Background Check Information

Last Name First Name Initial Social Security Number

Malempati Hari Dineshkumar 853-92-6530
Present Address City State Zip Code
2600 Cortez Dr, #7202, Santa Clara, CA – 95051

Home/Cell Phone Business Phone

9734545949

Permanent address (if different from current address) City State Zip Code

Previous Address City State Zip Code

409 Warren St, Apt A, Harrison, NJ - 07029

Date of Birth: Drivers License # and State:

02/16/1991 9472978 - DE
Email
Address___________________________________________________________________________________
Are you legally entitled to work in the United States? __ Yes __ No

Have you ever been convicted of a misdemeanor or felony? __ Yes __ No

If yes, state the nature of the crime(s), when and where convicted and disposition of the case.
____________________________________________________________________________
____________________________________________________________________________
(Conviction of a misdemeanor or felony will not necessarily disqualify you from employment. Such factors as
time of the offense, seriousness and nature of the violation and rehabilitation will be considered.)

Highest Degree Earned both International and US. If you have an International Education (Highest),
please attach Mark sheets, Degree/Provisional Certificate (Native Language and English),
Transcripts.

School Name And Location Of School No. of Date of Did you Degree or
years Graduation & graduat Diploma
Attendance Date e?
High S.B.O.A Chennai 2 Jul ‘08 __ Yes
School __ No
College S.S.N College of Engineering 4 Aug ‘12 __ Yes B.E
/ __ No
Univers
ity
College University of the Cumberlands 2 May ‘17 __ Yes Executive M
Feb-20
/ __ No Sc.
Univers
ity
Other

EMPLOYMENT INFORMATION
(List Most Recent Job First)

Please include Past 7 Year Employment Information both US & International.

For International Employment, please attach Service/Relieving Letter and
Experience Letter.

Note: Please provide your EMPLOYER INFORMATION NOT THE END

CLIENT INFORMATION. For Ex: if you had worked for Wells Fargo
through XXXX Company, XXXXX Company is your employer and not Wells
Fargo.

Dates Employer_SoftHQ Inc. _________ Phone 858-658 9200

Start 12/03/12
Address__2600 Weathers Pl, STE 200, San Diego, CA - 92121_____
Left Current
City ______ __________ State_________________ Zip _________

Salary Type of business ___Incorporated__________

Start $________
Supervisor(s) _________________________________________________
Left $_________ Duties ________________________________________________________
_____________________________________________________________
Job Title _____________________________________________________________
____________
________________________________________________
Reason for leaving
____________
_____________________________________________________________
_____________________________________________________________

Dates Employer_________________________________________ Phone__________________

Start
___/___/___ Address__________________________________________________________________

Feb-20
Left ___/___/___ City ___________________________ State_________________ Zip ______________

Type of business __________________________________________________________

Salary
Start $________ Supervisor(s) _____________________________________________________________
Duties ________________________________________________________
Left $_________ _____________________________________________________________
_____________________________________________________________
Job Title
____________ ________________________________________________
Reason for leaving
____________ _____________________________________________________________
_____________________________________________________________

EMPLOYMENT INFORMATION (Continued)

Dates Employer______________________________________ Phone_____________________
Start
___/___/___ Address__________________________________________________________________

Left ___/___/___ City ___________________________ State_________________ Zip ______________

Type of business __________________________________________________________

Salary
Start $________ Supervisor(s) _____________________________________________________________
Duties ________________________________________________________
Left $_________ _____________________________________________________________
_____________________________________________________________
Job Title
____________ ________________________________________________
Reason for leaving
____________ _____________________________________________________________
_____________________________________________________________

BUSINESS OR PROFESSIONAL REFERENCES

NAME ADDRESS PHONE YEARS KNOWN OCCUPATION

Srinivasan Globalfoundries, <1 VP

Rangasamy Santa Clara, CA
Srinivasan Citi, Warren NJ 2 VP
Perumalswamy

Feb-20
John Wilson Intel, Folsom, CA <1 App Manager

Feb-20