FOR OFFICE
USE ONLY
Please affix
Status : ..............................
INFOSYS LIMITED
TC / Unit : ..........................
Photograph here.
Role : .................................
ANUJ
...........................................................
.............................................................
PERSONAL DETAILS
(First Name)
PANDEY
...........................................................
(Middle Name)
(Surname)
15/2207
behind siddhu dairy allahabad road rewa,m.p
...........................................................................................................
15/06/1994
__
___ _______
...........................................................................................................
...........................................................................................................
City : Rewa
......................................
State :
Country : .................................
India
Madhya
Pradesh
..................................
X STD
Secondary School
Leaving Cert.
Male
Female
CITIZENSHIP : ...................................................................................
Indian
DO YOU HAVE A PASSPORT?
E-mail :
Yes
No
anuj.civil.mits@gmail.com
.............................................................................................
XII STD /
EQUIV.
Pre-University
Course
GRADUATION
POST
GRADUATION
DIPLOMA /
OTHERS
Bachelor of Engineering
Board of secondary
Board of secondary
education,m.p,bhopal education,m.p,
Bhopal
maharishi vidya
mandir
Maharishi vidya
mandir
Madhav Institute of
Technology and
Sciences
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
General
Mathematics
Civil Engineering
EDUCATION
State
74.8
69.8
72.6
03 / 2009
03 / 2011
05 / 2015
* 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
NA Years.
GAPS IN EDUCATION (IF ANY): ........
VER 1C
NA
Number of active backlogs: .....................................
NO
......................................................................................................................................
Reason: NA
1 of 2
HRD/REC/F/013
WORK EXPERIENCE
PERIOD( MM / YYYY )
GROSS
SALARY
DESIGNATION
ORGANIZATION
FROM
TO
DURATION
HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS OR INFOSYS GROUP
COMPANIES (LIKE INFOSYS BPO, ETC.) PREVIOUSLY ?
IF YES, HAVE YOU
INFOSYS
REASON FOR
SEPARATION
YES
NO
LEGAL
OBLIGATIONS.
IF ANY ( Y / N )
RELEVANT DATES
YES
NA
YES
NA
................................. NO
YES
NA
YES
NA
NO
.................................
YES
NA
YES
NA
YES
NA
NA
YES
................................. NO
NO
NO
.................................
NO
................................. NO
YES
NO
YES
NO
.................................
.................................
.......................................................................................................................................................................
IF YES, PLEASE PROVIDE DETAILS NA
ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES ?
IF YES, INFOSYS BPO
OTHERS
YES
NO
NA
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
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.
FOR OFFICE
USE ONLY
Date : ......................................
Place : .................................................
Signature: ...............................................................
Date of Test / Interview :.............................................. Date of Interview (if differ from Date of Test) :..............................................
Result :
Selected
Hold
Rejected
(Please '' )
VER 1C
2 of 2
HRD/REC/F/013