CANDIDATE INFORMATION SHEET

Hiring Location Photograph (Recent Passport size

(To be filled by HR) photograph)

First Name
(Name as per Pan Card - first/middle/last Contact No & Email ID
INFORMATION

name)
PERSONAL

Nationality Highest Qualification

Marital Status Gender

Present Employer & Start Date Present Location

EMPLOYMENT INFORMATION

Previous Employer & Start Date Previous Location

YES NO YES NO
Have you worked with Nokia or any of its Have you worked with Nokia or any
affiliates earlier as an employee ? (if yes of its affiliates through a
Provide Nokia ID/Alcatel-Lucent ID, Contract/Vendor? (If yes provide the
Business Unit & Manager Name) details)

YES NO YES NO
Are you related* to Nokia or any of its
Are you currently or have in the past
affiliate's employee or Director? ( If yes,
have worked for the government*? If
please provide the name of the
yes, please provide details
employee/Director and the nature of
* for the purpose of these questions
relationship)
the government means any
*For the purpose of this question,
government,agency,branch,
Relative implies but is not just restricted
association - national,
to sibling / spouse/ child/all forms of in-
Federal,state,provincial or local
law relationships/ cousin etc.)
DECLARATION

YES NO YES NO
Are you subject to any agreement or
Do you have any actual, apparent or obligation that restricts or interfers
potential "conflict of interest" with Nokia with your ability to take up an
or any any of its affiliates? employment with Nokia or any of its
affiliates?

YES NO
Are you an immediate family member or
close personal friend of any government
official*? If yes, please provide details
* for the purpose of these questions the
government means any
government,agency,branch, association -
national, Federal,state,provincial or local

All Previous Employer Details (Exculding Current)

Company Name and Location Permanent / On Contract From - mm yy To mm yy
Previous Employer

Salary Details Details

Current CTC Notice Period
Details
Salary

Expected CTC
Travel Constraint (Y/N)
Remark if Any
1. I hereby declare that my statements on this form and on my resume or documents provided by me are true and correct to the best of my knowledge.