Interview Location Please affix

your latest
Bangalore Passport
Photograph
Candidate id
Here
1002157730

APPLICATION FOR EMPLOYMENT

PERSONAL DETAILS
NAME IN FULL
(in block letters)
(As it appears on passport / legal document)

RAJEEV BN

FIRST MIDDLE LAST

ADDRESS FOR COMMUNICATION

606/7, Primary Contact No : +91-9844006601

3rd cross, Srinivasa Nagar Alternate Contact No :

E-mail (Personal E-Mail ID only) :

rajeevbn28@gmail.com

City DAVANAGERE CITIZENSHIP(S) :

PIN / POSTAL CODE 577005 India

State : Karnataka (DO YOU HAVE A PASSPORT?:

Country India YES

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

(dd/mm/yyyy) GENDER:

28/09/1992 Male

Page 1 of 4

SIGNATURE OF THE APPLICANT

 EDUCATION
LEVEL X STD XII GRADUATION POST OTHERS
STD/DIP./EQUI GRADUATION
V.
Name Of The Qualification Others Others Bachelor of Master Of
Awarded Engineering Technology
State Board / University Karnataka Karnataka Board Visvesvaraya Visveswaraiah
Sec.edu.examina Of The Pre Technological Technological
tion Board University University University
Education
State
Branch/ Stream / Area Of Information Computer
Specialization Science & Engg Science
Engineering
*Total Aggregate Marks Scored
For All Subjects / Semesters /
Years
*Maximum Marks For All
Subjects / Semesters / Years
*Simple Average Percentage / 83 61 54 82
CGPA / Grade For All Semesters /
Year
Year & Month Of Final July 2008 July 2010 August 2015 July 2019
Examination
*All Percentages / CGPA should be simple average for all your Subjects / Semesters / Years , including electives, optional
subjects, additional subjects , practicals and languages

WORK EXPERIENCE

PLEASE WRITE 'NA' IF NOT APPLICABLE.

Specify clearly in case of part time/contract work experience. Notice period required: 045 days

PAYROLL PERIOD (MM/YYYY) DESIGNATION REASON FOR EXPERIENC

ORGANIZATION* SEPARATION E/
RELIEVING
LETTER
AVAILABLE
(Y/N)
FROM TO DURATION
(in months)

Pragathi Infotech 31-12-2018 3 Developer Career growth N

Page 2 of 4

SIGNATURE OF THE APPLICANT

 GAPS IN EDUCATION AND EMPLOYMENT
From (mm/yyyy) To (mm/yyyy) Reason for Gap
06/2021 08/2019 NA
08/2015 08/2017 Searching for Job

COMPENSATION AND BENEFITS

ANNUAL CURRENT NEXT REVISION YOUR EXPECTATION AT
EXPECTED DATE: INFOSYS
30-07-2021
Fixed Salary 3.40
Variable Pay 5.00%
Other Benefits
ANNUAL GROSS 3.40 3.20 6.00
COMPENSATION

MISCELLANEOUS
HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS or INFOSYS GROUP COMPANIES (like
INFOSYS BPO, ETC.) PREVIOUSLY? :YES

IF YES, HAVE YOU INFOSYS

RELEVANT DATES

- TAKEN ANY TEST? NO NA

- SELECTED FOR INTERVIEW? NO NA

- MADE AN OFFER? NO NA

- JOINED & QUIT? NA

ARE YOU EMPLOYED AS A DIRECTOR / PARTNER IN ANY OTHER COMPANY? : NO

IF YES, PLEASE PROVIDE DETAILS : NA
ARE YOU UNDER ANY LEGAL OBLIGATION TO YOUR CURRENT EMPLOYER? : NO
Have you at any time been convicted by a court of India for any criminal offence and sentenced : NO
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

If yes, please give details of the same : NA

Page 3 of 4

SIGNATURE OF THE APPLICANT

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

Page 4 of 4
 Scholastic Averages Sheet
FULL NAME Rajeev B N
CANDIDATE ID 1002157730

X/SSLC/Junior/Equivalent
Board/University Secondary school certificate
Total Marks Obtained for all subjects Maximum Marks for all subjects
(Including languages and optional (Including languages and optional
subjects) subjects)

Total
Simple Average % for all subjects (Including languages and optional subjects)

XII/SSC/High/Equivalent
Board/University Board Of Intermediate Education
Total Marks Obtained for all subjects Maximum Marks for all subjects
(Including languages and optional (Including languages and optional
subjects) subjects)

Total
Simple Average % for all subjects (Including languages and optional subjects)

Graduation/Bachelor/Equivalent
Board/University Visvesvaraya Technological University
Total Marks Obtained for all subjects Maximum Marks for all subjects
(Including languages and optional (Including languages and optional
subjects) subjects)

Semester1/Year1
Semester2/Year2
Semester3/Year3
Semester4/Year4

Total
Simple Average % for all subjects (Including languages and optional subjects)

SIGNATURE(In case of Hard Copy

Submission)

© 2011 Infosys Technologies Limited. All rights reserved. Copyright in the whole and any part of this document belongs to Infosys Technologies Limited.

This work may not be used, sold, transferred, adapted, abridged, copied or reproduced in whole or in part, in any manner or form, or in any media, without
the prior written

consent of Infosys Technologies Limited.