CANDIDATE APPLICATION BLANK Reference Code / Sr.

#
(to be filled prior to first interview)

SKILLS: Core Java,SQL, Basics Of C Total Experience (Yrs.Mths):

Technical Expertise In: Experience

(Yrs.Mths): Photo

Domain/Functional Expertise In: Experience

(Yrs.Mths):

I. Personal Details
* Name: Mr/Mrs/Ms AS Nethra *
(as in your passport) Last First Middle

Mother Tongue: Malayalam Date of Birth: 12/21/1997

DD/MM/Y
Present Address: N0.42, Bull Temple Road, Basavanagudi, Bangalore-560004

City: Bangalore State: Karnataka Pincode: 560004 Home Tel No:

Business Tel No: Mobile: Personal Email Id:

9449081645 [email protected]
Permanent AddresMysoramma Colony, Arvathoklu Post, Gonikoppal

City: State: Pincode: Tel No:

Kodagu Karnataka 571213
Emergency Contact details Name: Priya TM Relationship: Mother

Emergency Contact Current Address: Mysoramma Colony,Arvathoklu Post,Gonikoppal

City: Gonikoppal State: Karnataka Pincode: 571213 Home Tel No:

PAN #: CYEPA4857R Existing HDFC Saving Account #: Branch Name:

Driving License #: No Expiry Date:

Passport #: S6256938 Place of Issue Bengaluru Expiry Dat### Citizenshi Indian

Have you ever applied for a Work Permit/Visa: Y/N If Y, When: Country:

Have you ever been rejected a Work Permit/Visa: Y/N If Y, When: Country:
When: Country:

Languages Known Written Spoken Languages Known Written Spoken

English Yes Yes Malayalam

No Yes

Tamil No Yes Kannada

yes Yes

II. Family Background

Name Date of Birth Occupation Name Date of Birth Occup
Surendra AS
6/1/1971 Carpenter
Priya TM
10/20/1980 Housewife
Spouse(marriage date)

III. Education (Matriculation Onwards In Reverse Chronological Order)

Year of Passing
Qualification University/Board Percentage(GPA) Scholastic Achievment, If Any
From To

Bachelor OfVishweshvarayya
Engine Technical University
2015 2019 8.21 CGPA

PUC(PCMB) State Board 2013 2015 79.8 Percentage

10th State Board 2012 2013 76.16 Percentage

IV. Professional Certification/Training

Certification/Training[Soft/Technical] Year Certification/Training[Soft/Technical] Year
 CANDIDATE APPLICATION BLANK Reference Code / Sr. #
(to be filled prior to first interview)

V. Previous Employment History (Reverse Chronological Order)

Duration Responsibity (nature
Compensation
Organization Designation of resp, team size, managerial
(Cost to Company)
From To role, etc.)

VI. Currrent Organisation Structure (Indicate Your Position)

System Engineer

VII. Professional Achievements(Awards/Recognition)

VIII. Extra Curricular Activities

Dancing

IX. Have You Been Interviewed by any of the Capgemini Group company within the last 6 months? Y/N No

If Y, When (mm/yy): Which group co.: What was the outcome?

X. Do you have Relatives/Friends in Capgemini? Y/N

If Y, Name: Relationship: Yrs.Mths Known:

XI. References
Professional Professional Personal Personal

Name

Relationship

Years Known

Company Name
Title or
Occupation
Home Tel No

Business Tel No

XII. Current Salary Break-Up

Monthly Annual Notice period
Basic Medical working days
HRA LTA
Conveyence PF Expected CTC
Others (Pls Specify) Gratuity Lacs
1 Bonus
2 Others (Pls Specify) Readiness to work on Night Shift
3 1 Yes No
Monthly Gross 2
3 Readiness to work on Support Projs.
Annual Gross Yes No (Please circle)

Declaration
I, hereby declare that the above information provided by me is true and accurate to the best of my knowledge. I was never arrested by the police or have a criminal
record. I also have got my self medically examined within last 3 months and declare that I am medically fit . I have no communicable disease and I am not addicted
to drugs or substance abuse. Any falsification of this information will hold me liable to the action taken against me by the organisation as per its prevailing rules and
regulations.
 CANDIDATE APPLICATION BLANK Reference Code / Sr. #
(to be filled prior to first interview)

PLACE: Kodagu DATE: ### SIGNATURE:

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 Version

Excel 97-2003