Interview Location

BANGALORE
Please affix
your latest
Passport
Candidate id Photograph
Here
INFOSYS LIMITED
1001784071 Electronics City, Hosur Road, Bangalore - 560 100, India.
Tel.: (080) 28520261. Fax: (080) 28520362.

Please  in the wherever applicable.

Please answer each column fully and neatly in your own hand-writing.

APPLICATION FOR EMPLOYMENT

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

LAKSHMI DEVI
....................................................................... ....................................................
PULLAGURA
…………………………………………………..…..
FIRST MIDDLE LAST

ADDRESS FOR COMMUNICATION

9573084417
8/106 Gandhi Veedi
.........................................................................................................
Mobile No. .....................................................................................

Veparala [email protected]
E-mail: ...........................................................................................
.........................................................................................................
(Personal E-Mail ID only)

Mylavaram
PERSONAL DETAILS

.........................................................................................................
CITIZENSHIP(S)

Indian
Kadapa,Andhra Pradesh
......................................................................................................... …………………………………….

City: ..................................... DO YOU HAVE A PASSPORT?

516439
PIN / POSTAL CODE..........................
YES NO

Andhra Pradesh India

State: .................................................Country: ...............................

Day Time Contact No. .............................................. (Optional)

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

(dd/mmm/yyyy)
MALE FEMALE
10/JUL/1998
…………………………………………...

VER 8.2 1 of 3 HRD/REC/F/016

SIGNATURE OF THE APPLICANT

 XII STD/ POST
LEVEL X STD GRADUATION OTHERS
DIP./EQUIV. GRADUATION
Name of the Qualification Awarded Secondary School Certificate Intermediate
Bachelor of TEchnology

State Board/University SSC Board of Intermediate JNTU University

education
Sreenivasa
Institute of
Technology
Name of the School/College N.R Junior and
Balaji High School College management studies

State Andhra Pradesh Andhra Pradesh Andhra pradesh

Branch/Stream/Area of Specialization
EDUCATION

Computer science
M.P.C of Engineering

* Total Marks Scored in Final Year

48 875 4800

* Maximum Marks
60 1000 6000

* Percentage / CGPA
8.0 CGPA 88% 8.06 CGPA

Year & Month of Final Examination

2013 & March 2015 & March 2019 & April

*ALL PERCENTAGES / CGPA SHOULD BE AS PER THE DEGREE CERTIFICATE OR FINAL YEAR MARKS SHEET (Documents
will

GAPS IN EDUCATION (If any) …………….years. Reason:………………………………………………………………………………………

PLEASE WRITE ‘NA’ IF NOT APPLICABLE

SPECIFY CLEARLY IN CASE OF PART TIME CONTRACT WORK EXPERIENCE NOTICE PERIOD REQUIRED……………………….
1 Month

PERIOD (MMM/YYYY) EXPERIENCE/

RELIEVING
FROM TO DURATION REASON FOR
PAYROLL ORGANIZATION* DESIGNATION LETTER
(in months) SEPARATION
AVAILABLE
(Y/N)

Clavis Infra Projects 01-Apr-2019 Till date

Consultant Enhancing New skills
Y
WORK EXPERIECE

Are you under any legal obligation to your current employer: YES NO

IF YES, Please Specify: ……………………………………………………………………………………………………………………..…………

* Please do specify “Payroll Organization” if you are working on a contractual basis

Disclaimer: Please be informed that work experience provided by you will be validated through Background check

VER 8.2 2 of 3 HRD/REC/F/016

SIGNATURE OF THE APPLICANT

 NEXT REVISION EXPECTED YOUR EXPECTATION AT
ANNUAL CURRENT
DATE: ……………………. INFOSYS

Fixed Salary 4.5 Lpa June 2021 6 Lpa

COMPENSATION AND BENEFITS

Variable Pay

1………………………………. 1………………………………. 1……………………………….

Other Benefits
2………………………………. 2………………………………. 2……………………………….

3………………………………. 3………………………………. 3……………………………….

ANNUAL GROSS
COMPENSATION

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS or INFOSYS GROUP YES NO
COMPANIES (like INFOSYS BPO, ETC.) PREVIOUSLY?
IF YES, HAVE YOU INFOSYS OTHER GROUP COMPANIES
RELEVANT DATES RELEVANT DATES

- TAKEN ANY TEST? YES NO ………………….. YES NO …………………..

MISCELLANEOUS

- SELECTED FOR INTERVIEW? YES NO .………………….. YES NO …………………..

- MADE AN OFFER? YES NO .………………….. YES NO …………………..

- JOINED & QUIT? YES NO .………………….. YES NO …………………..

ARE YOU EMPLOYED AS: 1. A DIRECTOR / PARTNER IN ANY OTHER COMPANY? YES NO

IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...

ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES YES NO
IF YES, INFOSYS BPM OTHERS Please specify ………………………………….

Have you at any time been convicted by a court of India for any criminal offence and sentenced YES 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................................................................................................................................................
............................................................................................................................................................................................................
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 as per the University Guideline (percentage/CGPA mentioned on the Degree certificate or
DECLARATION

final year marks sheet)

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.

31-Mrach -2021
Date : ......................................... Bangalore
Place : ..................................... Signature: ..............................................................

VER 8.2 3 of 3 HRD/REC/F/016

SIGNATURE OF THE APPLICANT