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Employment Application Form: Accenture Services Private LTD

This document contains an employment application form for Accenture Services Private Ltd. The 3-page form requests personal details, education history, employment history, and authorization to conduct background checks. It notifies applicants that omissions or misrepresentations may result in refusal of employment and includes fields for applicant signature and date.

Uploaded by

Thomas Morris
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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2K views5 pages

Employment Application Form: Accenture Services Private LTD

This document contains an employment application form for Accenture Services Private Ltd. The 3-page form requests personal details, education history, employment history, and authorization to conduct background checks. It notifies applicants that omissions or misrepresentations may result in refusal of employment and includes fields for applicant signature and date.

Uploaded by

Thomas Morris
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Accenture Services Private Ltd.

Employment Application Form


For internal use only: To be filled by Accenture

Employee ID Number Date of Joining Workforce

: : :

Please attach recent passport size photograph

Please provide complete and correct information All fields are mandatory Please do not use short forms / abbreviations.

w.e.f. 16-Aug-2012

V 4.5

Personal Details
Title Accenture Services Private Ltd. First Name Middle Name Last Name (Mr./Mrs./Ms.) Details (Please mention all education details starting from highest full time degree obtained)
% Marks/ CGPA

Please expand initials in your name -- As the same would be used in our Employment records

Education

Primary Skill / Qualification with Institution Name & City University Name & Period Student ID / Program Competency(School/College) Specialization City / Board Affiliated (From To) Reg No. (Part Time / Full (Starting from most To (DD/MM/YYYY) Time) recent) Gender: Male Female Nationality: . Citizenship: If you are not an Indian National, do you have a valid work permit to work in India? Post-Graduation If yes, work permit valid up-to (DD/MM/YY) Yes No

If no, pl provide reason Graduation Do you hold a valid PIO / OCI Card issued by Government of India? If yes, Card is valid up-to (DD/MM/YY) HSC/ 12thIf no, pls provide reason ....... Date of Birth : Place of Birth: . Yes No

Maiden Name: (applicable for married ladies): . SSC/ 10th Fathers Name: .. Mothers Name: ............... Others Mothers Maiden Name: .. Contact Number/s: 1 . 2 . 3 Personal Email ID: . State reasons for gap in education (if any) : Alternate Email ID: .. Current Address: Permanent Address:

Phone Number:
w.e.f. 16-Aug-2012

Phone Number: Current Address From To (month/year) (month/year) Permanent V 4.5 From (month/year) Address To (month/year)

Period of Stay

Accenture Services Private Ltd.



Begin with the details of your latest employer followed by previous employers as you go below and add page for additional employers as required. Ensure that you are descriptive wherever necessary e.g. If your previous company is closed down, please do mention it. Telephone Number with specific location code, Employee Code/ ID/ Number is mandatory. If your previous employer did not provide the Employee ID, please mention and state reasons for the same. Employment details should be of the company you are on payrolls of, not of a company you are deputed to on an assignment with. In case you are showing employments experience in a skill enabling or professional Training institute the same should only be shown if you were on the payrolls of such an institute.

w.e.f. 16-Aug-2012

V 4.5

Accenture Services Private Ltd.


Employment Details - (Please mention all the employments starting from the latest employment) Note: Verification of your Current Employment would be obtained on or after joining Accenture. Address (Main office & branch where worked) with Company Telephone Board Line Employ ment Period From To (dd/mm/ yyyy) Emp Code / Personnel No. / Social Security No. (Mandatory if worked in USA) Last drawn monthly gross Salary (INR) & PF A/C No.
Monthly SalaryPF A/C No. -

Sl N o

Company Name

Employment Type& Designation/ Position held

Reported to (Name & Position & direct contact number)

Reasons for leaving

Mode of separation from the organization (Pls select the below option)

Employer 1

Permanent Contract
Designation

..

Resignation Termination Absconded Closed Operations Others(Pls Specify)

...
Permanent Contract
Designation
Monthly SalaryPF A/C No. -

Employer 2

.. Permanent Contract
Designation
Monthly SalaryPF A/C No. -

Resignation Termination Absconded Closed Operations Others(Pls Specify)

...
Resignation Termination Absconded Closed Operations Others(Pls Specify)

Employer 3

.. Permanent Contract
Designation
Monthly SalaryPF A/C No. -

...
Resignation Termination Absconded Closed Operations Others(Pls Specify)

Employer 4

..

...

Additional Information:

Letter of Authorization
w.e.f. 16-Aug-2012 V 4.5

Accenture Services Private Ltd. To whom it may concern


I agree to provide copies of mark sheets and relevant certificates. I understand that employment with Accenture is governed by Accenture Employment Policies as applicable, including satisfactory information from a background check and reference check. I hereby certify all of the statements made on the Accenture Services Private Ltd Employee Application Form are true and complete and I understand that omission or misrepresentation of any fact may result in refusal of employment or immediate dismissal. I hereby authorize Accenture Services Private Ltd and its representative to verify information provided in my resume and application of employment, and to conduct enquiries as may be necessary, at the company's discretion. I authorize Accenture Services Private Ltd. and its representative to initiate the necessary enquiries/checks with immediate effect; barring my current employment. Verification of my current employment can be initiated on or after the date of joining. I also authorize Accenture Services Private Ltd. and its representative to initiate reference checks with the references provided by me with immediate effect. I authorize all persons who may have information relevant to this enquiry to disclose it to Accenture Services Private Ltd. or its representative. I release all persons from liability on account of such disclosure.

Signature

Name in Capitals : Date :

Note instruction: Please print this page, sign, mention Name & Date, scan and upload/ share it with the recruitment POC)

w.e.f. 16-Aug-2012

V 4.5

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