Employment Application Form (EAF)

(Intended use - For employment in India only)

Date: Date on which candidate filling form Position applied for: Leave Blank Position Code: Leave Blank

Thank you for your interest in exploring opportunities with Capgemini. 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(like Credit Report Check, Drug test, Criminal Check as applicable) 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) Please attach your photograph –
Lavina Rakesh Sharma passport size
------------------------- ------------------------------------- --------------------------------
First Middle Last Name / Surname Please paste recent passport
size photograph here
Former Name(s) / Maiden Name (where applicable)

_______________________________________________

Father’s Full Name: Rakesh Ramesh Sharma

_ ______________ _______________________ __________________________________
First Middle Last / Surname
Marital status:  ingle  Married Contact Information:
Gender:  Male  Female
Mobile: 1234556789Home Number: 1234556789
Date of birth (dd/mm/yy): 12/09/1998
Emergency Number: 1234556789 Name: Rakesh Sharma – Father
Place of birth: Mumbai
Primary Email ID (personal): [email protected]
Blood group: A+
econdary Email ID: [email protected]

Have you applied to Capgemini before: Yes / No. If YE when (Month / Year)? No / Yes , Mention month & year if yes

Are you related to anyone currently working at Capgemini (Yes / No)? No / Yes , Mention name & employee code if yes
If YE, please provide Relation details, Name, Designation, Department and/or Grade Provide relation details here

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Capgemini
How did you come to know about this opportunity with Capgemini?

Employee Referral (pecify employee name & Department): __________________________________________________

Job Portal (Portal Name): ________________________________________________________

Agency / Vendor (Vendor Name):__________________________________________________

Others (Please pecify): On Campus Drive

Job Information

Are you currently working? (Yes / No) No or Yes (please specify if you are holding any offer from other organization)

Current / Last drawn Compensation: Please mention offered CTC from other organization

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 tation in each area of Residence From:(mm/yy) To:(mm/yy)

Permanent Address tart Date: Feb 1998

(pecify landmark) 23/Rachira house, Delhi 200603
End date: Till Date

tart Date: May 2013

Current Address
(pecify landmark)
42-A , Meena Bazar, Mumbai - 400603
End date: Till Date

Previous Address (Longest tart Date: Feb 1998

tay in past 5 years) 23/Rachira house, Delhi 200603
(pecify landmark) End date: Till Date

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Educational Qualifications
Post-Graduation
College Name: NA

University Name:

Program: Period: (month / year)

Full Time (tart & End Date)
Part Time
----------- to -------------
Distant Education
Type of degree: ______________________ Graduation date (month / year): _____________________

ubject: ____________________________ Aggregate % / core:____________________________

If graduation not completed- give reasons:
_____________________________________
Graduation

College Name: Saraswat College of Engineering, Mumbai

University Name: Mumbai University

Program: Period: (month / year)

Full Time (tart & End Date)
Part Time
June 2014 to May 2018
Distant Education

Type of degree: BE/BTech Graduation date (month / year): May 2018

ubject: Computer Engineering Aggregate % / core: 72% or 7.5 CGPA (Aggregate of all 6 semester)
If graduation not completed- give reasons:
Persuing

Diploma Please mention details same as graduation

Institute Name:

University Name:

Program: Period: (month / year)

Full Time (tart & End Date)
Part Time
----------- to ----------
Distant Education

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Capgemini
 Type of degree: ______________________ Graduation date (month / year): _____________________

ubject: ____________________________ Aggregate % / core:____________________________

If graduation not completed- give reasons:
_____________________________________
Other degrees (if any)
Institute Name:

University Name:

Program:
Full Time Period: (month / year)
(tart & End Date)
Part Time
Distant Education ----------- to -------------

Type of degree: ______________________ Graduation date (month / year): _____________________

ubject: ____________________________ Aggregate % / core:____________________________

If graduation not completed- give reasons:
_____________________________________
Schooling Graduation
Name of School Percentage
details year
10th Saraswat High School, Mumbai 2011 76
12th Saraswat High School, Mumbai 2013 67

Details specialized in company/ external Training programs attended

Name of training (Please mention training or certification done in academic year) Date of completion

Java Certification – 3 months May 2016

Details of skills possessed

List skills Duration of Experience (in months)
oftware skills:

Hardware skills:

Functional / Domain skills:

Written / poken Languages:

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

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Capgemini
GAP/s in Education (wherever applicable): Please mention reason for gap between your Education and / or Employment.
Type of Gap (Specify Employment or
Gap From / To (mm / yyyy) Reason for Gap
Education)
Education Please mention the valid reason here
06/2012 to 06/2013
Education Please mention the valid reason here
06/2012 to 06/2013

Reference Check: (Minimum of two references is required)

Please provide contact information of three Individuals who have been Academician to you and know your educational background and may be able to
comment on your academics and achievement. (Family and Friends cannot be mentioned as references)

Name & Position Held: Name & Position Held: Name & Position Held:
Mr. Niraj Gupta – Professor Mr. B.K Sharma – Manager Sales
Company Name / Company Name / Company Name /
Education Institution: Education Institution: Education Institution:
College or Company name XYZ Company pvt. Ltd.
Email ID: Email ID: Email ID:
Valid email ID Valid email ID
Mobile number: Mobile number: Mobile number:
0123456789 0123456789
How do you know this person? How do you know this person? How do you know this person?
Mr. Gupta is professor in my college Mr. B.K Sharma is family friend

Professional Achievements:

Extra-Curricular Activities:

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 Capgemini.

Date: Date on which candidate filling form Signature: Put the signature manually

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Capgemini
 Document check list to be submitted for Background Check (BGC)
# All documents listed below are MANDATORY Yes No
a Updated Resume Copy Yes
b Employment Application Form (EAF) – All pages completed Yes
c Authorization Letter to be signed Yes
d One (1) passport size color photograph (Could be scanned and emailed) Yes

Documents required for Identity verification (Any one (1) of the following documents) Yes No
a Passport (First two, last two & all stamped pages)
b PAN Card Yes
c Driver’s License
d Aadhaar Card
e Election ID

Documents required for Education verification (All documents listed below) Yes No
a Master’s degree or Provisional Master’s Degree Certificate (where applicable)
b Master’s degree marks sheets / transcripts for all years (where applicable)
c Bachelor’s degree or Provisional Bachelor’s Degree Certificate
d Bachelor’s degree marks sheets / transcripts for all years Yes
e 12th tandard mark sheet / transcript Yes
f 10th tandard mark sheet / transcript Yes

Documents required for Employment verification Yes No

a Relieving and Experience letter (all previous employers)
b Acceptance of Resignation letter or email (from current employer)
c Last 3-months pay slip
Any one (1) of the following:
d Current employer issued Offer Letter
Last increment letter

Have you worked for any GE Project? If YES, please specify duration (starting
month/year to ending month/year)

IMPORTANT GUIDELINES
1. Candidate must carry / bring ‘Original Copy’ of the above documents on day of Joining.
2. All photocopies (where applicable) must be on A4 size paper
3. Above documents if sending scanned copies to be saved as PDF files and sent.
4. canned documents must be clear, not speckled and contents need to be 100% legible.

I hereby confirm having submitted the above listed documents.

Name : Lavina Rakesh Sharma

ignature : Put signature manually
Date : Date on which candidate filling form

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Capgemini
 Letter of Authorization
(To be manually signed)

To whomsoever it may concern

I Lavina Rakesh Sharma s/o/d/o/w/o Rakesh Sharma resident of Mumbai , being the undersigned, understand that
Capgemini Corporation 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 Capgemini India Pvt. 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
Capgemini India Pvt. 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 Capgemini India Pvt. Ltd and/or
in turn to any client of Capgemini India Pvt. Ltd and the outside agency(ies) and/or Capgemini India Pvt. Ltd and/or any client
of Capgemini India Pvt. 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 Capgemini India
Pvt. Ltd and/or Capgemini India Pvt. Ltd 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 Capgemini India
Pvt. 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.

igned: Put signature manually

Name in Block Capitals: LAVINA RAKESH SHARMA

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

Date: Date on which candidate filling form

Note: The above Authorization Form to be manually signed by the applicant scanned and then submitted

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Capgemini