Please fill in the details with utmost attention, as these shall be verified by IREP Credit Capital And / or by its
authorized representatives.
All details are compulsory.
PERSONAL DETAILS
Name of Applicant: Surname Udayagiri Middle Khadar First Basha
Date of Birth (dd/mm/yy): 25-Jan-1995 Place of Birth: Proddatur
Sex: Male Nationality: Indian Hindu ( dudekula )
Father’s Name: Passport No/National ID Number.: 637956612372
Home Phone: 8099577164 Office Phone: 0 Mobile: 8099577164
PERMANENT ADDRESS: 15/93 Penna nagar , somulavaripalli ,proddatur
City: Cuddapah State: Andhra pradesh
Pin: 516360 Phone No.: 8099577164
Duration of Stay: From To 27-May-2025
01-Jan-2005
Nature of location: Rented Own Other (Specify
CURRENT ADDRESS: 15/93 Penna nagar somulavaripalli panchayat proddatur
City: Cuddapah State: Andhra pradesh
Pin: 516360 Phone No.: 8099577164
Duration of Stay: From To 27/05/2025
01/01/2005
Nature of location: Rented Own Other (Specify
Page No: 1
EDUCATION DETAILS
DATES
ATTENDE ROLL
NAME & NAME & ADDRESS OF COURSE MARKS D NUMBER/
ADDRESS BOARD / UNIVERSITY ATTENDED (%) REGISTRATIO
QUALIFICATION OF TO WHICH THE SCHOOL (FULL TIME/REGULAR, YEAR
CGPA N NUMBER/
SCHOOL / COLLEGE / INSTITUTE PART OF YEAR
TIME/CORRESPONDENCE) & EXAM SEAT
/ IS AFFILIATED TO ENROL PASSED
CLAS NUMBER
COLLEGE/ S MENT (MM/YY)
INSTITUTE (MM/YY)
GRADUATION Sri Yogi vemana university [Link] 57% 120140422794
Venkateshwara 04-May-201
DEGREE: degree College 06-Jun-2 5
012
DISCIPLINE:
POST Cbit college Jawaharlal Nehru MBA 63% 152p1e0053
GRADUATIO technological University 08-Jun-2 04-Jul-201
N
anantapur 015 7
DEGREE:
DISCIPLINE:
ANY OTHER
REASONS FOR BREAKS IN EDUCATION: Na
Page No: 2
EMPLOYMENT RECORD: Starting with your present or most recent employer, please list last 3 employments. When listing consulting or
temporary assignments, under “Employer”, state the name of the consulting or temporary agency that placed you at the client site. Complete and
accurate dates (month/year) must be provided. - ( Mandatory)
Previous Company Name: Axis bank ltd Employee Id: From (mm/yy): To (mm/yy):
202095 08-Nov-2019 28-Jun-2022
Street Address: D No 24/16 to 18 RL & P Rural Lending Dept, Gandhi Rd, Employer’s Fax No.:
near ICICI Bank Ltd, Proddatur, Andhra Pradesh 516360 Phone No.:
City: Proddatur State: Andhra Pradesh Country: India Postal Code: 516360
Job Title: Branch Sales Manager Reason for Leaving: Better Offer Given by HDFC
Employment Status: (Please check the relevant box) Supervisor’s Details: ( Mandatory)
Name: Chennaiah Birru
Title: Branch Sales Manager
Full Time
Phone No.: 9505502462
Contract /Through Outsourcing Agency E-mail id: [Link]@[Link]
(Preferably official)
Outsourcing Agency Details: HR Manager’s Details: ( Mandatory)
Name: Name: Phani Tadisetti
Address
:
Tel No.:
Description of Duties: Phone No.: 9030101987
E-mail id: [Link]@[Link]
(Preferably official)
Second Previous Company Name: HDFC Bank Ltd Employee Id: From (mm/yy): To (mm/yy):
U2359 04-Jul-2022 30-Nov-2022
Street Address: Ground Floor Araveti Complex, D No 9 624, Mydukur Road, Employer’s Fax No.:
Proddatur, Andhra Pradesh 516360 Phone No.:
City: Proddatur State: Andhra Pradesh} Country: India Postal Code: 516360
Job Title: Personal Banker Sales(PB-S) Reason for Leaving: Family Problem
Employment Status: (Please check the relevant box) Supervisor’s Details: ( Mandatory)
Name: G Dastagiri
Full Time
Title: PB Sales
Contract /Through Outsourcing Agency Phone No.: 8688168883
E-mail id: [Link]@[Link]
Outsourcing Agency Details: (Preferably official)
Name: HR Manager’s Details: ( Mandatory)
Address K Akshatha
Name:
:
Tel No.:
Description of Duties: Phone No.: 8367272828
E-mail id: [Link]@[Link]
(Preferably official)
Page No: 3
EMPLOYMENT RECORD CONTINUED: ( Mandatory)
Third Previous Company Name: IDFC First Bank Employee Id: From (mm/yy): To (mm/yy):
Ltd 229430 02-Jan-2023 29-Mar-2025
Street Address: Ground and First Floor, Ward No 15, Skandhanshi Trade Employer’s Fax No.:
Center, Shop No, 1-6, nearby Hanuman Statue, Gandhinagar, Tadipatri, Phone No.:
Andhra Pradesh 515411
City: TADIPATRI State: ANDHRA Country: INDIA Postal Code: 515411
PRADESH
Job Title: RELATIONSHIP MANAGER-BRANCH Reason for Leaving: WORK LOCATION
BANKING
Employment Status: (Please check the relevant box) Supervisor’s Details( Mandatory)
Name: SEELAM KRISHNA REDDY
Full Time Title: BRANCH MANAGER
Phone No.: 9492286713
Contract /Through Outsourcing Agency
E-mail id: [Link]@[Link]
Outsourcing Agency Details: (Preferably official)
Name: HR Manager’s Details: ( Mandatory)
Address Name: Sreeram Ravi Kumar
:
Tel No.:
Description of Duties: Phone No.: 9573930619
E-mail id: [Link]@[Link]
(Preferably official)
REASONS FOR BREAKS IN EMPLOYMENT HISTORY: NA
PROFESSIONAL REFERENCES (ANY PROFESSIONAL REFERENCE OTHER THAN IREP EMPLOYEE MEANS
IN YOUR PREVIOUS COMPANY REFERENCES): ( Mandatory)
PARTICULARS REFERENCE 1 REFERENCE 2 REFERENCE 3
Birru chennaiah G dastagiri seelam krishna reddy
NAME
Axis Bank Ltd hdfc bank limited idfc first bank ltd
Organization
Business sales manager pb sales branch manager
Designation/Position
Landline No.
9505502462 8688168883 9492286713
Mobile No.
Email Address [Link]@axisbank.c [Link]@[Link] [Link]@[Link]
om m
Page No: 4
INFORMATION RELEASE AUTHORIZATION
I certify that the statements made in this application are valid and complete to the best of my knowledge. I understand that false or
misleading information may disqualify me from employment and /or result in termination of employment.
I understand that IREP Credit Capital may request a verification of information provided by me and /or background check from an
agency hired by IREP Credit Capital for this purpose.
I further understand that the results of verification and checks and any records made out of that information will be used for employment
purposes only and will not be given to unauthorized persons.
I authorize IREP Credit Capital and/or its agents Pinkerton Corporate Risk Management India Pvt Ltd. to conduct a verification and
background check including but not limited to the verification and check of information and references stated by me in this application for
the consideration of IREP Credit Capital be used only for my employment purposes.
I give my consent to obtain my PAN/Passport/Voter ID and any other Government IDs to establish its genuineness. All such verifications
should be considered lawful processing and, I do not have any objection(s) around it.
If the Aadhaar is being requested by IREP Credit Capital as a proof of identity, I hereby state that I have no objection in authenticating
myself with Aadhaar based authentication system. I consent to submit voluntarily at my discretion, the physical copy of Aadhaar
card/physical e-Aadhaar/masked Aadhaar as issued by UIDAI (Aadhaar) to establish its genuineness through acceptable manner as per
UIDAI or under any Act or law from time to time.
I also understand that the information contained in my job application or otherwise disclosed by me will be stored and processed only for
verification for the applied employment. Pinkerton Corporate Risk Management India Pvt Ltd. will store data provided by me for the
period specified to the IREP Credit Capital.
I authorize UIDAI, EPFO, Law Enforcement Agencies, Learning Institutions (including Public and Private Schools and Universities),
Information Service Bureaus, Credit Bureaus, Record/Data Repositories, Courts (Federal, State and Local), Motor Vehicle Records
Agencies, my past or present employers, and other individuals and sources to release the information in their
knowledge/possession/records relevant to my employment that is requested by Pinkerton Corporate Risk Management India Pvt Ltd.
In the event that IREP Credit Capital and /or its agents are unable to verify any information and references stated in this application, it is
my responsibility to furnish the necessary documentation in support of that information.
“I fully understand that my personal information would move out of the geographical boundaries of the country I am a resident
of, in order to carry on with my verification process”.
I fully understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for
any definite period of time and my employment decision will always be at the sole discretion of IREP Credit Capital
I have read, understood, and by my signature consent to these statements.
I authorize IREP Credit Capital to contact my present employer. Yes No ( Tick Mark is Mandatory)
SIGNATURE:
DATE:02-JUN-2025
NAME (IN BLOCK LETTERS): UDAYAGIRI KHADAR BASHA
Page No: 5
Page No: 6
IREP CREDIT CAPITAL PRIVATE LIMITED
EMPLOYEE APPLICATION FORM
KEY SKILLS: Marketing, MS Office, TOTAL EXPERIENCE (YRS): 5 Y e a r s
DATE OF JOINING: _02-Jun-2025
REPORTING TO: Branch Manager
Please √ wherever applicable
w
NAME IN FULL Udayagiri khadar basha
P (In block letters) ………………………………………………………………………………………………….………………………….
E FIRST MIDDLE SURNAME
R
S
O
PERMANENT ADDRESS PRESENT ADDRESS (In block letters)
N (In block letters)
15/93 Penna nagar somulavaripalli panchayat proddatur
A
L
15/93 Penna nagar , somulavaripalli ,proddatur …………………………………………………………………………………
…………………………………………………………………… …………… 516360 , Andhra pradesh
D
……… …………………………………………………………………………………
……………
E
…
T Cuddapah, 516360
A …………………………………………………………………… Landmark :
I ……… Andhra pradesh …………………………………………………………………
L ……………………………………………………. ………….
S ………………………………………Tel. No. ………..
…………………….
………………………………………Tel. No. …………-
……………………………….
E-mail: kbasha374@[Link]
Mobile No: 8099577164
……………………………………………………………………
………………………………………………………………………
…………..
Emergency Contact No: 7780623328
…………………………………………..
Emergency Contact Person Name: Imam bee udayagiri
…………………………………………..
DATE OF BIRTH: Please fill in mm/dd/yyyy PLACE OF BIRTH: NATIONALITY
25-Jan-1995 Proddatur Indian Hindu ( dudekula )
…………………………………………………. …………………………………………… ………………………………………………………
month / date / year … ….…
MARITAL STATUS
NO. OF CHILDREN: 2
……………
MALE MARRIED
SEX:
SINGLE
FEMALE DIVORCED
RELATIONSHIP NAME OCCUPATION
Page No: 7
FATHER/ GUARDIAN
Udayaagiri kamal bee House Wife
MOTHER
Udayagiri imam bee House wife
SPOUSE
Udayagiri safiya
CHILDREN
Udayagiri mohammed sabir
SIBLINGS
ASSIGNED LAPTOP BY THE COMPANY YES NO
If you have Passport ,please give your passport : No
E
D LEVEL DEGREE / BOARD / SCHOOL / COLLEGE AREA OF YEAR % MARKS/
DIPLOMA/CE UNIVERSIT SPECIALISATION OF CGPA
U RTIFICATE Y PASSIN
G
C Board of M.H. school nadimpalli 12-Jul-2010 48%
A X STD seconda
T ry
I educatio
O n andhra
pradesh
N
Intermediate/P Board of Sri gouri shankar junior Intermediate/PUC 06-Mar-201 50.60%
XII STD/ EQUIV. UC intermediat college 2
e education
.ap
Yogi vemana Sri Venkateshwara [Link] 04-May-201 57%
GRADUATE university degree College 5
Jawaharlal Cbit college MBA 04-Jul-2017 63%
P.G. Nehru
technological
University
anantapur
OTHERS
EXTRA CURRICULAR ACTIVITIES : Na
W
PERIOD
O ORGANISATION DESIGNATIO REASON COMPENSATI
R FROM TO N AT THE FOR O N DETAILS
K TIME OF SEPARATIO (FIXED +
LEAVING N VARIABLE)
E Axis bank Ltd 08-Nov-2019 28-Jun-2022 Branch Better Offer
X Sales Given by
P Manager HDFC
E HDFC Bank Ltd 04-Jul-2022 30-Nov-2022 Personal Family Problem
R Banker
I Sales(PB-S)
E
IDFC First Bank Ltd 02-Jan-2023 29-Mar-2025 RELATIONSHIP WORK
N
MANAGER- LOCATION
BRANC H
C
E BANKING
Page No: 8
PROFESSIONAL ACHIEVEMENTS (AWARDS / RECOGNITIONS) :
KVB Achieved 2times Qualified
Mini KVB qualified
March to GLORY
Tycoon Contest experience Qualified Self and My Team.
Gala Dinner Qualified Self and My Team.
I have qualified STAR OF AP
I have qualified 3 ROCK STARS
(Please Underline Mother Tongue)
L PROFICIENCY (BASIC, INTERMEDIATE, PROFICIENT)
A
N
LANGUAGE Can Understand Can Speak Can Read Can Write
G English, Hindi, Telugu English, Hindi, English, Hindi, Telugu English, Hindi, Telugu
Telugu
U
A
G
E
S
LIST THREE REFERENCES (People with whom you have worked in your current or previous employment )
R
E Sl. No. NAME & ADDRESS OCCUPATION TELE. NO. EMAIL ID
F
E 1 Birru Business 9505502462 [Link]@axisbank
R chennaiah sales .c om
E Axis Bank manager
N Ltd
2 G dastagiri pb sales 8688168883 [Link]@hdfcban
C hdfc bank k. com
E limited
S
3 seelam krishna branch manager 9492286713 [Link]@idfcf
reddy idfc first ir [Link]
bank ltd
R HAVE YOU WORKED WITH ANYONE AT IREP CREDIT CAPITAL PVT LTD PREVIOUSLY ? YES NO
e
IF YES, PLEASE LIST THEM BELOW
l
a Name of the family member working with RELATIONSHIP DESIGNATION
IREP
t
i
v
D
e
c
l
a
r
a
t
i
o
Page No: 9
N Nominee 1 Details ( Name, Relation, aadhar Number , Contact Number) Nominee 2 Details ( Name, Relation,
O aadhar Number , Contact Number)
M Udayagiri imam
I Udayagiri safiya
bee Spouse
N Child
E 579881016157
E 584877160751
D 7780623328
E 9573363350
T
A
I
L
S
MENTION RELEVANT DETAILS
HOW DID YOU LEARN ABOUT IREP CREDIT CAPITAL PVT LTD
I have learned lot of things in our company when ia m asking any doubt they are explained very well and I also understood
HAVE YOU SUBMITTED ALL DOCUMENTS AS REQUESTED BY THE COMPANY, AS PART OF YOUR HIRING PROCESS.
IF NOT PLEASE SUBMIT IMMEDIATELY.
Yes I have submitted all documents
IS THERE ANYTHING ELSE YOU WANT TO SHARE WITH THE ORGANIZATION?
Nothing they are all guided well
Are you under any legal obligation to your current / last employer? (like bond, non compet)
NO YES
IF YES, PLEASE CLARIFY:
……………………………………………………………………………………………………….. …………….
……………………….
Have you ever been convicted by a court in India for any criminal offense and/or sentenced to imprisonment?
No YES
IF YES, PLEASE CLARIFY:
……………………………………………………………………………………………………….. …………….
……………………….
Can you confirm that there are no criminal proceedings pending against you before any court in India and that I have not
been issued a warrant or summons for appearance or a warrant for arrest by any court in India.
NO YES
IF NO, PLEASE CLARIFY:
………………………………………………………………………………………………………..…………….
……………………….
Page No: 10
DECLARATIONS :
I certify that the above statements made by me are true, complete and correct. I agree that in case the company finds at
any time that the information given by me in this form is not correct, true or complete, the company will have the right to
withdraw my letter of appointment or to terminate my appointment at any time without notice or compensation.
Place :Proddatur
Date:02-jun-2025 Signature: ……………………………………………………
Joining Date :
02-jun-2025
Page No: 11
