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Candidate Declaration Form - Wipro
Candidate Declaration Form - Wipro
Instructions: Please provide all the information requested in this form. Incomplete Candidate Declaration
Forms (CDFs) will be returned. All supporting documents must accompany this form. Photocopies must
be legible. We have included a checklist to assist you to complete your application comprehensively.
(Please fill in the information in Capital Letters)
PERSONAL DETAILS
Fathers Name:
Social Security / PAN Number (If worked/studied in the US/Any other Country)
City: City:
State: State:
Pin: Pin:
Landmark: Landmark:
: (Landline) (Landline)
Is your residence your own or a rented place? Note - Please attach 1 address proof each for your
If rented, please provide details of the Landlord
Name: Current & permanent address.
Address:
(Tear away slip) For Internal Use Only
City:
State:
Pin:
(Landline)
EDUCATION DETAILS:
Course Type
Subject Major (Full Time /
Correspondence)
Address of Institution
(Only fill in the details asked City
for to the right)
(Landline) 1 (Landline) 2
Note: Please attach legible copies of the following documents relevant to your entries in the form. (Xerox
only)
1. Educational Mark Sheets / Certificates – Attach the documents relevant to your entry above.
a. SSC / Global Equivalent.
b. HSC / Global Equivalent.
c. Graduation all year mark sheets & degree certificate or provisional certificate.
EMPLOYMENT DETAILS
NOTE: There are two categories in each form. Please provide information under the relevant Employment Category.
LAST EMPLOYMENT
Name of Company
Registered Corporate Branch Office
Where were you employed?
Office
Door No/Street:
Company Address
(Where you were employed ) City State
Pin (Landline)
Period of Employment
Employee Code
(From … To …)
Remuneration
Designation
(CTC Per Annum)
Department Reported to
Supervisor’s Designation
(Email Id)
CONTRACTUAL EMPLOYMENT
Company Name
Company Address
Door No. / Street
State
City
Designation (Landline)
Note: Please attach legible photocopies of the following documents relevant to the entries above
1) Appointment Letter 2) Salary Slip 3) Release Letter
PREVIOUS EMPLOYMENT - 2
Name of Company
Registered Corporate Branch Office
Where were you employed? Office
Door No/Street:
Company Address
(Where you were employed ) City State
Pin (Landline)
Period of Employment
Employee Code
(From … To …)
Remuneration
Designation
(CTC Per Annum)
Department Reported to
Supervisor’s Designation
(Email Id)
CONTRACTUAL EMPLOYMENT
Company Name
Company Address
Door No. / Street
State
City
Designation (Landline)
Note: Please attach legible photocopies of the following documents relevant to the entries above
1) Appointment Letter 2) Salary Slip 3) Release Letter
PREVIOUS EMPLOYMENT - 3
Name of Company
Registered Corporate Branch Office
Where were you employed? Office
Door No/Street:
Company Address
(Where you were employed ) City State
Pin (Landline)
Period of Employment
Employee Code
(From … To …)
Remuneration
Designation
(CTC Per Annum)
Department Reported to
Supervisor’s Designation
(Email Id)
CONTRACTUAL EMPLOYMENT
Company Name
Company Address
Door No. / Street
State
City
Designation (Landline)
Note: Please attach legible photocopies of the following documents relevant to the entries above
1) Appointment Letter 2) Salary Slip 3) Release Letter
Reference Check:
Reference
Reference Reference Reference Contact Numbers Reference Official
Full Name Company Name Designation (Office and Email Id
Mobile)
Authorization/ Declaration and Undertaking
I understand that employment with Wipro is governed by their employment policies as applicable, includingsatisfactory information from
background check.
I hereby certify that all information provided herein, is true and complete to the best of my knowledge and belief. I authorizeWipro and
its representative to authenticate information I have provided in my resume and this Candidate Declaration Form (CDF). To conduct
enquiries as may be necessary at the company’s discretion, I authorize all who may have information relevant to this enquiry to disclose it
to wipro and / or its representative. I release all concerned from any liability on account of such disclosures.
I also declare that the information provided by me in my resume and application for employment toWipro
and its representative is authentic and I am liable for all inaccuracies and omissions.
Note: Any information found to be incorrect during Background Verification, a necessary action will be taken
by the company as per the Law which would be imprisonment / debarring from future employments.
Place:
Date:
Checklist for Candidates
Note: This checklist is to assist you. Please go through all the columns.
Employment
Employment 1 Employment 2
Name of Company Yes No NA Yes No NA
Location Yes No NA Yes No NA
Company Contact Nos. Yes No NA Yes No NA
Employee Code Yes No NA Yes No NA
Period of Employment Yes No NA Yes No NA
Appointment Letter Yes No NA Yes No NA
Relieving Letter Yes No NA Yes No NA
Accurate Remuneration Yes No NA Yes No NA
Person Reporting to/Name/ No Yes No NA Yes No NA
Authorization
Name Yes No
Place Yes No
Date Yes No
Signature Yes No