A
FOR OFFICE
USE ONLY
FOR OFFICE USE ONLY
Candidate ID :
Please affix your
Passport Size
Photograph here.
Status :...
TC / Unit : ......................
Role : ...
INFOSYS LIMITED
Electronics City, Hosur Road, Bangalore - 560 100, India.
Tel.: (080) 28520261-270. Fax: (080) 28520362.
APPLICATION FOR FRESHERS
NAME OF THE COLLEGE : .............................................................................................................. CITY : ........................................................................
PERSONAL DETAILS
NAME IN FULL
(in Block letters)
.................................................................
(First Name)
.................................................................
(Middle Name)
..................................................................
(Surname)
DATE OF BIRTH (dd / mmm / yyyy) :
ADDRESS FOR COMMUNICATION :
................................................................................................................
..............................................................................................................
...............................................................................................................
City : ........................................... State :.......................................
GENDER ( Please Tick )
Male
Female
CITIZENSHIP : .
Country :....................................Pincode :....
Preferred Contact Number : ...................................................................
Alternate Contact Number :.....................................................................
X STD
EDUCATION LEVEL
DO YOU HAVE A PASSPORT? Yes
No
E-mail : ......................................................................................................
XII STD /
EQUIV.
GRADUATION
POST
GRADUATION
DIPLOMA /
OTHERS
Name of the Qualification Awarded
EDUCATION
Name of the Board / University
Name of the School / College
State
Branch / Stream / Area of Specialization
Simple Average Percentage / CGPA / Grade*
Month and Year of Passing
* ALL PERCENTAGES / CGPA SHOULD BE SIMPLE AVERAGE FOR ALL YOUR SUBJECTS / SEMESTERS / YEARS, INCLUDING ELECTIVES, OPTIONAL SUBJECTS, ADDITIONAL SUBJECTS,
PRACTICAL SUBJECTS AND LANGUAGES.
ANY ACTIVE BACKLOGS ?
Yes
GAPS IN EDUCATION (IF ANY): ............. Years.
VER 1C
Number of active backlogs: .................................
No
Reason:..................................................................................................................................
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HRD/REC/F/013
WORK EXPERIENCE
PLEASE WRITE NA IF NOT APPLICABLE.
Specify clearly in case of part time / contract work experience.
Notice period required....................................... (in weeks)
PERIOD (MMM / YYYY)
ORGANIZATION
DESIGNATION
FROM
TO
DURATION
GROSS
SALARY
LEGAL OBLIGATIONS, IF
ANY (Y / N)
REASON FOR
SEPARATION
HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS OR INFOSYS GROUP
YES
NO
COMPANIES (LIKE INFOSYS BPO, ETC.) PREVIOUSLY ?
IF YES, HAVE YOU
OTHER INFOSYS GROUP COMPANIES
INFOSYS
MISCELLANEOUS
RELEVANT DATES
- TAKEN ANY TEST ?
NO
YES
- BEEN SELECTED FOR INTERVIEW ?
NO
YES
- BEEN MADE AN OFFER ?
NO
YES
- JOINED ?
NO
YES
RELEVANT DATES
NO
YES
NO
YES
.........................
NO
YES
NO
YES
YES
NO
YES
NO
.........................
.........................
ARE YOU EMPLOYED AS : 1. A DIRECTOR IN ANY OTHER COMPANY ?
2. A PARTNER IN ANY FIRM ?
...........................
...........................
...........................
IF YES, PLEASE PROVIDE DETAILS.........................................................................................................................................................
ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES?
IF YES, INFOSYS BPO
OTHERS
YES
NO
Please Specify: ..................................................................................................................
Have you at any time been convicted by a court of India for any criminal offence and sentenced to
imprisonment, or are any criminal proceedings pending against you before a court in India, or has an
order prohibiting your departure from India, been issued by a court ?
YES
NO
If yes, please give details of the same....................................................................................................................................................................
DECLARATION
.............................................................................................................................................................................................................................
I certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives, optional subjects,
additional subjects, practicals and languages.
I authorize investigation 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 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 understand that if I am employed, any false statement, misrepresentation, or omission of facts on this application or on any supporting
documents, regardless of when discovered 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, understood, and agree to the foregoing and to the best of my knowledge and belief, the
information on the application form is true and correct.
Date : ......................................
Place : .................................................
FOR OFFICE
USE ONLY
Date of Test / Interview :..............................................
Result :
Selected
Hold
Rejected
Signature: ..............................................................
Date of Interview (if differ from Date of Test) :..............................................
(Please Tick )
Name : ........................................................................... Emp. No. : ............................ Signature : ...............................................................
VER 1C
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HRD/REC/F/013
