CANDIDATE APPLICATION BLANK
(to be filled prior to first interview)
Reference Code / Sr. #
SKILLS: Technical Expertise In:
Total Experience (Yrs.Mths): Experience (Yrs.Mths): Experience (Yrs.Mths):
Photo
Domain/Functional Expertise In:
I. Personal Details
Name: Mr/Mrs/Ms
(as in your passport) Last First Middle
*
Date of Birth: DD/MM/Y
Mother Tongue: Present Address: City: Business Tel No: Permanent Address: City: Emergency Contact details Emergency Contact Current Address: City: PAN #: Driving License #: Passport #: State: Existing HDFC Saving Account #: Expiry Date: Place of Issue: If Y, If Y, Name: State: Mobile: State:
Pincode: Personal Email Id:
Home Tel No:
Pincode:
Tel No: Relationship:
Pincode:
Home Tel No: Branch Name:
Expiry Date: When: When: When: Languages Known
Citizenship: Country: Country: Country: Written Spoken
Have you ever applied for a Work Permit/Visa: Y/N Have you ever been rejected a Work Permit/Visa: Y/N
Languages Known
Written
Spoken
II. Family Background
Name
Father's Name
Date of Birth Occupation
Name Child 1(male/female) Child 2 (male/female) Child 3 (male/female)
Date of Birth
Occup
Mother's Name
Spouse Name
III. Education (Matriculation Onwards In Reverse Chronological Order)
Qualification University/Board Year of Passing From To Percentage(GPA) Scholastic Achievment, If Any
IV. Professional Certification/Training
Certification/Training[Soft/Technical] Year Certification/Training[Soft/Technical] Year
CANDIDATE APPLICATION BLANK
(to be filled prior to first interview)
Reference Code / Sr. #
V. Previous Employment History (Reverse Chronological Order)
Organization Designation From Duration To Responsibity (nature of resp, team size, managerial role, etc.) Compensation (Cost to Company)
VI. Currrent Organisation Structure (Indicate Your Position)
VII. Professional Achievements(Awards/Recognition)
VIII. Extra Curricular Activities
IX. Have You Been Interviewed by any of the Capgemini Group company within the last 6 months? Y/N
If Y, When (mm/yy): Which group co.: What was the outcome?
X. Do you have Relatives/Friends in Capgemini? Y/N
If Y, Name: Relationship: Yrs.Mths Known:
XI. References
Professional Name Relationship Years Known Company Name Title or Occupation Home Tel No Business Tel No Professional Personal Personal
XII. Current Salary Break-Up
Monthly Basic HRA Conveyence Others (Pls Specify) Annual Basic HRA Conveyence Others (Pls Specify)
Expected CTC Notice period
Readiness to work on Night Shift
Monthly Gross
INR 0
Annual Gross
INR 0
Readiness to work on Support Projs.
Declaration I, hereby declare that the above information provided by me is true and accurate to the best of my knowledge. I was never arrested by the police or have a criminal record. I also have got my self medically examined within last 3 months and declare that I am medically fit . I have no communicable disease and I am not addicted to drugs or substance abuse. Any falsification of this information will hold me liable to the action taken against me by the organisation as per its prevailing rules and regulations.
PLACE:
VADODARA
DATE:
14-Apr-10
SIGNATURE: