EMPLOYMENT APPLICATION FORM

Name in full: Mr. / Ms. ________SOURABH SAWANI__________________________________________

Please affix
your recent
Post applied for: __________________________________ Passport size
photograph
Function: _______________________________________

TATA ELXSI WAY OF LIFE

 BENCHMARK TO BECOME THE BEST
 RECOGNIZE CONTRIBUTION FAIRLY AND TRANSPARENTLY
 IMPROVE COLLABORATION ACROSS TEAMS TO SCALE TOGETHER
 SATISFY CUSTOMER NEEDS, BOTH EXTERNAL AND INTERNAL
 KEEP PACE WITH CHANGES IN THE ENVIRONMENT

Details of Source:
Source
(Please Tick) Employee Through
Direct
Referral Consultant

Note:
1. Please read the complete form before filling. If you need any clarification, please get in touch with Talent Acquisition.
2. Please be meticulous and provide complete and accurate information. It will help us to process your application
faster.
3. Avoid ambiguous words or phrases.
4. Use extra sheets wherever required.
5. Information given by you will be treated in FULLEST CONFIDENCE. It forms the basis of employment, if an offer is
made.
6. On completion, please handover/mail this form to the Talent Acquisition.

Tata Elxsi Limited, ITPB Road, Whitefield, Bangalore – 560 0 48. INDIA.Phone: 91-80–22979123,
Fax: 91 – 80 – 28410152. Website: http://www.tataelxsi.com

1. PERSONAL PROFILE:
PROJECT
FULL NAME : ( As per Passport / Aadhar Card / 10th Standard Certificate)

Mr / Ms : _____________SOURABH_________________________________________SAWANI_____________
(First) (Middle) (Last)

DATE OF BIRTH: _______21/06/94____________ PLACE:_____Durg, Chhattisgarh _______________

(dd/ mm/ yy)
SEX : MALE FEMALE TRANSGENDER NATIONALITY : ____INDIAN_______________

PASSPORT NUMBER: ____N5330943__________ VALID UPTO: ___24/01/2026________________

COUNTRY OF ISSUE: ______INDIA____________ ISSUE DATE: ___25/01/2016________________

If holding Foreign Passport, Do you hold an OCI registration – YES / NO

OCI No.______________________________ DATE OF ISSUE:__________________________

PAN CARD No:______EGAPS0813K____ AADHAR CARD No: _663436034552__________

BLOOD GROUP: ____O+_______________ MARITAL STATUS : ______SINGLE_____________

DATE OF WEDDING:______________________ MOBILE No: _____9110476204______

PERSONAL EMAIL ID: [email protected]________________________________

Please tick the right option in the query given below.

Do you belong to SC/ST Yes No as notified by Government of India?

If your answer is YES please attach the necessary proof.

Information sought as per the guidelines of the Affirmative Action Committee of Confederation of Indian
Industries (CII). Please note that this information does not impact our stated policy of equal opportunities
employment in any way.

MAILING ADDRESS : PERMANENT ADDRESS:

F-003, Ozone Evergreens, Harlur road, Sarjapur A/102, Ekta Parisar, Malviya Nagar, Durg,
road, Bangalore, karnataka Chhattisgarh.

PIN: 560103 PHONE: 9110476204 PIN: 491001 PHONE: 9644058466

FAMILY PARTICULARS : (Fill in details of parents and direct family members only)

RELATIONSHIP NAME OCCUPATION CONTACT DETAILS

Father UTTAM SAWANI Business 9644058466

Mother KANTA SAWANI House maker
Spouse
Child
Child
Brother / Sister PRIYA SAWANI
Brother / Sister
2. ACADEMIC QUALIFICATION AND PROFESSIONAL TRAINING:
ACADEMIC RECORD (Please enter details in chronological order, beginning with standard X)
UNIVERSITY/ MONTH DURATION % OF
QUALIFICATION
INSTITUTE/ & YEAR (SPECIFY IN MARKS/ MAJOR
DEGREE/DIPLOMA/
SCHOOL/ OF MONTH/YR) CLASS/ SUBJECTS
CERTIFICATE
COLLEGE PASSING FROM : TO: DEVISION
X MGM Senior 2010 4/2009 - 7.4
Secondary School 5/2010 CGPA

XII MGM Senior 2012 4/2011 – 60%

Secondary School 5/2012 MATHS/CSE

RSR Rungta College of 2016 7/2012 – 75% CSE

B.E./B.Tech Engineering and 6/2016
Technology

Significant achievements in your academic career:

___________________________________________________________________________________

State reasons for gaps in education, if any_______________________________________________

___________________________________________________________________________________

PROFESSIONAL TRAINING ATTENDED

NAME OF THE INSTITUTION DURATION/PERIOD AREA OF TRAINING

Mention any other efforts you have made/are making to improve your skills and knowledge:
__________________________________________________________________________________

__________________________________________________________________________________
3. CURRENT EMPLOYMENT DETAILS:

NAME & ADDRESS OF ORGANIZATION DESIGNATION : Technical Lead

SmartBytes Technology Joining: 21/2/2024

Present:
Tower C, First Floor, Embassy Duration of service from: 21/2/24 to:
Heights, 13, Magrath Rd, Ashok Name & Designation of your immediate superior:
Nagar, Bengaluru, Karnataka 560025

Total manpower: Phone/ Mobile:

Draw your organization chart and indicate your position: Brief job description:

PROJECTS UNDERTAKEN:

TITLE YOUR ROLE SOFTWARE /OS CLIENT

Android HMI Technical Lead Android Harman

Reasons for seeking a change in employment:

4. EMPLOYMENT HISTORY
 Exclude current employment
 Enter details in reverse chronological order
 Use extra sheets if required

1) NAME & ADDRESS OF ORGANIZATION DESIGNATION GROSS SALARY

Technical Lead (Per annum)
26.5LPA
Starting 21/02/2024 Starting
SmartBytes Technology Leaving Leaving
Duration of service from: 21/02/2024 to:
Tower C, First Floor, Embassy Name, Designation of your superior:
Heights, 13, Magrath Rd, Ashok
Nagar, Bengaluru, Karnataka 560025

Phone/Mobile:

PROJECTS UNDERTAKEN:

TITLE YOUR ROLE SOFTWARE /OS CLIENT

Reasons for seeking a change in employment:

2) NAME & ADDRESS OF ORGANIZATION DESIGNATION GROSS SALARY

Advanced Software (Per annum)
Engineer 20LPA
Starting Starting
APTIV, Door No/Street: 7th & 8th floor, Leaving Leaving
C2 block, Brigade Tech gardens, Duration of service from: 6/12/21 to:15/12/23
brookfield Name, Designation of your superior:

Abhishek Joshi, Technical Lead

Phone/Mobile:

PROJECTS UNDERTAKEN:

TITLE YOUR ROLE SOFTWARE /OS CLIENT

Reasons for seeking a change in employment:

3) NAME & ADDRESS OF ORGANIZATION GROSS SALARY
DESIGNATION (Per annum)
Technology Analyst 7.5 LPA
Starting Starting
Infosys Ltd, Plot No, 44, Hosur Rd, Leaving Leaving
Konappana Agrahara, Electronic City, Duration of service from:3/9/18 to:20/10/21
Bengaluru, Karnataka 560100 Name, Designation of your superior:

Dilwar Singh, Technical Lead

Phone/Mobile: 080 2852 0261

PROJECTS UNDERTAKEN:

TITLE YOUR ROLE SOFTWARE /OS CLIENT

Reasons for seeking a change in employment:

4) NAME & ADDRESS OF ORGANIZATION DESIGNATION GROSS SALARY

Android Developer (Per annum)
4.2LPA
Starting Starting
Adcanopus Digital Media Pvt Ltd, Leaving Leaving
3rd phase, JP Nagar, Bangalore, 560078 Duration of service from: 5/1/18 to:21/8/18
Name, Designation of your superior:

Phone/Mobile:

PROJECTS UNDERTAKEN:

TITLE YOUR ROLE SOFTWARE /OS CLIENT

Reasons for seeking a change in employment:

5) NAME & ADDRESS OF ORGANIZATION GROSS SALARY

DESIGNATION (Per annum)
Associate Software 2.5 LPA
 Developer
Starting Starting
TalentBridge Technologies Pvt Ltd. Leaving Leaving
5th floor, 91 Springboard Business Hub Duration of service from:1/8/16 to:8/11/2017
Private Limited, 5th Floor, Bannerghatta Name, Designation of your superior:
Rd, Dollars Colony, Bengaluru, Karnataka
560076

Phone/Mobile:

PROJECTS UNDERTAKEN:

TITLE YOUR ROLE SOFTWARE /OS CLIENT

Reasons for seeking a change in employment:

ACHIEVEMENTS AND ASPIRATIONS

Specify significant contributions you have made in various positions during your career:

Brief note on your career goals:

What are your expectations from this job?

Additional information, if any, on your special abilities, experiences, achievements, extracurricular activities
etc., to which you would like to draw attention:

5. COMPENSATION DETAILS:
Components Current Salary Rs. Taxable/Not Taxable Expected Salary at For Tata Elxsi use
Tata Elxsi Rs.

1. Basic

2. HRA

3. Conveyance

4.

5.

6.

7.

8.

9.
Monthly Total
A) Monthly
Total X 12
(1 to 9)
Annual Benefits:

10 LTA

11 Medical

12 Bonus

13 P F

14.

15.

16.

17.
B) Total 10 to 17

Gross Total
Total of A & B
1. Please enclose a copy of your latest pay slip.
2. You would be required to submit a proof of salary prior to joining.

6. PERSONAL REFERENCES:
Details of three persons who are not Relatives / Friends, for reference)

Name and address Phone Occupation Relationship

Jigyasu 8951972234 Job Team mate

Dilwar 9781067080 Job Colleague

Are you related to anyone or do you know anyone presently working for our company? (Yes/No) If Yes, please specify:

Name_________________________________________Relationship:_______________________________________

________________________________________________________________________________________________

Are you suffering from any ailment/illness or disability which may hamper normal performance of your duties at work (Yes/No) If Yes,
give details.

___No_____________________________________________________________________________________________

Have you applied to our company before? (Yes/No) If Yes, position applied for and date:

No ________________________________________________________________________________________________

Have you ever been convicted in a courts of law ? (Yes/No) If Yes, Give details:

__No______________________________________________________________________________________________

Are you willing to work on overseas assignments? (Yes/No) If No, reasons?

 ____Yes____________________________________________________________________________________________

If selected, time period required for joining: ________________________________________________________

DECLARATION BY APPLICANT:
I confirm that the information provided by me in this application form is accurate. And I understand that in the event
of any information found to be incorrect, it could result in the termination of my employment without notice.

Date : ____28/2/24__________________________

Place: ____Bangalore______________ Signature: _Sourabh____________________

We thank you for all the efforts put in to complete this application.