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    Contractor SmartForm Version 4

    Uploaded by

    ansh
    Contractor form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Contractor SmartForm Version 4

    Uploaded by

    ansh
    20 views5 pages
    Contractor form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

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    Contractor form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views5 pages

    Contractor SmartForm Version 4

    Uploaded by

    ansh
    Contractor form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    BANGALORE

    LOCATION: ________________________

    Request for ID Card Reset Form


    Details to be furnished by the Employee in BLOCK LETTER ONLY

    Vishant Kohli
    Name of the Employee : ----------------------------------------------------------------------------
    CONTRACTOR
    Employee Type : ---------------------------------------------------------------------------

    Employee’s Portal ID Number: ---------------------------------------------------------------------------

    Employee’s Synergy ID : ----------------------------------------------------------------------------

    O+
    Blood Group : ----------------------------------------------------------------------------
    9663911868 SPOUSE
    Emergency Contact No : ---------------------------------------------------------------------------

    Date of Joining : -----------------------------------------------------------------------------

    Click Blank Space To Upload Image


    Glossy Passport Size Photo With
    White Background Only Employees Signature

    NO POLAROID PHOTOS PLEASE Signature NOT TO TOUCH THE BOXLINE

    NTT DATA Global Delivery Services Private Limited, Confidential


    Contract Employee Personal Details

    PASTE YOUR
    PHOTO

    Personal Information: Click Blank Space To Upload Image

    Name Date of Birth Date of Joining

    Vishant Kohli 10/13/1976

    Present Address Permanent Address

    Flat no 503/E, Silver Crown Apartments, Haralur Flat no 503/E, Silver Crown Apartments, Haralur
    Main road, Kudlu, HSR Extension, Bangalore, Main road, Kudlu, HSR Extension, Bangalore,
    Karnataka. Pin: 560102 Karnataka. Pin: 560102

    Residence No. Mobile No. 8105868888


    Email Id: [email protected]

    Marital Status Passport Details

    Married Single Self Spouse


    If Married Name Date of Birth Passport No Passport No
    Spouse Anshu Goyal 08/19/1982
    S3015276
    Children Ayra Kohli 03/13/2013
    Valid upto Valid upto

    05/10/2028
    Date of Marriage 02/12/2007

    PAN Card Number AMSPK7365K

    Emergency Contact Details

    Name : Anshu Goyal Blood Group: Name for mail ID:


    Address: [email protected]
    Flat no 503/E, Silver Crown
    Apartments, Haralur Main road,
    Kudlu, HSR Extension, Bangalore, A+
    Karnataka. Pin: 560102
    Contact No: 9663911868

    NTT DATA Global Delivery Services Private Limited, Confidential


    Family Particulars

    Relationship Name of Family Member DOB Age Occupation

    Father Mr. Ramesh Kohli Deceased


    Mother Mrs. Kamal Kohli Deceased
    Spouse
    Sons /
    Daughters

    Academic and Professional Qualifications

    Degree / Marks /
    S.No Institution From To
    Qualification Position

    1 10th CBSE 05/28/1994 Pass


    2 12th PSEB 06/03/1996 245/400
    3 Bcom Lyallpur Khalsa College 04/01/1999 1190/1950
    4 PGD - Computer Applications
    Kurukshetra University 05/01/2001 338/600
    5 MS - Computer Science
    Maharishi Dayanad Universsity 01/01/2005 First Division

    Employment Details

    F. Previous Employment History (In reverse chronological order-latest employment first)

    1.Company Name : Chimera Technologies Pvt Ltd


    Date of Date of
    Period of Employment 06/01/2016 06/26/2019
    Joining: Relieving:
    Organization:

    Address: PN Plaza, 1090/B, 18th Cross Rd, 3rd Sector, HSR Layout, Bengaluru, Karnataka 560102

    Telephone / Fax No: 080 2552 0178 Last Salary (CTC): 18.2 lacs

    Position Held: Delivery Lead Reporting To: Rakesh Nair


    Nature of
    Responsibility: Delivery Lead
    Reasons for Leaving: Personal

    NTT DATA Global Delivery Services Private Limited, Confidential


    2. Company Name : Chimera Technologies Pvt Ltd
    Date of Date of
    Period of Employment 08/11/2014 04/15/2016
    Joining: Relieving:
    Organization:

    Address: PN Plaza, 1090/B, 18th Cross Rd, 3rd Sector, HSR Layout, Bengaluru, Karnataka 560102

    Telephone / Fax No: 080 2552 0178 Last Salary (CTC):

    Position Held: Technical Lead Reporting To:


    Nature of
    Responsibility: Technical Lead
    Reasons for Leaving: Personal

    3. Company Name : Arctern Consulting Pvt Ltd


    Date of Date of
    Period of Employment 08/29/2008 02/06/2014
    Joining: Relieving:
    Organization:

    Address: 60, 100 Feet Rd, 4th Block, S.T. Bed, 5th Block, Koramangala, Bengaluru, Karnataka 560095

    Telephone / Fax No: 080 41110513 Last Salary (CTC): 12,31,615

    Position Held: Sr Technical Lead Reporting To: Mr. Bala


    Nature of
    Responsibility: Sr System Analyst / Manager
    Reasons for Leaving: Company/Project Closer

    4. Company Name : Drish Infotech Limited


    Date of Date of
    Period of Employment 11/01/2005 08/27/2008
    Joining: Relieving:
    Organization:

    Address:
    SCO 104-106, FOURTH FLOOR, SECTOR 34 A, Chandigarh,
    160034
    Telephone / Fax No: 0172 266 5653 Last Salary (CTC): 3,95,780

    Position Held: Sr. Programmer Analyst Reporting To: Mr. Harshvir Singh
    Nature of
    Responsibility: Sr. Programmer Analyst
    Reasons for Leaving: Career Growth

    NTT DATA Global Delivery Services Private Limited, Confidential


    UPLOAD ID CARD (PAN/AADHAR /PASSPORT)

    NTT DATA Global Delivery Services Private Limited, Confidential

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