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1) All fields are to be filled completely and accurately in CAPITAL letters; incomplete / illegible forms may be rejected.
2) Information given by you will be treated in full confidence and will form an important basis for consideration of your application.
3) Any untrue, misleading or misrepresentation of data will lead to withdrawal of offer made.
4) Please share the following documents along with CIS (Candidate Information Sheet) Form
a) Proof of Salary Documents - Last 3 months salary slips
b) Offer letter with compensation break up / Latest increment letter from present organization, providing your Current CTC Breakup
c) Valid Photo ID - PAN Card and Passport
d) Address Proof - Passport or Aadhar Card or Voter’s ID card or Driving License
< Previous Next > CANDIDATE INFORMATION SHEET

Ericsson Hiring Location

Photograph
(To be filled by HR)

PERSONAL INFORMATION

First Name (as per PAN Card)* VIKAS Date of Birth:

Middle Name Date* 27
Last Name KUMAR Month* April
Father's Name* INDRA NARAYAN JHA Year* 1988
Mother's Name* RANI DEVI
Spouse Name Place of Birth PATNA
PAN Number** CFLPK3902F
Passport Number K4588184 Gender Male
Home Phone (with STD code) 9334317834 Nationality INDIAN
Alternate Mobile Number 7250008001 Martial Status Unmarried
Email ID* [email protected] Total Work Experience 7.5

*Do you have any civil or criminal cases filed against you in any court of law within India or any other country? Yes/No No
Please mention the details below. Your hiring in Ericsson is subject to clearance of Background verification.

*Do you have any relative currently employed with ericsson? No

Please provide the name, position location and your relationship details with employee

*Have you been interviewed by Ericsson earlier? No

Please provide the name of the person who interviewed you, when and where (location):
<< Previous
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Next >> RESIDENTIAL DETAILS
CURRENT ADDRESS

Address*
C/O R.N.CHAUDHARY, SANJAY GANDHI NAGAR ROAD NO-2, KALI MANDIR ROAD, HANUMAN NAGAR,KANKARBAGH

Landmark** OPP : DYNAMIC TEACHING CENTER City PATNA

State BIHAR Pin Code 800020

Landline Number Residing Years: Month Year

Mobile Number 9693855559 From** November 2017
Nature of Residing RENTAL To** 2019

Emergency Contact Information:

Contact Person INDRA NARAYAN JHA Relationship FATHER

PERMANENT ADDRESS
Same As
Above
Address*
C/O LATE BALBHDRA JHA, VILL- KASERA, POST + P.S: HARLAKHI , DISTT: MADHUBANI

Landmark** NEAR NH-104 City HARLAKHI, MADHUBANI

State BIHAR Pin Code 847240

Landline Number Residing Years: Month Year

Mobile Number 9334317834 From** April 1988
Nature of Residing PARENTAL PROPERTY To** December 2019

Emergency Contact Information:

Contact Person INDRA NARAYAN JHA Relationship FATHER
<< Previous
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Next >> ACADEMICS
Higher Qualification (Completed)**eg. M.Sc, B.Com

10th 12th

Name of College/Institute K.V KANKARBAGH, PATNA-20 K.V KANKARBAGH, PATNA-20

Name of University* C.B.S.E C.B.S.E

Course Name CLASS 10TH PCM

Specialization

Qualification Status Completed Completed

Full time/Part Time* Full Time Full Time
Roll #/Registration #* 5126435 5608742

Dates Attended:
From (Year) 2002 2004
To (Year) 2003 2005

Tentative Date to Submit the Docs

(for pending result)

Please provide reason for GAP 2005-2007 GAP FO

(if any)
 Graduation* Post - Graduation Other Professional Couse/Diploma

THE ICFAI UNIVERSITY ,

DEHRADUN

THE ICFAI UNIVERSITY ,

DEHRADUN

B.TECH

ECE

Completed
Full Time
07DDEC710

2007
2011

2005-2007 GAP FOR ENGG PREPARATION

<< Previous
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Next >> EMPLOYMENT RECORDS
Fresher 0 Current Employment Employment2
* Company Closed Operations? No No
* Currently Employed? Yes No
* Tentative date to contact 1/10/2020

* Organization Name Nokia solution India pvt ltd Nokia solution India pvt ltd
Agency (Payroll) Evolve Technologies & ServiceMetro Telworks Pvt. Ltd
* Employee ID 1637289 MT-W-C2048

* Employed From
Date 1 1
Month December February
Year 2017 2017

* Employed To
Date NA 30
Month NA November
Year 2019 2017

* Address for Agency (Payroll) Agency (Payroll)

City PATNA PATNA
State BIHAR BIHAR
Country INDIA INDIA
Postal Code 800001 800001

* Company Phone# 1 912040767777 917940264444

Company Phone# 2 912067112800

* Job Title RF OPTIMIZATION RF OPTIMIZATION

*
Designation NW Design Optimization Engi RNO ENGINEER

Final Salary (Annual CTC) 549864 456000

* Type of Employment Contractual Contractual
* Reason for Leaving BETTER CARRIER PROSPECT CONSULTANCY COMPANY CHA

* Supervisor Name & Contact PANKAJ JHA 9771493424 PANKAJ JHA 9771493424

* HR Manager Name & Contact KAWALJEET KAUR BHARTI + Niyati Havelikar +91-079-402

Please provide reason for GAP

(if any)
 Please mention your employment details in reverse chronological order (latest first)
ORDS Do not cut/copy/paste any data between excel cells, you can cut/copy/paste using F2 key

Employment3 Employment4 Employment5 Employment6

No No No
No No No No

Nokia solution India pvt ltd Metro Telworks Pvt. Ltd LinkQuest Telecom LTd
Accord Synergy Pvt. Ltd Metro Telworks Pvt. Ltd LinkQuest Telecom LTd
E-02035 MT-W-1403 LQT1920

29 28 5
November December March
2015 2013 2012

31 25 27
January November December
2017 2015 2013

Agency (Payroll) Agency (Payroll) Agency (Payroll)

PATNA PATNA PATNA
BIHAR BIHAR BIHAR
INDIA INDIA INDIA
800001 800001 800001

919624478633 917940264444 91-120-4634000

RF OPTIMIZATION PPE & MRO DRIVE TEST

Network Design
RF ENGINEER DT ENGINEER
and Optimization Engineer

396000 300000 216000

Contractual Permanent Contractual
CONSULTANCY COMPANY CHA
BETTER CARRIER PROSPECT BETTER CARRIER PROSPECT

PANKAJ JHA 9771493424 AMIT PRAKASH 9955991725 DHANANJAY DUBEY 9708307159

Jinal Shah +919624478633 Heena Bansode +079 402644JAWAAD HUSSAIN 91-120-4634000

2 key

Employment7

No
<< Previous
Previous Submit
Submit PROFESSIONAL REFERENCES
1* 2* 3

Name qq qq
Organization Name qq qq
Designation qq qq
Contact Number qq qq

Have you worked with Ericsson Earlier. IF Yes (Please provide below details.)

Business Unit Manager Name

Location Status
Date of Joining (DD-MMM-YYYY) Employee Number
Last working Day (DD-MMM-YYYY) Signum ID

DECLARATION

• I confirm that the information provided by me in this application form is complete and accurate.

• I understand that if any information provided by me with respect to my application for employment is found to be untrue
misleading, Ericsson India Global Services Pvt Ltd. may withdraw the offer of employment made to me or terminate my e
have already joined Ericsson India Global services Pvt Ltd.) without notice.

• I understand that all the details provided in this application are subject to verification.

• I hereby authorize Ericsson India Global Services Pvt Ltd. and its representative (including reference check agencies/third
to verify information provided in my application for employment and to conduct enquiries as deemed necessary by the c

• I authorize all persons who have information regarding my education, employment, and all other details provided in this
it to Ericsson or its representative.

• Acceptance into this position is dependent upon a completed and approved background check
• I further confirm that no legal case of any nature is pending in any court of law where I am directly or indirectly involve
of my involvement in any legal case if found during the course of back ground verification conducted by Ericsson or its
candidature can be revoked by Ericsson

Date :- ____19/12/2019___ ✘ I Agree the Terms and conditions

 4

d to be untrue, inaccurate or
erminate my employment (If I

agencies/third party vendors)

ssary by the company.

ovided in this form, to disclose

irectly involved. In the event

ricsson or its vendor, my

ditions