Lateral India Application Form Sushil

8/10/2019 Lateral India Application Form Sushil

1/7

Please affixyour latestPassport

PhotographHere

Interview Location

Candidate id

10133535

INFOSYS LIMITEDElectronics City, Hosur Road, Bangalore - 560 100, India.

Tel.: (080) 28520261. Fax: (080) 28520362.

APPLICATION FOR EMPLOYMENT

PERSONAL DETAILS

NAME IN FULL Sushil Kumar

(in block letters)(As it appears onpassport / legal document)

FIRST MIDDLE LAST

ADDRESS FOR COMMUNICATION

2nd floor,Karthi Residency,No-21,3rd Main,10th Cross Primary Contact No : 91 81471 21360

Rupena Agarahara Alternate Contact No:

E-mail: [email protected]

City : Bangalore PIN / POSTAL CODE: 560068 CITIZENSHIP(S) :

By Birth

State: Karnataka Country: India DO YOU HAVE A PASSPORT? :

NO

DATE OF BIRTH :(dd/mm/yyyy)

GENDER:

13.12.1987 Male

LANGUAGES

Foreign Languages Known(Please highlight foreign languages only)

Read Write Speak Understand

No information about languages available

HRD/REC/F/013VER 8.1 Page 1 of 5

SIGNATURE OF THE APPLICANT


2/7

EDUCATION

EDUCATION TYPE X STD XII STD/ DIP./EQUIV.

GRADUATION POSTGRADUATION

OTHERS

Degree Secondary SchoolLeaving Cert.

Others Bachelor Of Information Tech

Master Of Comp.Applications

Country India India India India

State Jharkhand Jharkhand Jharkhand Madhya Pradesh

Board / University J A C (Ranchi) J A C (Ranchi) Sikkim Manipal Univof Hlt,Mdl & Tech Sc

Rajiv GandhiTechnical

University,Bhopal

Name of the Institution Vivek Vidayalaya Sir J J GandhiMemorial College

GIIT(JAMSHEDPUR)

Oriental Institute of Science andTechnology

Stream / Specialization General PCM InformationTechnology

ComputerApplications

Start (mm/yyyy) 01 / 2004 05 / 2004 08 / 2007 08 / 2010

Completed (mm/yyyy) 05 / 2004 05 / 2006 06 / 2010 05 / 2013

Simple average percentage / CGPA

62.00 56.20 70.71 76.98

Full time / Part time / Correspondence

Full Time Part Time Correspondence Full Time

Notice period : 030 days

DURATION(in months)

TOFROM

EXPERIENCE/ RELIEVING

LETTERAVAILABLE

(Y/N)

REASON FORSEPARATION

DESIGNATIONPERIOD (MM/YYYY)ORGANIZATION*

WORK EXPERIENCE

LETIVO SOFT SYSTEMS PVT LTD 01/2013 24 Selenium AutomationEngineer

Yes

Are you under any legal obligation to your current employer? : NO

IF YES, Please Specify: ........................................................................................................................................................................

* Please do specify "Payroll Organization" if you are working on a contractual basis

Please be informed that work experience provided by you will be validated through Background check

GAPS IN EDUCATION AND EMPLOYMENTFrom (mm/yyyy) To (mm/yyyy) Reason for Gap

05/2006 08/2007 Preparation Of Aieee

COMPENSATION AND BENEFITS

ANNUAL CURRENT NEXT REVISION EXPECTEDDATE: 12.03.2014

YOUR EXPECTATION ATINFOSYS

Fixed Salary 139440.00

Variable Pay 76560




3/7

ANNUAL CURRENT NEXT REVISION EXPECTEDDATE: 12.03.2014

YOUR EXPECTATION ATINFOSYS

Other Benefits

ANNUAL GROSSCOMPENSATION

216000.00 216000.00 380000.00

REFERENCES

LIST PROFESSIONAL REFERENCES (PREVIOUS / CURRENT REPORTING MANAGER OR CLIENT AND NOT RELATED)NAME DESIGNATION AND COMPANY EMAIL AND CONTACT NUMBER

MISCELLANEOUS

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS or INFOSYS GROUP COMPANIES (like INFOSYS BPO,ETC.) PREVIOUSLY? :NO

IF YES , HAVE YOU INFOSYS OTHER GROUP COMPANIES

RELEVANT DATES RELEVANT DATES

- TAKEN ANY TEST? NO NA NO NA

- SELECTED FORINTERVIEW?

NO NA NO NA

- MADE AN OFFER? NO NA NO NA

- JOINED & QUIT? NO NA NO NA

ARE YOU EMPLOYED AS: 1. A DIRECTOR / PARTNER IN ANY OTHER COMPANY? : NO

IF YES, PLEASE PROVIDE DETAILS : NA

ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES : NO

IF YES, INFOSYS BPO OTHERS Please specify NA

Have you at any time been convicted by a court of India for any criminal offence and sentenced : NOto imprisonment, or any criminal proceedings are pending against you before a court in India,or has an order prohibiting your departure from India, been issued by a court,

If yes, please give details of the same : NA




4/7

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

I authorize Infosys to conduct investigation to verify facts of all statements made in this application and my supporting documents. I authorizeInfosys to secure information about my experience from former employers, educational institutions, government establishments/agencies or anyreferences I have provided, and for those parties to provide information concerning my qualifications for employment and I hereby release allparties from any liability arising from such investigation.

I certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives, optional subjects, additionalsubjects, practicals and languages.

I understand that if I am employed with the company, any false statement, misrepresentation, or omission of facts on this application or on anysupporting documents, regardless of when discovered if found to be false, may result in my immediate dismissal. The company will have the rightto 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 informationon the application form is true and correct. 030

DECLARATION

FOR OFFICE USE ONLY

Date of Test : ............................... Score: ................. Ref. No. : ............................. Date of Interview : ...........................................

Result : Selected Hold Rejected (Please )

Role : ............................................................................. Job/Personal Level : ............................................................................

Likely Joining Date : ..................................................... (MM/YYYY)

Location Preference : 1. ......................................................... 2. ........................................................ 3. ....................................................

INFOSYS ANCHOR:

Name : ........................................................................................................ Employee No. : ..............................................................

Role : .......................................................................................................... Signature : ......................................................................

Reason for Selection / Hold / Rejection : ......................................................................................................................................................................

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................




5/7

FOR OFFICE USE ONLY

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................

......................................................................................................................................................................................................................................




6/7

Scholastic Averages Sheet

FULL NAME Sushil Kumar

CANDIDATE ID 10133535

X/SSLC/Junior/Equivalent

Board / University J A C (Ranchi)

Total Marks Obtained for allsubjects (Including languages and

optional subjects)

Maximum Marks for all subjects(Including languages and optional

subjects)

Total 310.00 500.00

Simple Average % for all subjects (Including languages and optionalsubjects)

62.00

XII/SSC/High/Equivalent

Board / University J A C (Ranchi)


optional subjects)


subjects)

Total 281.00 500.00


56.20

Graduation/Bachelor/Equivalent

Board / University Sikkim Manipal Univ of Hlt,Mdl & Tech Sc


optional subjects)


subjects)

Semester 1 / Year 1 534.00 800.00

Semester 2 / Year 2 400.00 800.00

Semester 3 / Year 3 573.00 800.00

Semester 4 / Year 4 581.00 800.00

Semester 5 / Year 5 666.00 800.00

Semester 6 / Year 6 640.00 800.00

Total 3,394.00 4,800.00


70.71


7/7

Post Grad/Master/Equivalent

Board / University Rajiv Gandhi Technical University,Bhopal


optional subjects)


subjects)Semester 1 / Year 1 7.13 10.00

Semester 2 / Year 2 7.53 10.00





Total 46.19 60.00


76.98

SIGNATURE (In case of Hard Copy Submission):

2011 Infosys Technologies Limited. All rights reserved. Copyright in the whole and any part of this document belongs to Infosys Technologies Limited.

This work may not be used, sold, transferred, adapted, abridged, copied or reproduced in whole or in part, in any manner or form, or in any media, without the prior written

consent of Infosys Technologies Limited.

Lateral India Application Form Sushil

Documents

Transcript of Lateral India Application Form Sushil