Interview Location

Hyderabad

Candidate Id

1008894804

Please ✓ in the ❑ wherever applicable.

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

APPLICATION FOR EMPLOYMENT

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

YOGESH KUMAR VAVILIPALLI

FIRST MIDDLE LAST

ADDRESS FOR COMMUNICATION

401, Block B04, Sahabhavana Township Mobile No : +91-7893281600

Bandlaguda, Nagole PAN Card No : XXXXXX392E

E-mail: yogeshku.vavilipalli@gmail.com

(Personal E-Mail ID only)

City Hyderbad CITIZENSHIP(S) :

PIN / POSTAL CODE 500068 Indian

State : TELANGANA DO YOU HAVE A PASSPORT?:

YES: ❑ NO: R
Country India

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

(dd/mm/yyyy) GENDER:

08/12/1997 MALE R FEMALE ❑ OTHER ❑

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SIGNATURE OF THE APPLICANT

 EDUCATION
LEVEL DIPLOMA/EQUIVALENT GRADUATION POST OTHER
(If applicable) GRADUATION
(If applicable)
Name Of the Qualification Bachelor Of
Awarded Technology
Board / University Jawaharlal
Nehru
Technological
University
Kakinada
Name of School/College GMR Institute
Of Technology,
Rajam
Branch/ Stream / Area Of Electrical &
Specialization Electronics Engg
*Percentage / Cumulative Grade 70.32
Point Average/Grade Point
Average
Year & Month of Final June 2019
Examination
*ALL PERCENTAGES/CGPA/GPA SHOULD BE AS PER THE DEGREE CERTIFICATE OR FINAL YEAR MARKSHEET
(Documents will be checked during interview round.)

GAPS IN EDUCATION (If any) 0.0 years. Reason: NA

WORK EXPERIENCE
PLEASE WRITE 'NA' IF NOT APPLICABLE
SPECIFY CLEARLY IN CASE OF PART TIME WORK EXPERIENCE OR WORK EXPERIENCE WITH A STAFFING AGENCY
NOTICE PERIOD REQUIRED : 15 Days

PERIOD (DD-MM-YYYY)
PAYROLL FROM TO DURATION DESIGNATION REASON FOR EXPERIENC
ORGANIZATION* (in months) SEPARATION E/
RELIEVING
LETTER
AVAILABLE
(Y/N)

Massil Technologies pvt ltd 01-12-2022 Till date 31 Software Engineer Still working N

Preferred work location : BANGALORE, CHENNAI, HYDERABAD

GAPS IN EXPERIENCE (If any) 3.3 years. Reason: Preparing for Government jobs

* Where you are working with a staffing agency, please specify the name of the staffing agency, which we understand would be the
employer-on-record.
 Please be informed that work experience provided by you will be validated through background check exercise undertaken by or on
behalf of Infosys Limited

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SIGNATURE OF THE APPLICANT

 COMPENSATION AND BENEFITS
ANNUAL CURRENT NEXT REVISION YOUR EXPECTATION AT
EXPECTED DATE: INFOSYS LIMITED
August-2025
Fixed Salary in Lakhs 2.07
(INR)
Variable Pay in Lakhs 1.96
(INR)
Other Benefits in Lakhs
(INR)
Annual Gross 4.50 6.00 9.00
Compensation in Lakhs
(INR)

MISCELLANEOUS
HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS LIMITED OR ITS GROUP YES ❑ NO R
COMPANIES* (LIKE INFOSYS BPM LIMITED, ETC.) PREVIOUSLY? *REFER TO OUR ANNUAL REPORT
AND OUR WEBSITE TO SEE A LIST OF OUR GROUP COMPANIES.
MONTH & YEAR

- TAKEN ANY TEST? YES ❑ NO R ................

- SELECTED FOR INTERVIEW? YES ❑ NO R ................
- MADE AN OFFER? YES ❑ NO R ................

- JOINED & QUIT? YES ❑ NO R ................

ARE YOU ENGAGED AS A DIRECTOR, PARTNER, SOLE PROPRIETOR OR IN ANY OTHER EQUIVALENT YES ❑ NO R
POSITION IN ANY BUSINESS ENTITY OR ENGAGED WITH A NON-BUSINESS ENTITY INVOLVED IN A
CHARITABLE ENDEAVOUR?
IF YES, PLEASE PROVIDE THE DETAILS
ARE YOU CURRENTLY EMPLOYED WITH ANY OF INFOSYS LIMITED’S GROUP COMPANIES*? *REFER YES ❑ NO R
TO OUR ANNUAL REPORT AND OUR WEBSITE TO SEE A LIST OF OUR GROUP COMPANIES.
IF YES, INFOSYS BPM LIMITED ❑ OTHERS ❑ PLEASE SPECIFY
HAVE YOU AT ANY TIME BEEN CHARGED, ACQUITTED OR CONVICTED BY A COURT OF LAW, YES ❑ NO R
TRIBUNAL OR GOVERNMENTAL AUTHORITY?
IF YES, PLEASE PROVIDE THE DETAILS
HAS ANY WARRANT FOR YOUR ARREST OR SUMMONS FOR YOUR APPEARANCE BEEN ISSUED OR YES ❑ NO R
AN ORDER PROHIBITING YOUR ENTRY INTO OR EXIT FROM ANY COUNTRY, BEEN ISSUED BY A
COURT OF LAW OR TRIBUNAL OR ANY GOVERNMENTAL AUTHORITY?
IF YES, PLEASE PROVIDE THE DETAILS

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SIGNATURE OF THE APPLICANT

HAVE YOU AT ANY TIME BEEN SUBJECT TO, OR ARE BEING SUBJECT TO ANY INVESTIGATIONS BY YES ❑ NO R
ANY FINANCIAL MARKET REGULATOR SUCH AS SECURITIES AND EXCHANGE BOARD OF INDIA?
IF YES, PLEASE PROVIDE THE DETAILS
ARE YOU AWARE OF YOU BEING SUBJECT OF ANY INVESTIGATION BY ANY GOVERNMENTAL YES ❑ NO R
AUTHORITY?
IF YES, PLEASE PROVIDE THE DETAILS
ARE THERE ANY CRIMINAL PROCEEDINGS PENDING AGAINST YOU BEFORE ANY COURT OF LAW OR YES ❑ NO R
TRIBUNAL OR GOVERNMENTAL AUTHORTY?
IF YES, PLEASE PROVIDE THE DETAILS
ARE YOU CURRENTLY ENGAGED WITH INFOSYS LIMITED THROUGH A STAFFING AGENCY? YES ❑ NO R
ARE YOU SUBJECT TO ANY SANCTIONS LAWS*? YES ❑ NO R
[*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 ANY COUNTRY INCLUDING BUT NOT LIMITED TO THE
UNITED NATIONS OR
AUSTRALIA, THE UNITED KINGDOM, EUROPEAN UNION AND THE UNITED STATES OF AMERICA ]
IF YES, PLEASE PROVIDE THE DETAILS
PLEASE CONFIRM WHETHER YOU POSSESS, AND CAN PRODUCE TO INFOSYS LIMITED WHEN YES R NO ❑
REQUESTED: BANK STATEMENT(S), TO EVIDENCE PAYMENT OF SALARY MADE TO YOU BY YOUR
CURRENT AND PREVIOUS EMPLOYER(S).
IF NO,PLEASE SET OUT THE REASON BELOW:
PLEASE CONFIRM WHETHER YOU POSSESS, AND CAN PRODUCE TO INFOSYS LIMTED WHEN YES R NO ❑
REQUESTED: FORM 16/INCOME TAX RETURNS FILED, AS ISSUED UNDER THE INCOME TAX ACT, 1961
OR ANY OTHER APPLICABLE LAW, TO REFLECT INCOME TAX DEDUCTIONS BY YOUR CURRENT AND
PREVIOUS EMPLOYER(S) ON YOUR SALARY.
IF NO,PLEASE SET OUT THE REASON BELOW:
PLEASE CONFIRM WHETHER YOU POSSESS, AND CAN PRODUCE TO INFOSYS LIMITED WHEN YES R NO ❑
REQUESTED: STATEMENT OF YOUR PROVIDENT FUND ACCOUNT WHICH EVIDENCES
CONTRIBUTION(S) MADE BY YOUR CURRENT AND PREVIOUS EMPLOYER(S).
IF NO,PLEASE SET OUT THE REASON BELOW:
HAVE YOU EVER BEEN SUBJECT TO A DISCIPLINARY PROCEEDINGS OR DISCIPLINARY ACTION YES ❑ NO R
(INCLUDING ANY WARNING, TRANSFER, DEMOTION, TERMINATION, ETC.) IN YOUR CURRENT OR
PREVIOUS EMPLOYMENT(S) FOR VIOLATION OF EMPLOYER’S POLICIES OR BREACH OF
EMPLOYMENT CONTRACT (INCLUDING BREACH OF CONFIDENTIALITY OBLIGATIONS)?
IF YES,PLEASE SPECIFY THE REASONS FOR THE DISCIPLINARY PROCEEDINGS, AND THE
NATURE OF THE DISCIPLINARY ACTION TAKEN
HAVE YOU RECEIVED A COMMUNICATION FROM YOUR CURRENT OR PREVIOUS EMPLOYER FOR YES ❑ NO R
VIOLATION OF EMPLOYER’S POLICIES OR BREACH OF EMPLOYMENT CONTRACT (INCLUDING
BREACH OF CONFIDENTIALITY OBLIGATIONS)?

HAVE YOU IN YOUR CURRENT OR PREVIOUS EMPLOYMENT COMMITTED AN ACT THAT VIOLATES YES ❑ NO R
THE EMPLOYER’S POLICIES OR BREACH YOUR EMPLOYMENT CONTRACT (INCLUDING BREACH OF
CONFIDENTIALITY OBLIGATIONS)?

DECLARATION

I hereby declare that all of the information provided by me in this application (or any other accompanying documents) is true
and complete to the best of my knowledge.
 I authorize Infosys Limited (“Company”) and any third-party appointed by the Company to verify the facts of all statements
made in this application and my supporting documents, in any manner it deems fit. This includes the Company or such third-
party appointed by it, at its discretion and at any time, conducting background checks prior to my expected joining date or
during my employment, to validate my identity, address, education details, prior work experience, and to conduct any
criminal checks. I acknowledge and provide consent to the Company and such third-party appointed by it, to seek information
from the entities who can verify the antecedents pertaining to my educational qualifications, employment, or any criminal
record check.

I hereby declare that my primary graduate educational degree and my post-graduate educational degree which are relevant to
the role offered to me is secured under a regular full-time program and not through any distance learning and/or part time
program. I further acknowledge that all my educational degrees are secured from educational institutions approved by
University Grants Commission (UGC)/ All India Council for Technical Education (AICTE)/ Association of Indian
Universities or such of its successors.

I certify that the percentage or cumulative grade point average or grade point average represent my academic performance
for all the subjects for which I have been assessed (including electives, additional subjects, languages, practical
assessments)during my obtaining the required educational qualification.

When a background check raises any concerns regarding any of the details furnished by me and the Company feels the need
to validate such facts, I agree to provide to the Company, upon request, any further information and/or documents to validate
the facts to the complete satisfaction of the Company.

I understand and acknowledge that in the event any of the information and/or supporting documents furnished by me is found
to be incorrect, regardless of when it is discovered, my employment (if I am selected) shall be terminated with immediate
effect without notice or payment-in-lieu of notice .

By submitting this application, I acknowledge that I have read, understood, and agreed to all the terms and conditions of this
Declaration.

Date : ........................... Place : .......................... Signature: .............................

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SIGNATURE OF THE APPLICANT