Global Technology Centre, India (GTCI)

88(P), II Floor, 'Sahasra Shree', EPIP Industrial Area,

Whitefield Road, Bangalore - 560066

Employment Application
Form

CONFIDENTIAL

Please note that Schneider Electric respects the confidentiality of personal data.
All information is for Company’s use only. We will keep your data strictly
confidential & not disclose it outside the company. Affix your photo here

Date of Joining Schneider Designation Department

1. PERSONAL DETAILS

First Name Middle Name Surname

Kaushik Vatsa
Date of Birth(DD/MM/YYYY) Place of Birth(City/Town)
25/03/1979 Darbhanga
Nationality Gender Blood Group
Indian Male
National ID (PAN No., Voter ID., PF No.) Email Address
AEHPV6952M Kvjobs2009@gmail.com
Present Address Permanent Address

House no 433 ,Teacher’s Colony ,Kormangala House no 433 ,Teacher’s Colony ,Kormangala
Pin code 560034 Pin code 560034
Telephone Telephone
Do you have a valid passport? Yes/No:yes
Number Place of issue Date of Issue Date of Expiry

Foreign languages known

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2. FAMILY BACKGROUND

Marital Status Date of Marriage No. of Children

Married 12/12/2008 NA
Name Relationship Occupation
Spouse Hritu Shree Wife Service

Parents

Children/
Brother & Sisters

3. EDUCATIONAL QUALIFICATION
I. SECONDARY EDUCATION (X & XXII OR EQUIVALENT)

Dates Grades/
Name of School/College Board Examinations Principal Subjects
(From – To) Percentage
Kendriya Vidyala
Koylanagar CBSE 94 Science 83

Kendriya Vidyalaya Meru CBSE 96 Science 75

VTU 2002-2006 70

Scholarship, Sponsorship, Prizes

II. UNIVERSITY (GRADUATION)

College/University M.S.Ramiah .Institute .I.T

Type of degree/Qualification B,E.
Specialization Electronics And Communication
Full time/Part time/Distance Education Full time
Scholarship, Sponsorship, Prizes

Dates(From - To) Principal Subjects Grade/Percentage

1st Year 02-03 EC 70

2nd Year 03-04 EC

3rd Year 04-05 EC

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4th Year 05-06 EC

III. FURTHER EDUCATION (POST GRADUATION)

College/University

Type of degree/Qualification

Specialization

Full time/Part time/Distance Education

Scholarship, Sponsorship, Prizes

Dates(From - To) Principal Subjects Grade/Percentage

1st Year

2nd Year

3rd Year

IV. OTHER QUALIFICATIONS

Please provide details of Diploma, certificates and other professional training.

Dates Type of degree/ Grade/ Certified

Institute Principal Subjects
(From - To) diploma Percentage (Y/N)

Full time/Part time/Distance Education

4. TRAINING PROGRAMS ATTENDED

Conducted By/Institute Name of the training/Topic Dates(From - To)

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5. WORK EXPERIENCE
Please give details of your employment including vacation work & industrial training. Please follow a chronological
sequence. Start with the most recent employment.

Total compensation Reporting to

Dates
Organization Designation Nature of duties & reasons for (Name &
(From To)
leaving Designation)

Core Objects Pvt

Mar ,09- Till India Limited Principal Product Tech Lead Shiv Shankar
date Engineer 12 lacs (Manager)

Lead and senior

April 08- Sapient developer
Mar 09 Senior Associate 11 lacs Prakash Kini

Oct 03 – HP Software Developer

Mar 08 Engineer 6 lacs

April 03 – KCSL
oct 03

Current Compensation / Salary details: Please give details with the break up as applicable

Components Annual Monthly

BASIC 19660
HRA 7864
CCA
CONVEYANCE 800
FLEXIBLE PAY
SPECIAL ALLOWANCE 44658
MEDICAL REIMBURSEMENT 1250
LTA
PF
INCENTIVES 1625
BONUS ( if any)
Any other - please specify
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TOTAL CTC 11.5 lacs 76057

Any outstanding loans

6. COMPUTER SKILLS
Please list your knowledge skills. Indicate degree of proficiency (P) on a scale of 1(low) to 4(high) in the column
provided.
Language P Operating Systems P Applications/Packages P Hardware P

7. ACTIVITIES & INTEREST

Please give a brief details of your major social, leisure & sporting activities and achievements, including positions of
responsibility held, if any.

8. CAREER AT SCHNEIDER
Your contact with Schneider Electric India.pvt.ltd
Website Advertisement
Employee & Other ref Consultants
Recruiter from GTCI Others(Pl. Specify)

Have you previously applied to Schneider (Yes/No)

If yes, what was the outcome of that application
Are you willing to travel/relocate as may be
required by the organization ( Yes/ No)

What would you consider as your major

achievements, strengths & areas of improvement

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Do you know any current employee at Schneider?

If yes, please provide their names with their
respective functions & designation

What expectations do you have from Schneider?

Do you have any bond in the current company?

Are you pursuing any other Education/Course (Part

time/Diploma)?

9. REFERENCES

Please provide two professional references of the recent past that are familiar with your work or worked with you.
Name Hemant Kanchan
Designation SA

Mailing Address

Telephone No.
Email Address

10. DECLARATION

(Please read the following carefully)

I certify that the information on this application is true, complete and correct. I authorize Schneider Electric –
GTCI to investigate my past employment, education and relevant activities. I understand that false answers,
statements, or significant omissions made by me on this form shall be sufficient cause for denial of employment or
discharge at any time. I agree to conform to the rules, regulations, and procedures of the company which I
acknowledge are subject to change. It is also my understanding that this employment application, or the granting
of an oral interview, does not represent a contract of employment or a promise of future benefits by Schneider
Electric GTCI.

NAME (IN BLOCK LETTERS) :

Signature :

Date :

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Place :