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US Technology International Pvt. LTD: Application For Employment

This document is an application for employment at US Technology International Pvt. Ltd. It requests personal information such as name, contact details, education history, prior work experience, references, and an authorization to conduct background checks. The applicant is asked to provide complete and correct information and acknowledge that any misrepresentation may result in action if employed.

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Jagadeesh Varma
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382 views5 pages

US Technology International Pvt. LTD: Application For Employment

This document is an application for employment at US Technology International Pvt. Ltd. It requests personal information such as name, contact details, education history, prior work experience, references, and an authorization to conduct background checks. The applicant is asked to provide complete and correct information and acknowledge that any misrepresentation may result in action if employed.

Uploaded by

Jagadeesh Varma
Copyright
© © All Rights Reserved
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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US Technology International Pvt.

Ltd
Application for Employment
(INSTRUCTIONS: It is mandatory for you to complete the form in all respects. The information you provide must be complete
and correct and the same shall be used for verification of your credentials. In Block Letters.)

NAME IN FULL:
(Initials Expanded. In Block Letters. As per Passport)

UST EMPLOYEE ID / EMAIL ID GENDER NATIONALITY

FATHER NAME Date of Joining DATE OF BIRTH

DD MM YYYY

PERMANENT ADDRESS
Address

(House No, building Period of Stay


Road name along (MM/YYYY format)
with prominent
landmark, city, state
Functional Contact
and pin code)
number

HIGHEST EDUCATIONAL QUALIFICATIONS:


DEGREE AND YEAR OF ID/ROLL
BRANCH [Please PASSING
LEVEL BOARD/ COLLEGE MARKS IN
indicates whether
(UG/PG/ UNIVERSITY %/
NAME & ADDRESS the course was Full
Diploma etc) /NAME & ADD CGPA
Time of Part
Time]

Page 1 of 5 'UST Global Proprietary & Critically Confidential'


PRIOR WORK EXPERIENCE
Employment History – Current Employer

Name of the Address of Employer


Employer

Telephone No Employee Designation Department


Code/No

Employment Period Manager’s Manager’s Contact No Can a reference taken now?


From To Name
□ Yes
□ No

Manager’s Email ID

Duties & Responsibilities Reason for Leaving

First Salary drawn Was this Position Agency Details (if temporary or Contractual, Please provide

□ Permanent
Last Salary drawn
□ Temporary

□ Contractual

Employment History (List most recent 3 employers) – Previous 1

Name of the Address of Employer


Employer

Telephone No Employee Designation Department


Code/No.

Employment Period Manager’s Name Manager’s Contact No Can a reference taken now?

Page 2 of 5 'UST Global Proprietary & Critically Confidential'


From To
□ Yes
Manager’s Email ID □ No

Duties & Responsibilities Reason for Leaving

First Salary drawn Was this Position AgencyDetails (iftemporaryor Contractual,Pleaseprovide

□ Permanent
Last Salary drawn
□ Temporary

□ Contractual

Employment History (List most recent 3 employers) – Previous 2

Name of the Address of Employer


Employer

Telephone No Employee Designation Department


Code/No

Employment Period Manager’s Name Manager’s Contact No Can a reference taken now?
From To
□ Yes
□ No
Manager’s Email ID

Duties & Responsibilities Reason for Leaving

First Salary drawn Was this Position Agency Details (if temporary or Contractual, Please provide

□ Permanent

□ Temporary

□ Contractual

Page 3 of 5 'UST Global Proprietary & Critically Confidential'


PRIOR WORK EXPERIENCE – Contd

Company Name & Designation Tenure Employee Reporting CTC Reason for
Address (DD/MM/YYYY) ID Manager Name, leaving
Ph, Mail id

PROFESSIONAL Designation Contact Mail ID


REFERENCE Number

Page 4 of 5 'UST Global Proprietary & Critically Confidential'


State if there is any gap between any of your employments or Education to Employment (Last 07 Years of Gap History)

If Yes, state each gap period State the clear reason of the Address details during
below - Last 07 Years gap below - Last 07 Years Gap Period
Yes No 1.

Note: It is mandatory to
duly fill Gap details on the 2.
space provided or else the
application form would be
rejected.

UST GLOBAL Date of Joining

Declaration and Authorization


I confirm that the above information is correct to the best of my knowledge and I understand that any organization or
misrepresentation of information on this application form may, in the event of my obtaining employment, result in
action based on company policy.
I hereby authorize UST Global (or a third-party agent appointed by the Company) to contact any former employers as
indicated above and carry out all Background Checks not restricted to education and employment deemed
appropriate through this selection procedure. I authorize former employers, agencies, educational institutes etc. to
release any information pertaining to my employment/education and I release them from any liability in doing so.
I hereby acknowledge and agree that for the purpose of my employment and related matters, UST may need to
procure from me certain specific personal information / data / files / records and retain the same under UST’s
official record. In this regard.
1. I undertake to furnish to UST all such data, information, documents, certificates, files, etc. (“Personal Data”) as
may be instructed by UST from time to time, and I shall not withhold, delay or condition the same, under any
circumstance, whatsoever. I hereby accord my consent without any condition to UST to maintain and retain
all such Personal Data during the entire term of my employment and thereafter for such period as UST may
deem fit.
2. I hereby authorize UST to supply, furnish, share and/or reproduce the Personal Data or any part thereof with
third parties including governmental bodies, whether for the purpose of complying with any legal purpose or
otherwise. I undertake not to raise any claim and further not to dispute with UST and/or any third party, with
respect to usage or reproduction of the Personal Data by UST, in any manner, whatsoever.

I warrant that furnishing /sharing of any such Personal Data and the retention of the same by UST shall not amount to
any breach of confidentiality and privacy as per the Information Technology Act, 2000 or any other applicable laws
(including data protection laws) in India and/or any contractual provisions.

Signature:

Name: Date:

Page 5 of 5 'UST Global Proprietary & Critically Confidential'

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