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Persistent-Application Form - July 2018

The document is a personal information form for an applicant named Sajal Kumar Samaiya, detailing his contact information, family details, educational background, employment history, and skills. He is currently employed at Accenture Solutions as an Application Developer and has prior experience at Wipro Ltd. and Cognate IT Ltd. The form also includes a declaration of the accuracy of the provided information.

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sajal.samaiya7883
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1 views

Persistent-Application Form - July 2018

The document is a personal information form for an applicant named Sajal Kumar Samaiya, detailing his contact information, family details, educational background, employment history, and skills. He is currently employed at Accenture Solutions as an Application Developer and has prior experience at Wipro Ltd. and Cognate IT Ltd. The form also includes a declaration of the accuracy of the provided information.

Uploaded by

sajal.samaiya7883
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

PERSISTENT SYSTEMS LIMITED

Photograph

Personal Information Form

A. Applicant Details

Name (as in the Aadhar card) First name: Sajal Middle name: Kumar Last name: Samaiya
104, Pandhari Niwas, Pune

Current address (If different


than permanent address)

Tel. No.: Mobile No.:9977817883


104, Pandhari Niwas, Pune

Permanent address

Tel. No.: Mobile No.: 9977817883


Email ID [email protected]
Citizenship (Passport Issuing
India
country)
Country of Birth: India
Date of birth (dd-mm-yyyy) 30-03-1992

Marital status
[ ] Single [Y] Married [ ] Divorced
Gender [ ] Male [ ] Female
Are you under any Service
[Y] Yes [ ] No
Agreement?
Do you know anyone working
[Y] Yes [ ] No
with Persistent?
Have you been interviewed at [ ] Yes [N] No Post applied for:
Persistent in the last 6 months? Date:
Language Read Write Speak Proficiency if any
English Y Y Y
Languages known (underline
Hindi Y Y Y
mother tongue)

Are you suffering/have you


[ ] Yes [N] No If yes, give details
suffered from any critical illness
Have you been convicted /
involved in any criminal No
litigation?
Are you Willing to shift to
Need to think
related technologies as per Yes [ ] No [ ] Not Sure [Y]
[ ]
business needs ?

Passport Details - Do you have a valid passport? [Y] Yes [ ] No

Document No. HR 01 Page 1 of 4 Version No. 0


Details of Family Members (Parents / Siblings / Spouse / Children)

Sr. No Name Relationship Age Occupation


Anil Samaiya
1. Father 59 Private Job
Jyoti Samaiya
2. Mother 52 Home Maker
Ruchi Jain
3. Spouse 26 Private Job

B. Educational Details (From Highest Qualification)

Sr. Educational Year of


University /Institute State/ /Country
No. Qualification passing Percentage

70.1 RGPV, Bopal


1. Bachelors of Engineering 2013 Madhya Pradesh//India

2. Higher Secondary 2009 67.4 MP Board Madhya Pradesh//India

3. Senior Secondary 2007 73.4 MP Board Madhya Pradesh//India

Other Courses / Additional Qualification / Awards / Certifications

Sr. Title of the course / program / Institute / Part Time/ Full Duration & Year of
No. qualification / award University Time passing

Skills

Skills Primary / Core Skills Secondary Skills Domain Expertise


Java-J2EE Java-J2EE Spring, Oracle DB, MS SQL Financial Service and
Insurance

Document No. HR 01 Page 2 of 4 Version No. 0


C. Employment History

Give details of the Employment (Latest first)

Company Start End Last


Last
Sr. Name and MM- MM- Role / Nature of Software Salary
Position Reasons for leaving
No. Tel.No. YYYY YYYY Duties tools used drawn
Held
Accenture 29- Curren Applicatio Java Development Eclipse IDE, SVN, 52000 For Better
1 Solutions 12- t Job n SQL Developer, Opportunities
Weblogic
2016 Developm
8.1,10.0,12c,
Wipro Ltd. 24- 23-12- ent
Project Java Development Eclipse IDE, 37800 For Better
2 02- 2016 Engineer Kintana/Bitbuck opportunities
et, SQL
2016
Cognate IT 15- 21-12- Java Java Development Eclipse IDE, 18000 Got permanent
3 Ltd. 09- 2016 Developer Kintana/Bitbuck Employment in
et, SQL
(C2H for 2014 Wipro
Wisec Global 15- 15-07- Java Java Development Eclipse IDE, SQL 11000 End Of
4 Ltd 07- 2014 Developer Developer Contract
2013
5

D. Compensation

Please give details of your current salary. Please attach Photocopy of your last two
months pay slip

Per Month Per Annum


Salary Head
(Rs.) (Rs.)

Total

Expected salary per month:

Notice period required in current Job

Normal notice period: 3 Months Earliest date you can join:

Document No. HR 01 Page 3 of 4 Version No. 0


Professional References who
can be contacted (Give names Contact details(Phone Period from Capacity in which
Name
of people other than your #,address) when known he/she knows you
relatives)

Prakash Jha 9820547673 2 yrs Professional

Ganesh Badnekar 9987672424 2 Yrs Professional

Specify your career achievements :

Received Master Blaster Award for completing Go-Live of multiple application.


Rated as Excellent Performer for year 2018 in appraisal cycle.
Received Best Team Award (Annual Awards)

Comments by Applicant (if any):

DECLARATION

I, the undersigned, hereby declare that all the above information is valid & accurate to the best of my
knowledge. I understand and fully agree that any information provided by me herein which is found to
be erroneous or otherwise incorrect, which tend to mislead the Company will be sufficient cause for
the Company to terminate my services from the Company at any time during my employment. I
authorize the Company to carry out my reference / background check.

Date:
(Signature of the Applicant)
Place:

Document No. HR 01 Page 4 of 4 Version No. 0

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