Applicationform Infosys

Interview Location
Jaipur
Candidate Id
1006236335
Please ✓ in the ❑ wherever applicable.

Please answer each column fully and neatly in your own hand-writing.
APPLICATION FOR EMPLOYMENT
PERSONAL DETAILS
NAME IN FULL
(in block letters)
(As it appears on passport / legal document)
RAHUL KUMAR SINGH
FIRST MIDDLE LAST
ADDRESS FOR COMMUNICATION
South-west corner, kachchi talab Mobile No : +91-8210327772
Gardanibagh, Patna-1 Pan Card No : GABPS1447E
E-mail: [email protected]
(Personal E-Mail ID only)
City Patna CITIZENSHIP(S) :
PIN / POSTAL CODE 800001 Indian
State : Bihar DO YOU HAVE A PASSPORT?:
YES: R NO: ❑
Country India
DATE OF BIRTH (as per passport / legal document) :

(dd/mm/yyyy) GENDER:
14/06/1993 MALE R FEMALE ❑ OTHERS ❑
Do not wish to disclose ❑
VER 9.1 1 of 4 HRD/REC/2023
SIGNATURE OF THE APPLICANT

EDUCATION
LEVEL DIPLOMA/EQUIV GRADUATION POST OTHERS
(If applicable) GRADUATION
(If applicable)
Name Of The Qualification Bachelor Of
Awarded Technology
(Integrated)
State Board / University Maharshi
Dayanand
Univ,rohtak
Name of School/College International
Institute of
Technology and
Business
State
Branch/ Stream / Area Of Elec. & Comm.
Specialization Engg
*Percentage / CGPA 62.4 76.8
Year & Month Of Final June 2014
Examination
*ALL PERCENTAGES / CGPA SHOULD BE AS PER THE DEGREE CERTIFICATE OR FINAL YEAR MARKSHEET (Documents
will be checked during interview round.)
GAPS IN EDUCATION (If any) 5 years. Reason: Govt Job Preparation
WORK EXPERIENCE
PLEASE WRITE 'NA' IF NOT APPLICABLE
SPECIFY CLEARLY IN CASE OF PART TIME/CONTACT WORK EXPERIENCE NOTICE PERIOD REQUIRED : 45Days
PERIOD (MM/YYYY)
PAYROLL FROM TO DURATION DESIGNATION REASON FOR EXPERIENC
ORGANIZATION* (in months) SEPARATION E/
RELIEVING
LETTER
AVAILABLE
(Y/N)
Hubnet Foundation 01-08-2019 01-09-2022 37 Network Engineer CCNA Y

CERTIFICATION
GAPS IN EXPERIENCE (If any) 5 years. Reason: Govt Job Preparation
* Please do specify "Payroll Organization" if you are working on a contractual basis
Disclaimer : Please be informed that work experience provided by you will be validated through Background check

COMPENSATION AND BENEFITS
ANNUAL CURRENT NEXT REVISION YOUR EXPECTATION AT
EXPECTED DATE: INFOSYS
16-11-2023
Fixed Salary in Lakhs 1.86
(INR)
Variable Pay in Lakhs 2.30
(INR)
Other Benefits in Lakhs
(INR)
Annual Gross 2.06 2.40 3.00
Compensation in Lakhs
(INR)
MISCELLANEOUS
ANY HISTORY WITH INFOSYS GROUP? YES ❑ NOR
IF YES, HAVE YOU INFOSYS OTHER GROUP COMPANIES

RELEVANT DATES RELEVANT DATES
- TAKEN ANY TEST? YES ❑ NO R ..................... YES ❑ NO R NA

- SELECTED FOR INTERVIEW? YES ❑ NO R ..................... YES ❑ NO R NA
- MADE AN OFFER? YES ❑ NO R ..................... YES ❑ NO R NA
- JOINED & QUIT? YES ❑ NO R ..................... YES ❑ NO R NA

ARE YOU SERVING/ENGAGED AS A DIRECTOR, PARTNER, SOLE PROPRIETOR OR IN ANY OTHER YES ❑ NO R
EQUIVALENT POSITION IN ANY COMPANY, FIRM OR BUSINESS ENTITY?
IF YES, PLEASE PROVIDE THE DETAILS
ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES? YES ❑ NO R
IF YES, INFOSYS BPM ❑ OTHERS ❑
HAS ANY WARRANT FOR YOUR ARREST OR SUMMONS FOR YOUR APPEARANCE BEEN ISSUED OR YES ❑ NO R
AN ORDER PROHIBITING YOUR ENTRY INTO OR EXIT FROM ANY COUNTRY, BEEN ISSUED BY A
COURT OF LAW OR ANY GOVERNMENTAL AUTHORITY?
HAVE YOU AT ANY TIME BEEN SUBJECT TO OR ARE BEING SUBJECT TO ANY INVESTIGATIONS BY YES ❑ NO R
THE FINANCIAL MARKET REGULATOR SUCH AS SECURITIES AND EXCHANGE BOARD OF INDIA?

ARE YOU AWARE OF YOU BEING SUBJECT OF ANY INVESTIGATION BY ANY GOVERNMENTAL YES ❑ NO R
AUTHORITY?
ARE THERE ANY CRIMINAL PROCEEDINGS PENDING AGAINST YOU BEFORE ANY COURT OF LAW IN YES ❑ NO R
INDIA OR OUTSIDE INDIA?
ARE YOU SUBJECT TO ANY *SANCTIONS LAWS? YES ❑ NO R
[*SANCTIONS LAWS MEANS ALL APPLICABLE FINANCIAL, ECONOMIC AND TRADE SANCTIONS
(WHETHER PRIMARY OR SECONDARY), AND EXPORT CONTROL LAWS AND REGULATIONS (OR ANY
SIMILAR RESTRICTIONS) IMPOSED BY THE UNITED NATIONS OR THE GOVERNMENTS OF
AUSTRALIA, THE UNITED KINGDOM, EUROPEAN UNION AND THE UNITED STATES OF AMERICA OR
ANY OTHER COUNTRY]
DECLARATION
I authorize Infosys to conduct investigation to verify facts 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 establishments/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 certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives, optional
subjects, additional subjects, 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 any supporting documents, regardless of when discovered if found 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, understand, and agree to the foregoing and to the best of my knowledge and
belief; the information on the application form is true and correct.
Date : ........................... Place : .......................... Signature: .............................

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Interview Location

Please ✓ in the ❑ wherever applicable.

APPLICATION FOR EMPLOYMENT

RAHUL KUMAR SINGH

FIRST MIDDLE LAST

ADDRESS FOR COMMUNICATION

South-west corner, kachchi talab Mobile No : +91-8210327772

Gardanibagh, Patna-1 Pan Card No : GABPS1447E

(Personal E-Mail ID only)

City Patna CITIZENSHIP(S) :

PIN / POSTAL CODE 800001 Indian

State : Bihar DO YOU HAVE A PASSPORT?:

DATE OF BIRTH (as per passport / legal document) :

14/06/1993 MALE R FEMALE ❑ OTHERS ❑

Do not wish to disclose ❑

VER 9.1 1 of 4 HRD/REC/2023

SIGNATURE OF THE APPLICANT

GAPS IN EDUCATION (If any) 5 years. Reason: Govt Job Preparation

Hubnet Foundation 01-08-2019 01-09-2022 37 Network Engineer CCNA Y

GAPS IN EXPERIENCE (If any) 5 years. Reason: Govt Job Preparation

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

VER 9.1 2 of 4 HRD/REC/2023

SIGNATURE OF THE APPLICANT

IF YES, HAVE YOU INFOSYS OTHER GROUP COMPANIES

- TAKEN ANY TEST? YES ❑ NO R ..................... YES ❑ NO R NA

- JOINED & QUIT? YES ❑ NO R ..................... YES ❑ NO R NA

VER 9.1 3 of 4 HRD/REC/2023

SIGNATURE OF THE APPLICANT

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

VER 9.1 4 of 4 HRD/REC/2023

SIGNATURE OF THE APPLICANT

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