................................................................................................
khalidhjasier17@gmail.com
E- mail: ...........................................................................................
Muvvangara,Thavanur
.........................................................................................................
(Personal E-Mail ID only)

.........................................................................................................
PERSONAL DETAILS

CITIZENSHIP(S)

Indian
…………………………………….
.........................................................................................................

Malappuram DO YOU HAVE A PASSPORT?

City: .....................................

YES NO
679573
PIN / POSTAL CODE..........................

Kerala
State: .................................................Country: India
...............................

9207781233
Day Time Contact No. .............................................. (Optional)

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

(dd/mmm/yyyy)
MALE FEMALE OTHERS
06/07/1996
…………………………………………...

VER 9.2 1 of 4 HRD/REC/2023

SIGNATURE OF THE APPLICANT

 DIPLOMA/EQUIV POST GRADUATION
GRADUATION OTHERS
LEVEL (if applicable) (if applicable)

Name of the Qualification Awarded

Bachelor Of
Science

State Board/University University of

Calicut

College of
Name of the School/College applied science,
Vattamkulam
EDUCATION

State Kerala

Branch/Stream/Area of Specialization Computer

Science

* Percentage / CGPA 60

Year & Month of Final Examination April 2016

*ALL PERCENTAGES / CGPA SHOULD BE AS PER THE DEGREE CERTIFICATE OR FINAL YEAR MARKS SHEET (Documents
will be cheked during interview round. )

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

1 After an accident i had to have ligament surgery
Reason:………………………………………………………………………………………

PLEASE WRITE ‘NA’ IF NOT APPLICABLE

SPECIFY CLEARLY IN CASE OF PART TIME CONTRACT WORK EXPERIENCE NOTICE PERIOD REQUIRED……………………….
90 Days

PERIOD (MMM/YYYY) EXPERIENCE/

RELIEVING
FROM TO DURATION REASON FOR
PAYROLL ORGANIZATION* DESIGNATION LETTER
(in months) SEPARATION
AVAILABLE
(Y/N)

Manappuram comptech Till date Angular seeking better

05-04-2022 23
Developer career prospects Y
and cosultant limited

Switch to
Manappuram comptech 27-04-2021 04-04-2022 12 RPA angular developer Y
and cosultant limited Developer position
WORK EXPERIECE

13 IT Support choosing the Y

Zakion Technologies 04-03-2020 04-04-2021
Engineer development job

Alfaan abrar almadheena 12-12-2017 12-12-2019 24 System Engineer Family Y

limited ,Abu Dhabi ,UAE Circumstances

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 9.2 2 of 4 HRD/REC/2023

SIGNATURE OF THE APPLICANT

 NEXT REVISION EXPECTED YOUR EXPECTATION AT
ANNUAL CURRENT
10-06-2024
DATE: ……………………. INFOSYS

Fixed Salary in Lakhs (INR)

4.50
COMPENSATION AND BENEFITS

Variable Pay in Lakhs (INR) 4.50

Providing Accommodation
1………………………………. 1………………………………. 1……………………………….
Other Benefits
2………………………………. 2………………………………. 2……………………………….

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

ANNUAL GROSS 6
COMPENSATION 4.50 10
in LAKHS (INR)

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS or INFOSYS GROUP 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 .………………….. 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 9.2 3 of 4 HRD/REC/2023

SIGNATURE OF THE APPLICANT

 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 documents. 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 company
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 belief; the
information on the application form is true and correct.

20-03-2024
Date : ......................................... Kerala
Place : ..................................... Signature: ..............................................................

VER 9.2 4 of 4 HRD/REC/2023

SIGNATURE OF THE APPLICANT