TCS EMPLOYMENT APPLICATION FORM
BASIC DETAILS Reference # DT20142298049
PERSONAL DETAILS College/Institute Name Mother's Maiden Name Mother's Name Father's Name Date Of Birth Nationality Gender Area Of Interest Nirma University Mr. Rohan Rustagi Monika Ms.Monika Rustagi Mr.Prem Prakash Rustagi 10/02/1992 India Male Engineering and Industrial Services,IT Application Development And Maintainance CONTACT DETAILS PERMANENT ADDRESS House No./Apartment Name/Block No Road/Street/Lane Area/Landmark City State PIN Code Country Ramprastha Greens Ghaziabad Up 201010 India 803,T1,J.M. Park Sapphire,Ramprastha Greens,Vaishali.
PRESENT ADDRESS House No./Apartment Name/Block No Road/Street/Lane Area/Landmark City State PIN Code Country Dinner Bell Restaurant 2 Ahmedabad Gujarat 380052 India 1001,Rushikesh Apartments,Subhash Chowk,Memnagar.
ACADEMIC DETAILS: Degree Course Name Graduate Bachelor Of Engineerin g XII Science 29/05/2009 29/05/2010 Full Time Kv Ongc Ahmedabad. Cbse Pcm With Computers,En glish X Science 19/05/2007 19/05/2008 Full Time No Part Of The Freshers' Cup Winning Team In Institute(Cricket And Football). Certified By Ge Lighting And Electrical Institute For Successfully Completing The Basics Of Circuit Breaker Online Course. Certified By Siemens Industry, Inc. For Successfully Completing Quickstep Online Course Titled Basics Of Switchboard. * Secured 89 Marks In English In Std 10th, Highest In Subject In School. Academic Projects Undertaken: Have you done any other course ? Do you have any pending backlogs currently ? Major:Automatic Star Delta Starter, Minor:Induction Generator, Hospital Management Using C++(Std 12th) No No Kv Ongc Ahmedabad Cbse 89.0 100.0 89.0 87.0 100.0 87.0 Duration From Duration To Course Type Nirma University University/Institute Board Of Education Electrical Engineering Major Subject CGPA/Marks Total Obtained 6.9 Marks/CGPA 10.0 64.0 Percentage
15/06/2010 08/05/2014 Full Time
Are there any break in studies ? Rewards Or Scholarships :
Declaration 1. You have taken all subject marks into consideration for calculating the obtained/Total Marks/CGPA in each of the above mentioned academic qualifications : Yes 2. The "Marks/CGPA Obtained" entered by you for each of the above mentioned academic qualifications has been secured in the first attempt : Yes 3. You have considered only the Marks/CGPA obtained during the normal duration of the course for calculating Obtained/Total Marks/CGPA : Yes 4. You have completed each of the above mentioned academic courses in the stipulated time as specified by your University/Institute and as per TCSL selection guidelines and do not have any extended education: Yes 5. You have declared break in studies/work experience and pending backlogs,if any, during your academics: Yes 6. You have not attended the TCSL Selection Process in the last 6 months: Yes 7. You have read the TCSL eligibility criteria and understand that your candidature/application/offer/ on boarding is subject to fulfillment of the specified criteria : Yes I Mr. Rohan Rustagi solemnly declare that the information in this form is truly stated and correct and I am competent to furnish as well as verify it with adequate details whenever requested for by TCSL.
CONTACT DETAILS E-mail ID Telephone(R) Alternate E-Mail ID Telephone(M) [email protected] 2880261 [email protected] 8758270965
LANGUAGE DETAILS: Language English Hindi Gujarati Mother Tongue No Yes No Read Yes Yes Yes Speak Yes Yes Yes Write Yes Yes No
TCS RELATED DETAILS: Have you appeared for TCS Test / Interviews earlier? No
REFERENCES Reference 1 Name: Designation: Contact Number: Email ID: Reference 2 Name: Designation: Contact Number: Email ID: Shri Swapnil Jani Asst Professor 9067090650 [email protected] Shri Chanakya Bhatt Asst Professor 9687622482 [email protected]
TCS Terms and Conditions
In connection with my application to render services to Tata Consultancy Services Ltd (the "Company"), I hereby agree as follows:I certify that the information furnished in this form as well as in all other forms filled-in by me in conjunction with my traineeship is factually correct and subject to verification by TCS including Reference Check and Background Verification. I accept that an appointment given to me on this basis can be revoked and/ or terminated without any notice at any time in future if any information has been found to be false, misleading, deliberately omitted/suppressed. As a condition of Company's consideration of my application for traineeship with the Company, I hereby give my consent to the Company to investigate or cause to be investigated through any third parties my personal, educational and pre or post joining history. I understand that the background investigation will include, but not be limited to, verification of all information given by me to the Company. I confirm that the Company is entitled to share such investigation report with its clients to the extent necessary in connection with the Services, which I may be required to provide to such clients. I confirm and undertake that the Company shall incur no liability or obligation of any nature whatsoever resulting from such investigation or sharing of the investigation results as above. I certify that I am at present in sound mental and physical condition to undertake employment with TCS. I also declare that there is no criminal case filed against me or pending against me in any Court of law in India or abroad and no restrictions are placed on my travelling anywhere in India or abroad for the purpose of business of the Company.
Your Electronic Signature is:
Name:Mr. Rohan Rustagi
Date:27/02/2014
Place:Ahmedabad
TCS is an equal opportunity employer that aims to integrate global diversity and inclusion at each level within our organization. Hiring decisions are solely made on the capability of an individual to perform a role. Any personal details like gender, age and nationality that may be provided by you during the course of application or selection process will be used for administrative records and all qualified applicants will receive consideration for employment without regard to this information.
