Interview Location

Please

Affix

Your Latest
Passport
Photograph
Here

...............................................
Candidate Id

INFOSYS LIMITED

...............................................

Please in the

Electronics City, Hosur Road, Bangalore - 560 100, India.

Tel.: (080) 28520261-270. Fax: (080) 28520362.

wherever applicable.

Please answer each column fully and neatly in your own handwriting.

APPLICATION FOR EMPLOYMENT

NAME IN FULL

(in block letters) ................................................................................................................................................................................
(As
it appears on

FIRST
MIDDLE
LAST
passport / legal document)
ADDRESS FOR COMMUNICATION

PERSONAL DETAILS

...................................................................................................

Mobile No. ...............................................................................

...................................................................................................
E-mail. ......................................................................................

...................................................................................................

(Personal E-Mail ID only)

...................................................................................................

CITIZENSHIP(S)

City. ................................ PIN / POSTAL CODE. .............................

..................................................................................................

State. ......................................... Country. ................................

DO YOU HAVE A PASSPORT ?

Day Time Contact No. ...............................................(Optional)

YES

DATE OF BIRTH :
(dd/mm/yyyy)

GENDER:

...................................................................................................

MALE

Languages Known

Read

FEMALE

Write

Speak

Understand

LANGUAGES

(Please highlight foreign languages only)

NO

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SIGNATURE OF THE APPLICANT

LEVEL

X STD

XII STD/
DIP./EQUIV.

GRADUATION

POST
GRADUATION

OTHERS

NAME OF THE
QUALIFICATION AWARDED
STATE BOARD /
UNIVERSITY
NAME OF THE SCHOOL /
COLLEGE

EDUCATION

STATE
BRANCH / STREAM /
AREA OF SPECIALIZATION
* TOTAL AGGREGATE
MARKS SCORED FOR ALL
SUBJECTS / SEMESTERS /
YEARS
* MAXIMUM MARKS
FOR ALL SUBJECTS /
SEMESTERS / YEARS
* SIMPLE AVERAGE
PERCENTAGE / CGPA /
GRADE FOR ALL
SEMESTERS / YEARS
YEAR & MONTH OF
FINAL EXAMINATION
*ALL PERCENTAGES / CGPA SHOULD BE SIMPLE AVERAGE FOR ALL YOUR SUBJECTS / SEMESTERS / YEARS, INCLUDING ELECTIVES, OPTIONAL
SUBJECTS, ADDITIONAL SUBJECTS, PRACTICALS AND LANGUAGES

GAPS IN EDUCATION (If any) ................................years. Reason. .................................................................................................

PLEASE WRITE NA IF NOT APPLICABLE.
Specify clearly in case of part time/contract work experience.

Notice period required...........................................

PERIOD (MM/YYYY)
FROM
TO DURATION
(in months)

REASON FOR
SEPARATION

DESIGNATION

EXPERIENCE/
RELIEVING LETTER
AVAILABLE (Y/N)

WORK EXPERIENCE

WORK EXPERIENCE

ORGANIZATION

Are you under any legal obligation to your current employer:

YES

NO

IF YES, Please Specify: ....................................................................................................................................................................

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SIGNATURE OF THE APPLICANT

COMPENSATION AND BENEFITS

ANNUAL

NEXT REVISION EXPECTED

CURRENT

YOUR EXPECTATION AT
INFOSYS

DATE: ....................................

Fixed Salary
Variable Pay

Other Benefits

1) ................................................

1) ................................................

1) ................................................

2) ................................................

2) ................................................

2) ................................................

3) ................................................

3) ................................................

3) ................................................

ANNUAL GROSS
COMPENSATION
LIST PROFESSIONAL REFERENCES (PREVIOUS / CURRENT REPORTING MANAGER OR CLIENT AND NOT RELATED)

REFERENCES

NAME

DESIGNATION AND COMPANY

EMAIL AND CONTACT NUMBER

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS OR INFOSYS GROUP
COMPANIES (LIKE INFOSYS BPO, ETC.) PREVIOUSLY ?

MISCELLANEOUS

IF YES, HAVE YOU

INFOSYS

- TAKEN ANY TEST ?

YES

NO

- SELECTED FOR INTERVIEW ?

YES

NO

- MADE AN OFFER ?

YES

- JOINED & QUIT ?

YES

RELEVANT DATES

YES

NO

OTHER GROUP COMPANIES

RELEVANT DATES

YES

NO

YES

NO

NO

......................... YES

NO

.........................

NO

......................... YES

NO

.........................

.........................
.........................

ARE YOU EMPLOYED AS : 1. A DIRECTOR / PARTNER IN ANY OTHER COMPANY?

YES

.........................
.........................

NO

IF YES, PLEASE PROVIDE DETAILS: ..............................................................................................................................................

ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES ?
IF YES,

INFOSYS BPO

OTHERS

YES

NO

Please Specify ...............................................................................

Have you at any time been convicted by a court of India for any criminal offence and sentenced
to imprisonment, or any criminal proceedings are pending against you before a court in India,
or has an order prohibiting your departure from India, been issued by a court,

YES

NO

If yes, please give details of the same ......................................................................................................................................................

.............................................................................................................................................................................................................
.............................................................................................................................................................................................................
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SIGNATURE OF THE APPLICANT

MODE OF
APPLICATION

Was your candidature referred to us through Infosys Employee Referral Scheme

YES

NO

If yes, please provide following details:

NAME

EMPLOYEE NO.

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: .........................................

Date of Test : ......................... Score : .................. Ref. No. : ......................

Result :

Selected

Hold

Rejected

Signature: ..................................................................

Date of Interview : .......................................

(Please )

Role : ............................................................................

Job/Personal Level : .............................................................

Likely Joining Date : ..................................................... (MM/YYYYY)

FOR OFFICE USE ONLY

Location Preference : 1. .................................................. 2. ................................................... 3. ...................................................

INFOSYS ANCHOR:
Name : .......................................................................................

Employee No. : .....................................................

Role : .........................................................................................

Signature: .............................................................

Reason for Selection / Hold / Rejection : ....................................................................................................................................................

............................................................................................................................................................................................................
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