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Collabera Employment Application

This document is an employment application for Collabera, a technology company located in Baroda, Gujarat, India. The 3-sentence summary is: The application requests personal information such as name, date of birth, addresses, emergency contacts, education history, professional affiliations, previous work experience, references, and a signature agreeing to background checks and certifying that all information provided is true. If offered a position, the applicant must provide satisfactory documents to establish qualifications and identity within 3 days of being hired or employment will be terminated. The applicant should also submit a resume along with the completed employment application.

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Rakesh Sahoo
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375 views3 pages

Collabera Employment Application

This document is an employment application for Collabera, a technology company located in Baroda, Gujarat, India. The 3-sentence summary is: The application requests personal information such as name, date of birth, addresses, emergency contacts, education history, professional affiliations, previous work experience, references, and a signature agreeing to background checks and certifying that all information provided is true. If offered a position, the applicant must provide satisfactory documents to establish qualifications and identity within 3 days of being hired or employment will be terminated. The applicant should also submit a resume along with the completed employment application.

Uploaded by

Rakesh Sahoo
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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702, 7th Floor Ivory Terrace,

Opp Circuit House, R.C. Dutt Road


Baroda, Gujarat - 390 005.
Tel: +91 265 662 2462
www.collabera.com

Employment Application
All persons hired must submit satisfactory proof of qualification within three (3) days of being hired.

Personal Data

First Name: Middle: Last:


Date of Birth: __________________________ Permanent Account Number: _________________________________
Current Address
City Home Tel. # Day time #
State Pin Code

Permanent Address:

City: State: Pin:

Emergency Contact (whom may we contact in the event of an emergency on your behalf?):

First Name: Last Name: Relationship:


Address
City Home Tel. # Day time #
State Pin Code

How were you referred to Collabera? Please check the most appropriate response.

College/University ; Recruiter ; Employee Referral ; Advertisement ; Walk-In ;


Other:

Position Preferences

For what position are you applying?


Salary desired: per (specify month or year)
What date could you start work?
Could you travel if required by this position? Yes No If Yes, % of Time

Education - School

School Name
City and State
# of Years Completed

College

Name of Institute
City and State
Degree or # of Years Completed
Major or Subject

________________________________________________________________________________________________________________________
Regd. Office: Collabera Technologies Private Limited, 702, 7th Floor Ivory Terrace, Opp Circuit House, R.C. Dutt Road, Baroda, Gujarat - 390 005 | www.collabera.com
Post Graduate

Name of Institute
City and State
Degree or # of Years Completed
Major or Subject

List any certificates earned or in progress, and/or any additional training programs not included in your formal
education.
_____________________________________________________________________________________
_____________________________________________________________________________________

List any Professional Affiliations to which you belong


_____________________________________________________________________________________
_____________________________________________________________________________________

Previous Employment

List your current or most recent employment first. Include work related internships.
Current Employer:
Address (City and State):
Telephone Number:
Supervisor's Name and Title:
Position Title:
Reason for Leaving:

Salary per Month Year (circle one)


Dates of Employment From: To:
May We Contact Your Employer Yes No

List your previous employment. Include work related internships.


Current Employer:
Address (City and State):
Telephone Number:
Supervisor's Name and Title:
Position Title:
Reason for Leaving:

Salary per Month Year (circle one)


Dates of Employment From: To:
May We Contact Your Employer Yes No
Professional References

Name Title Company Phone Known from--- to--

In connection with my application for employment and as a condition of continuing employment, I understand that
investigative background inquiries may be made on me including previous employers, schools, and other reports. These
reports will include information as to my character, work habits, performance, education, compensation, and experience
along with reasons for termination of employment from previous employers.

I understand I must provide satisfactory documents to establish my qualifications and identity, if I am offered a position
with Collabera, and that failure to provide this evidence will result in the termination of my employment.

I certify that the information I have furnished on this application form is true and complete. I understand that if any
misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be withdrawn
or my subsequent employment with Collabera may be terminated.

Applicant's Signature -------------------------------------------- Date (dd/mm/yy):


(Please submit a resume with this Employment Application)

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