Employment Application Form (EAF)

(Intended use - For employment in India only)

Date: _________________ Position applied for: ___________________________ Position Code: ________________

Thank you for your interest in exploring opportunities with IGATE (Company). This form is intended to
record important information about you and will be helpful in understanding your candidature better.
Additional use of information captured in this form is mentioned below.
Please TYPE or PRINT (in capitals) details clearly and provide accurate information. Do fill in all the
fields in this form in BLUE ink only
Please NOTE: All documents submitted by you to the Company (including this form) with reference to
your exploring opportunities with Company, are subject to verification by the Company or an agency
appointed by the Company at any time during or prior to your employment with Company. You hereby
specifically authorize the Company or any external agency appointed by the Company to verify your
educational and employment antecedents, your conduct and conduct any other back ground checks
prior to your joining the Company or thereafter. You are expected to extend your full cooperation
during such verification. Your application for employment / employment with the company is subject to
you clearing the background check as conducted by the Company or any third party agency on behalf
of the Company.

Personal Details
Full Name ( as given in your passport with initials expanded)
---------------------------------------------------------------------First
Name / Surname

Please attach your photograph

passport size

------------------------------------Middle

Last

Former Name(s) / Maiden Name (where applicable)

_______________________________________________
Fathers Full Name: ____________________
First
Surname

_______________________
Middle

Marital status: Single Married

Gender: Male
Female
Date of birth (dd/mm/yy):
.
Place of birth: ..

__________________________________
Last /

Contact Information:
Mobile: ............. Landline: .................

Emergency: ......... Email

ID: ....................................................

Blood group: ...........................................

Have you applied to IGATE before: Yes / No

If YES when (Month / Year)? __________________

Are you related to anyone currently working at IGATE (Yes / No)? __________________
If YES, please provide Relation details, Name, Designation, Department and/or
Grade______________________________

Version-3.0

IGATE Restricted

Page 1 of 8

o
o
o
o
o
o
o

How did you come to know about this opportunity with IGATE?
Employee Referral (Specify employee name & Department): _______________________________________
Job Portal (Portal Name): ________________________________________________________
Agency / Vendor (Vendor Name):__________________________________________________
Others (Please Specify):_________________________________________________________

Job Information
Are you currently working? (Yes / No) ..
Current / Last drawn Compensation:
Expected Compensation: ..................................
Notice Period (in days): .................................

Details of Address

(Please provide Mobile Numbers of your family members who can verify the address)
Complete Address- (Detailed) Pease mention
Nearest Police Station in each area of Residence

Permanent Address
(Specify landmark)

From:(mm/yy) To:(mm/yy)
Start Date:
End date:
Start Date:

Current Address
(Specify landmark)

End date:

Previous Address
(Longest Stay in past 5
years)
(Specify landmark)

Start Date:
End date:

Educational Qualifications
Post Graduation
College Name:
University Name:
Program:
Full Time
Part Time
Distant Education

Period: (month / year)

(Start & End Date)
----------- to -------------

Type of degree: ______________________

Graduation date (month / year): _____________________

Subject: ____________________________

Aggregate % / Score:____________________________
If graduation not completed- give reasons:

_____________________________________
Graduation
Version-3.0

IGATE Restricted

Page 2 of 8

College Name:
University Name:
Program:
Full Time
Part Time
Distant Education

Period: (month / year)

(Start & End Date)
----------- to ---------

Type of degree: ______________________

Graduation date (month / year): _____________________

Subject: ____________________________

Aggregate % / Score:____________________________
If graduation not completed- give reasons:

_____________________________________
Diploma
Institute Name:
University Name:
Program:
Full Time
Part Time
Distant Education

Period: (month / year)

(Start & End Date)
----------- to ----------

Type of degree: ______________________

Graduation date (month / year): _____________________

Subject: ____________________________

Aggregate % / Score:____________________________
If graduation not completed- give reasons:

_____________________________________
Other degrees (if any)
Institute Name:
University Name:
Program:
Full Time
Part Time
Distant Education

Period: (month / year)

(Start & End Date)
----------- to -------------

Type of degree: ______________________

Graduation date (month / year): _____________________

Subject: ____________________________

Aggregate % / Score:____________________________
If graduation not completed- give reasons:

_____________________________________
Schoolin
g details

Name of School

Graduati
on year

Percentag
e

10th
12th

Version-3.0

IGATE Restricted

Page 3 of 8

Details specialized in company/ external Training programs attended

Name of training

Date of completion

Details of skills possessed

List skills

Duration of Experience (in months)

Software skills:
Hardware skills:
Functional / Domain
skills:
Written / Spoken
Languages:

Immigration Status - Please specify Valid Visa/ Work permits held (if any)
Visa Type/ Work permit

Country

Valid till

Employment History
Details of Current Employer
Are you a Permanent employee or a Contract employee: Please specify
Employing Company Name:

Position Held:
Department :

Complete Address:

Telephone :

Employment Period: (month/ year)

Annual Compensation (specify Variable

components if any)

From: .To

_______________________________

Employee Code: (If not applicable, why?)..

Compensation since: (mm/yy)

________________________

Reason(s) for Leaving:

Role/Responsibilities:

HR representatives name
Contact details:

Can a reference be taken now?

No.
If no, State reasons

Yes /

Previous Employment details

Were you a Permanent employee or a Contract employee: Please specify
Position Held:
Employing Company Name:
Department :
Complete Address

Version-3.0

Telephone :

IGATE Restricted

Page 4 of 8

Employment Period: (month/ year)

Annual Compensation (specify Variable

components if any)

From: .To

_______________________________

Employee Code: (If not applicable, why?)..

Compensation since: (mm/yy)

________________________

Reason(s) for Leaving:

Role/Responsibilities:

Can a reference be taken now?

No.
If no, State reasons

HR representatives name
Contact details:

Yes /

Previous Employment details

Were you a Permanent employee or a Contract employee: Please specify
Employing Company Name

Position Held:
Department :

Complete Address:

Telephone :

Employment Period: (month/ year)

Annual Compensation (specify Variable

components if any)

From: .To
Compensation since: (mm/yy)
Employee Code: (If not applicable, why?)..
________________________
Reason(s) for Leaving:

Role/Responsibilities:
Can a reference be taken now?
No.
If no, State reasons

HR representatives name
Contact details:

Yes /

Previous Employment details

Were you a Permanent employee or a Contract employee: Please specify
Employing Company Name

Position Held:
Department :

Complete Address:

Telephone :

Employment Period: (month/ year)

Annual Compensation (specify Variable

components if any)

From: .To
Compensation since: (mm/yy)
Employee Code: (If not applicable, why?)..
________________________
Reason(s) for Leaving:

Version-3.0

IGATE Restricted

Page 5 of 8

Role/Responsibilities:
Can a reference be taken now?
No.
If no, State reasons

HR representatives name
Contact details:

GAP/s in Employment / Education (wherever applicable):

gap between your Education and / or Employment.
Gap From / To (mm /
Type of Gap (Specify
yyyy)
Employment or Education)

Yes /

Please mention reason for

Reason for Gap

Reference Check:
Please provide contact information of three Individuals who have been Supervisors / Academician to you and know
your professional / educational background and may be able to comment on your professional career and
achievement. We undertake not to contact your present employer until your consent is gained.(Personal acquaintance cannot
be mentioned as references)

Name & Position Held:

Name & Position Held:

Name & Position Held:

Company Name /
Education Institution:

Company Name /
Education Institution:

Company Name /
Education Institution:

Email ID:

Email ID:

Email ID:

Mobile number:

Mobile number:

Mobile number:

How do you know this person?

How do you know this person?

How do you know this person?

Any additional information:

I certify that the information given in support of my Employment Application/Detail Form is true to the best of my
knowledge. If the information given above is found to be false, I am liable to be terminated from service of the
Company, without any notice or compensation and/or my offer of appointment may be withdrawn without any
liability to IGATE.

Date: _______________________

Version-3.0

Signature: _____________________________

IGATE Restricted

Page 6 of 8

Letter of Authorization
(To be manually signed)

To whomsoever it may concern

I

s/o/d/o/w/o

________________________________________________

_____________________________

resident

of

, being the undersigned, understand that IGATE

Corporation & its subsidiaries, (hereinafter IGATE Global Solutions Ltd the expression which unless
repugnant to the context shall mean and include its affiliates, successors and permitted assigns) may
use and/or assign outside agency(ies) to verify and validate the information I have provided including
but not limited to my previous and current employment details, my personal background, criminal
conviction records, professional standing, work history and both school and professional qualifications,
personal references ( the Information).
I understand that agency(ies), as may be assigned from time to time by IGATE Global Solutions Ltd may
obtain as it may deem appropriate from various sources, the said Information without any further notice
to me.
I hereby authorize, without reservation, any individual, corporation and/or other private or public entity
to furnish IGATE Global Solutions Ltd, its client(s) and the outside background agency the said
Information.
I unconditionally agree to defend, release, indemnify and hold harmless any individual, corporation, or
private or public entity from any and all causes of action that might arise from furnishing said
Information to IGATE Global Solutions Ltd and/or in turn to any client of IGATE Global Solutions Ltd and
the outside agency(ies) and/or IGATE Global Solutions Ltd and/or any client of IGATE Global Solutions
Ltd that they may request, pursuant to release of this Letter of Authorization.
I also understand that by issuing this Letter of Authorization, I am merely providing necessary support
to IGATE Global Solutions Ltd and/or IGATE Global Solutions Ltds client(s) to verify the said Information
and under no circumstance(s) would my giving this Letter of Authorization, entitle me to an offer or
continuance of employment/assignment with IGATE Global Solutions Ltd and/or its clients.
This Letter of Authorization and release, in original, faxed or photocopied form, shall be valid for this
and any future reports and updates that may be requested.
Signed:

________________________

Name in Block Capitals:

________________________

Date of Birth (dd/mm/yy):________________________

Version-3.0
IGATE Restricted

Page 7 of 8

Date:

________________________

Note: The above Authorization Form to be manually signed by the applicant

Version-3.0

IGATE Restricted

Page 8 of 8