Interview Location
Please affix
This your latest
Passport
Candidate id Photograph
Here
INFOSYS LIMITED
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)
....................................................................... .................................................... …………………………………………………..…..
FIRST MIDDLE LAST
ADDRESS FOR COMMUNICATION
Mobile No. .....................................................................................
.........................................................................................................
E- mail: ...........................................................................................
.........................................................................................................
Fijjccj
(Personal E-Mail ID only)
.........................................................................................................
PERSONAL DETAILS
CITIZENSHIP(S)
Tugghj …………………………………….
.........................................................................................................
City: ..................................... DO YOU HAVE A PASSPORT?
YES NO
PIN / POSTAL CODE..........................
State: .................................................Country: ...............................
Day Time Contact No. .............................................. (Optional)
DATE OF BIRTH (as per passport / legal document): GENDER
(dd/mmm/yyyy)
MALE FEMALE OTHERS
…………………………………………...
VER 9.2 1 of 4 HRD/REC/2023
SIGNATURE OF THE APPLICANT
DIPLOMA/EQUIV POST GRADUATION
GRADUATION OTHERS
LEVEL (if applicable) (if applicable)
Name of the Qualification Awarded
State Board/University
Name of the School/College
EDUCATION
State
Branch/Stream/Area of Specialization
* Percentage / CGPA
Year & Month of Final Examination
*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……………………….
PERIOD (MMM/YYYY) EXPERIENCE/
RELIEVING
FROM TO DURATION REASON FOR
PAYROLL ORGANIZATION* DESIGNATION LETTER
(in months) SEPARATION
AVAILABLE
(Y/N)
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 9.2 2 of 4 HRD/REC/2023
SIGNATURE OF THE APPLICANT
NEXT REVISION EXPECTED YOUR EXPECTATION AT
ANNUAL CURRENT
DATE: ……………………. INFOSYS
Fixed Salary in Lakhs (INR)
COMPENSATION AND BENEFITS
Variable Pay in Lakhs (INR)
1………………………………. 1………………………………. 1……………………………….
Other Benefits
2………………………………. 2………………………………. 2……………………………….
3………………………………. 3………………………………. 3……………………………….
ANNUAL GROSS
COMPENSATION
in LAKHS (INR)
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 …………………..
- SELECTED FOR INTERVIEW? YES NO .………………….. YES NO …………………..
- MADE AN OFFER? YES NO .………………….. YES NO …………………..
- JOINED & QUIT? YES NO .………………….. YES NO …………………..
ARE YOU SERVING/ENGAGED AS A DIRECTOR, PARTNER, SOLE PROPRIETOR OR IN YES NO
ANY OTHER EQUIVALENT POSITION IN ANY COMPANY, FIRM OR BUSINESS ENTITY?
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...
MISCELLANEOUS
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 CHARGED, ACQUITTED OR CONVICTED BY A COURT YES NO
OF LAW IN INDIA OR OUTSIDE INDIA?
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...
HAS ANY WARRANT FOR YOUR ARREST OR SUMMONS FOR YOUR APPEARANCE BEEN YES NO
ISSUED OR AN ORDER PROHIBITING YOUR ENTRY INTO OR EXIT FROM ANY COUNTRY,
BEEN ISSUED BY A COURT OF LAW OR ANY GOVERNMENTAL AUTHORITY?
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...
HAVE YOU AT ANY TIME BEEN SUBJECT TO OR ARE BEING SUBJECT TO ANY
YES NO
INVESTIGATIONS BY THE FINANCIAL MARKET REGULATOR SUCH AS SECURITIES AND
EXCHANGE BOARD OF INDIA?
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...
ARE YOU AWARE OF YOU BEING SUBJECT OF ANY INVESTIGATION BY ANY
YES NO
GOVERNMENTAL AUTHORITY?
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...
ARE THERE ANY CRIMINAL PROCEEDINGS PENDING AGAINST YOU BEFORE ANY YES NO
COURT OF LAW IN INDIA OR OUTSIDE INDIA?
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...
VER 9.2 3 of 4 HRD/REC/2023
SIGNATURE OF THE APPLICANT
ARE YOU SUBJECT TO ANY *SANCTIONS LAWS? YES NO
IF YES, PLEASE PROVIDE DETAILS………………………………………………………………………………………………………………...
*Sanctions Laws means all applicable financial, economic and trade sanctions (whether primary or secondary), and export control
laws and regulations (or any similar restrictions) imposed by the United Nations or the governments of Australia, the United Kingdom,
European Union and the United States of America or any other country.
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.
Date : ......................................... Place : ..................................... Signature: ..............................................................
VER 9.2 4 of 4 HRD/REC/2023
SIGNATURE OF THE APPLICANT
