TCS EMPLOYMENT APPLICATION FORM

BASIC DETAILS
Reference # DT20223425365
Source Type DIRECT APPLICANT
Source Name YEP

PERSONAL DETAILS
College/Institute Gauhati University
Name Ms. Nasrin Sultana
Mother's Name Ms.Jahanara Begum
Father's Name Mr.Asan Ali
Date Of Birth 06/08/2000
Nationality India
Gender Female
SSC Roll Number

CONTACT DETAILS
PERMANENT ADDRESS
House No./Apartment Name/Block No H/No-167
Road/Street/Lane Kathakuthi Pt I
Area/Landmark Dhupdhara
City Goalpara
State Assam
PIN Code 783123
Country India

PRESENT ADDRESS
House No./Apartment Name/Block No H/No-167
Road/Street/Lane Kathakuthi Pt I
Area/Landmark Dhupdhara
City Goalpara
State Assam
PIN Code 783123
Country India
ACADEMIC DETAILS:
Degree Course Duration Duration Course University/Institute Board Of Specialization CGPA/Marks Total Percentage
Name From To Type Education Obtained Marks/CGPA
Graduate Bachelor 14/06/2018 07/12/2021 Full Time Gauhati University Education 1116.0 1700.0 65.65
Of Arts
XII 01/04/2017 31/05/2018 Full Time Bikali College State Board Arts 279.0 500.0 55.8
X 15/01/2015 29/02/2016 Full Time Dhupdhara Girls High State Board 337.0 600.0 56.17
School
Are there any break in studies ? No
Rewards Or Scholarships : 1. Rajiv Gandhi Computer Literacy Programme.
2. Make-Up Artist From Simpu-Tech And Management Institute.
3. 3rd Position In Drawing And Quiz Competition Organised By Geoid Forum, Goalpara In Association With District Disaster
Management Authority, Goalpara 2014.
4. 1st Position In Cooking Bikali College Annual College Week Festival 2019-20.
Academic Projects Undertaken: No
Have you done any other course ? Yes, Advance Diploma In Computer Application,
Iti Cosmetology
Do you have any pending backlogs No
currently ?
Declaration
1. You have taken all subject marks into consideration for calculating the obtained/Total Marks/CGPA in each
of the above mentioned academic qualifications :
Yes
2. The "Marks/CGPA Obtained" entered by you for each of the above mentioned academic qualifications has
been secured in the first attempt :
Yes
3. You have considered only the Marks/CGPA obtained during the normal duration of the course for calculating
Obtained/Total Marks/CGPA :
Yes
4. You have completed each of the above mentioned academic courses in the stipulated time as specified by
your University/Institute and as per TCSL selection guidelines and do not have any extended education:
Yes
5. You have declared break in studies/work experience and pending backlogs,if any, during your academics:
No
6. You have not attended the TCSL Selection Process in the last 6 months:
No
7. You have read the TCSL eligibility criteria and understand that your candidature/application/offer/ on
boarding is subject to fulfillment of the specified criteria :
Yes
I Ms. Nasrin Sultana solemnly declare that the information in this form is truly stated and correct and I am competent to
furnish as well as verify it with adequate details whenever requested for by TCSL.
CONTACT DETAILS
E-mail ID [email protected]
Mobile Number 91 - 6001029289
Alternate E-Mail ID
Alternate Contact Number

WORK EXPERIENCE DETAILS:

Employee Name Of Address Employme Duration Duration Designatio Nature Of Annual

CD202105 Nasrin Sultana Kathakuthi Part Time 01/02/2021 15/02/2022 Computer Part Time 96000.00
P Pt I, Operator Operator
Dhupdhara,
Goalpara,
Assam
783123

LANGUAGE DETAILS:

Language Mother Tongue Read Speak Write

English No Yes Yes Yes

Hindi No Yes Yes Yes

Assamese Yes Yes Yes Yes

KUHPS5985K

Aadhar Number Aadhar Name

8166-2906-2114 NASRIN SULTANA

TCS RELATED DETAILS:

Have you appeared for TCS Test / Interviews earlier? No

REFERENCES

Reference 1

Name: Vidyut Parna

Designation: Tcs Trainer

Contact Number: 7002567146

Email ID: [email protected]

Reference 2

Name: Monoj Gogoi

Designation: Principal Of Bikali College Dhupdhara

Contact Number: 7002777137

Email ID: [email protected]

Security Details

Are you involved in any pending and / or closed Civil / Criminal / case / proceedings / charges / enquiry prior to joining No

TCS.

Are you involved in any pending and / or closed Disciplinary / malpractices and / or any other charges / proceedings / No

enquiry / case pending against me in any University or any other educational authority / institution prior to joining TCS.

''If the answer to any of the above mentioned question is YES give full particulars of the case / arrest /detention / fine
/conviction / sentence / punishment etc. and / or the nature of the case pending in the Court / University / Educational
authority etc. at the time of filling this form.''
TCS Terms and Conditions

In connection with my application to render services to Tata Consultancy Services Ltd (the "Company"), I hereby agree as
follows:I certify that the information furnished in this form as well as in all other forms filled-in by me in conjunction with my
traineeship is factually correct and subject to verification by TCS including Reference Check and Background Verification. I
accept that an appointment given to me on this basis can be revoked and/ or terminated without any notice at any time in
future if any information has been found to be false, misleading, deliberately omitted/suppressed. As a condition of
Company's consideration of my application for traineeship with the Company, I hereby give my consent to the Company to
investigate or cause to be investigated through any third parties my personal, educational and pre or post joining history. I
understand that the background investigation will include, but not be limited to, verification of all information given by me to
the Company. I confirm that the Company is entitled to share such investigation report with its clients to the extent necessary
in connection with the Services, which I may be required to provide to such clients. I confirm and undertake that the
Company shall incur no liability or obligation of any nature whatsoever resulting from such investigation or sharing of the
investigation results as above. I certify that I am at present in sound mental and physical condition to undertake employment
with TCS. I also declare that there is no criminal case filed against me or pending against me in any Court of law in India or
abroad and no restrictions are placed on my travelling anywhere in India or abroad for the purpose of business of the
Company.

Your Electronic Signature is:

Name:Ms. Nasrin Sultana

Date:07/11/2022

Place:Dhupdhara

TCS is an equal opportunity employer that aims to integrate global diversity and inclusion at each level within our
organization. Hiring decisions are solely made on the capability of an individual to perform a role. Any personal details like
gender, age and nationality that may be provided by you during the course of application or selection process will be used for
administrative records and all qualified applicants will receive consideration for employment without regard to this
information.