EMPLOYMENT FORM – DXC INDIA

SECTION 1 – CANDIDATE DETAILS

TO BE FILLED IN BY THE CANDIDATE
Please affix a
recent
POSITION APPLIED FOR       photograph
here
Direct Application Response to an advertisement Referred by DXC Employee
THROUGH Placement Consultant (Please specify:      )
Others (Please specify:      )

PERSONAL DETAILS
SALUTATION MR MS DR NATIONALITY      
FIRST NAME       Do you have valid work permit? Yes No
MIDDLE NAME       IF OTHER NATIONALITY Passport Number:      
LAST NAME       Validity:      
FATHER’S NAME
MAIDEN NAME (if applicable)            
(Compulsory)
     

PRESENT ADDRESS PERMANENT ADDRESS      

PLACE OF BIRTH       TELEPHONE (Home)      

DATE OF BIRTH (i.e. 20-May-75)       TELEPHONE (Mobile)      
MARITAL STATUS       EMAIL ADDRESS      
NSR NUMBER       PAN NUMBER      
ANY RELATIVES IN DXC Technology? IF YES, GIVE THE FOLLOWING DETAILS:
NAME POSITION RELATIONSHIP
                 
                 
Have you suffered from any major
illness/surgery/accident in the last five Yes No If yes, please provide details:      
years?
Have you ever been arrested, prosecuted or
If yes, furnish details including
convicted for any criminal offense, other Yes No      
type of offense and conviction:
than minor traffic offenses?
EDUCATION - LIST IN ORDER STARTING WITH HIGH SCHOOL
DEGREE BRANCH UNIVERSITY NAME INSTITUTE NAME DATE ACQUIRED PASSED % / CGPA
     
                                   

                                   

     
                                   
     
                                   
     
LANGUAGES - INDIAN AND FOREIGN
SPEAK                        
READ                        
WRITE                        
COMPUTER SKILLS

PROGRAMMING LANGUAGES, TOOLS & PACKAGES OPERATING SYSTEMS WORKED ON

           
           
           
           
PRESENT JOB
DXC Confidential Version 2.0
Date: April 17, 2017
 EMPLOYMENT FORM – DXC INDIA
SECTION 1 – CANDIDATE DETAILS
TO BE FILLED IN BY THE CANDIDATE

NAME OF EMPLOYER & ADDRESS YOUR EMPLOYEE NO.

COMPANY TEL NO. NATURE OF BUSINESS
(If presently unemployed, give last job held) (To be used in case of BG Checks only)
           

           

PERIOD OF SERVICE DESIGNATION

FROM TO ON JOINING CURRENT
                       
ARE YOU CURRENTLY UNDER ANY SERVICE AGREEMENT OR BOND? IF YES, PLEASE FURNISH DETAILS:
     

IS DXC A COMPETITION TO YOUR CURRENT ORGANISATION? IF YES, ARE YOU RESTRICTED FROM JOINING COMPETITION DIRECTLY
     
PLEASE DESCRIBE YOUR PRESENT RESPONSIBILITIES IN DETAIL (USE ADDITIONAL SHEETS IF REQUIRED):
     

     
PRESENT ORGANISATION – PLEASE DRAW AN ORGANISATION CHART CLEARLY INDICATING YOUR POSITION

     

CURRENT EMOLUMENTS
MONTHLY ANNUAL
COMPONENT AMOUNT COMPONENT AMOUNT
BASIC       LTA      
HRA       BONUS / EX-GRATIA      
PRESENT SALARY CONVEYANCE       PF      
DETAILS OTHERS (Please specify)       SUPERANNUATION – 0%      
      GRATUITY – DAYS PER YV      
      MEDICAL REIMBURSEMENT      
      OTHERS (Please specify)      
TOTAL       TOTAL      
COMPONENT AMOUNT % INTEREST CHARGED
LOAN : HOUSING            
PRESENT BENEFITS LOAN : CONVEYANCE            
DETAILS LOAN : ASSETS            
HARD FURNISHING            
ANY OTHER            
COMPANY PROVIDED MAKE       MAINTENANCE (per month) RS      
CAR : Yes No PETROL (ltrs)       BONUS / EX-GRATIA (per month) RS      
CURRENT ANNUAL GROSS SALARY : RS      ________________ PER ANNUM
SALARY EXPECTATION : RS      ____________________ PER ANNUM

PREVIOUS JOB - START WITH YOUR LATEST JOB AND WORK BACKWARDS. USE ADDITIONAL SHEETS IF REQUIRED
EMPLOYER NAME & YOUR START END DESIGNATION RELEVANT NATURE OF DUTIES
DXC Confidential Version 2.0
Date: April 17, 2017
 EMPLOYMENT FORM – DXC INDIA
SECTION 1 – CANDIDATE DETAILS
TO BE FILLED IN BY THE CANDIDATE

EMPLOYEE
ADDRESS DATE DATE EXP (Y/N)
NO.
     

                                   

     

                                   

     
                                   

     

                                   

     

                                   

ECA
SPORTS / HOBBIES      
MEMBERSHIP TO PROFESSIONAL INSTITUTIONS,
     
CLUBS, SOCIAL & CULTURAL ASSOCIATIONS
WORK LOCATION
ARE YOU WILLING TO BE POSTED ARE YOU WILLING TO BE POSTED INDICATE YOUR PREFERRED WORK LOCATION IN
ANYWHERE IN INDIA? Yes No ABROAD? Yes No INDIA:      
REFERENCES
HAVE YOU WORKED IN DXC OR ANY OF ITS ASSOCIATE COMPANIES BEFORE? IF YES, GIVE DETAILS:
     

HAVE YOU APPLIED TO DXC BEFORE? IF YES, GIVE DETAILS:

     

PLEASE GIVE NAMES OF TWO PROFESSIONALS WHO HAVE BEEN YOUR IMMEDIATE SUPERVISORS:
NAME            
DESIGNATION            
     
ADDRESS      

TEL NO.            

CAN WE DISCREETLY CHECK WITH THEM? Yes No

STATE YOUR CAREER OBJECTIVES (PLEASE BE SPECIFIC). PLEASE ALSO EXPLAIN HOW A CAREER MOVE TO DXC INDIA FITS
IN WITH YOUR PLANS.
     

     

     
WHAT ARE YOUR THREE MOST SIGNIFICANT CAREER ACHIEVEMENTS? PLEASE BE SPECIFIC.

DXC Confidential Version 2.0

Date: April 17, 2017
 EMPLOYMENT FORM – DXC INDIA
SECTION 1 – CANDIDATE DETAILS
TO BE FILLED IN BY THE CANDIDATE

     

     

     
IN YOUR CURRENT JOB, ARE THERE ANY AREAS WHICH YOU HAVE INFLUENCED SIGNIFICANTLY AS AN INDIVIDUAL OR AS A
MANAGER? PLEASE TELL US HOW YOU ACHIEVED THIS.
     

     

     
ANY ADDITIONAL INFORMATION YOU MAY LIKE US TO KNOW WHICH MAY GIVE SIGNIFICANT BEARING ON THE HIRING
DECISION.
     

     

I hereby declare that my statements on this application and on my resume or documents provided by me to by DXC are correct to the best of my
knowledge. I acknowledge and agree that providing any false information may result in a decision not to hire me or if hired, may result in termination of
my employment. I give consent to DXC to institute and conduct a background check to verify the information furnished by me in this form.
PLACE      
SIGNATURE OF APPLICANT
DATE      

DXC Confidential Version 2.0

Date: April 17, 2017