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Cross-Signed

( TO BE FILLED BY APPLICANTENT ONLY. FILL IN CAPITAL LETTERS. NO BLANK SHOULD BE LEFT EMPTY. )

I. Personal Details
Name: Mr/Ms/Mrs/_____________________________________________________________
(First Name)
(Middle Name)
(Last Name)
Preferred Name: __________________

Highest Qualification: _______________

Date of Birth: ___________________

(dd/mm/yy)

Place of Birth:_____________________

II. Academic Details

(a) Post Graduation
Course Name: ________________

Major Subjects: __________________________________

Marks Obtained: _____________ Percentage: ____________

Year of Passing: ____________

University: ______________________________________ State: _________________________

College: ________________________________________ State: __________________________
Duration/ Mode of PG Degree: ___________________
(Full Time/ Part Time/ Distance/ Other)

From: ____________ To: ____________

Any Entrance Exam Written to Join: _______________________

(ICET/ CAT/ MAT/ GATE/ Others)
(b) Graduate Degree
Course Name: ________________

Rank: ______________

Major Subjects: __________________________________

Medium of Education: ___________________________ Second Language: ________________

(English/Regional)

SyberPlace E Solutions P Ltd Raintree Park, DG4-05/03, JNTU-HiTec City Spinal Road, Hyderabad 500 085

Marks Obtained: _____________ Percentage: ____________

Year of Passing: ____________

University: ______________________________________ State: _________________________

College: ________________________________________ State: __________________________
Duration/ Mode of Degree: ___________________
(Full Time/ Part Time/ Distance/ Other)

From: ____________ To: ____________

Any Entrance Exam Written to Join: _______________________

(EAMCET/ IIT/IIIT/ Others)
(c) Diploma
Course Name: ________________

Rank: ______________

Major Subjects: __________________________________

Marks Obtained: _____________ Percentage: ____________

Year of Passing: ____________

University: ______________________________________ State: _________________________

College: ________________________________________ State: __________________________
Duration/ Mode of Diploma: ___________________
(Full Time/ Part Time/ Distance/ Other)
(d) Intermediate/ XII/ Equivalent
Course Name: ________________

From: ____________ To: ____________

Major Subjects: __________________________________

Medium of Education: ___________________________ Second Language: ________________

(English/Regional)
Marks Obtained: _____________ Percentage: ____________

Year of Passing: ____________

College: ________________________________________ State: __________________________

Duration/ Mode of Course: ___________________
(Full Time/ Part Time/ Distance/ Other)

From: ____________ To: ____________

Any Entrance Exam Written to Join: _______________________

(APRJC/ Polytechnic/ Other)

Rank: ______________

SyberPlace E Solutions P Ltd Raintree Park, DG4-05/03, JNTU-HiTec City Spinal Road, Hyderabad 500 085

(e) SSC/ X Class

Medium of Education: ___________________________ Second Language: ________________
(English/Regional)
Marks Obtained: _____________ Percentage: ____________

Year of Passing: ____________

School: ________________________________________ Address: ________________________

Duration/ Mode of Course: ___________________
(Full Time/ Part Time/ Distance/ Other)

From: ____________ To: ____________

(f) Other Details

i) Please Provide details of your Awards, Scholarships :

ii) Sports/ NCC/ Other activities:

iii) Breaks in study (if any) give reason, duration:

iv) Any Certifications Done:

III. Work Experience

Name of the
Employer

Address of the
Employer

Duration
(dd/mm/yy)
From
To

Designation and
Nature of Duties

Annual Gross
Salary

SyberPlace E Solutions P Ltd Raintree Park, DG4-05/03, JNTU-HiTec City Spinal Road, Hyderabad 500 085

IV. Contact Details

(a) Personal Details
E-Mail ID: __________________________________

Phone No: _________________________

Present Address: __________________________________________________________________

Town/City:__________________________ State: __________________ Pincode: _____________
Marital Status: _______________________

Partners Name:_____________________________

E-Mail ID: _________________________________________ Phone No: ___________________

(b) Family Details
Permanent Address: ________________________________________________________________
Town/City:__________________________ State: __________________ Pincode: _____________
Father Name: ________________________________ Occupation:__________________________
Mothers Name: _______________________________ Occupation: _________________________
Parents Phone No: ______________________________ Land Line: ________________________
Siblings: ______________________________ Occupation: ______________________________
E-Mail ID: ____________________________________ Phone no: _________________________

SyberPlace E Solutions P Ltd Raintree Park, DG4-05/03, JNTU-HiTec City Spinal Road, Hyderabad 500 085

V. Expectations
(a) Expected Salary:
(b) Are you willing to serve SyberPlace for two years with commitment? (Y/N):
(c) Are you ready to submit your original certificates with the company for Surety?(Y/N) :
(d) Time required for joining if selected:
VI. Deceleration
I hereby certify that the information provided above is true to the best of my knowledge. I
Understand my engagement with the company requires me to commit a minimum of 2 years
association with the company; I will submit all original certificates on joining day.
Place: _______________________
Date: ________________________

(Signature of Applicant)

SyberPlace E Solutions P Ltd Raintree Park, DG4-05/03, JNTU-HiTec City Spinal Road, Hyderabad 500 085