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VER 1C 1 of 2 HRD/REC/F/013

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NIT Patna

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IndianCountry : India Pin Code : 801505

CITY :Patna

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C/o Abhay Karna Mithila Path, Phulwarisharif

City : Patna State : Bihar

adityakarn90@gmail.comAlternate Contact Number : 8521289622

Preferred Contact Number : 8804223327

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NAME IN FULL (In Block Letters) ADITYA ........................................................................................................................

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INFOSYS LIMITEDElectronics City, Hosur Road,Bangalore - 560 100,India.

Tel.: (080) 28520261-270. Fax: (080) 28520362.

Please affix

your Passport Size

Photograph here.

Candidate ID: 61090632

F O R O F F I C E

U S E O N L Y

Status : ..............................

TC / Unit : ..........................

APPLICATION FOR FRESHERS

P E R S O N A L D E T A I L S

KUMAR

(First Name) (Middle Name) (Surname)

ADDRESS FOR COMMUNICATION : DATE OF BIRTH ( dd / mm / yyyy ):

GENDER (Please Tick ' ' )

19/10/1990

Male Female

CITIZENSHIP :

E D U C A T I O N

A B

__ ___ _______

NAME OF THE COLLEGE :

E-mail :

DO YOU HAVE A PASSPORT? Yes No

One Year gap from 2009 to 2010Preparation to improve IIT-JEE and AIEEE rank as compared to the ranks obtainedin 2009..............................................................................................................................................

XII STD /EQUIV.

State

Name of the School / College

Branch / Stream / Area of Specialization

Month and Year of Passing

Simple Average Percentage / CGPA / Grade *

* ALL PERCENTAGES / CGPA SHOULD BE SIMPLE AVERAGE FOR ALL YOUR SUBJECTS / SEMESTERS / YEARS, INCLUDINGELECTIVES, OPTIONAL SUBJECTS, ADDITIONAL SUBJECTS, PRACTICAL SUBJECTS AND LANGUAGES.

ANY ACTIVE BACKLOGS ? YES Number of active backlogs: NA NO

GAPS IN EDUCATION (IF ANY): Years. Reason:

Bihar

Kendriya Vidyalaya Kendriya Vidyalaya

Bihar

NIT Patna

Bihar

General PCM Electronics Engineering

94% 87.2 8.27

05 / 2007 05 / 2009 06 / 2014

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All IndiaCouncil forTechnical Education

Central Board ofSecondary Education

Central Board ofSecondary Education

Name of the Board / University

Name of the Qualificatiion Awarded

Secondary SchoolLeaving Cert.

Others Bachelor Of Technology

DIPLOMA /OTHERS

POSTGRADUATION

GRADUATIONX STDEDUCATION LEVEL

Role : .................................

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VER 1C 2 of 2 HRD/REC/F/013

Have you at any time been convicted by a court of India for any criminal offence and sentenced to imprisonment, or are any criminalproceedings pending against you before a court in India, or has an order prohibiting your departure from India, been issued by a court ?

If yes, please give details of the same

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ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES ?

IF YES, INFOSYS BPO OTHERS Please Specify NA

NA

I certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives,optional subjects,additionalsubjects, practicals and languages.

I authorize investigation of all statements made in this application and my supporting documents. I authorize Infosys to secure informationabout my experience from former employers, educational institutions, government agencies or any references I have provided, and for thoseparties to provide information concerning my qualifications for employment and I hereby release all parties from any liability arising from suchinvestigation.

I understand that if I am employed, any false statement, misrepresentation, or omission of facts on this application or on any supportingdocuments, regardless of when discovered to be false, may result in my immediate dismissal. The company will have the right to withdraw myletter of appointment or to terminate my training / subsequent appointment at any time without notice or compensation.

My signature below certifies that I have read, understood, and agree to the foregoing and to the best of my knowledge and belief, theinformation on the application form is true and correct.

Date : ...................................... Place : ................................................. Signature: ...............................................................

W O R K E X P E R I E N C E

PLEASE WRITE 'NA' IF NOT APPLICABLE. Specify clearly in case of part time / contract work experience. Notice period required................... ................ ....... (in weeks)

ORGANIZATION

PERIOD( MM / YYYY )DESIGNATION GROSS

SALARY

REASON FORSEPARATION

LEGALOBLIGATIONIF ANY ( Y /

M I S C E L L A N E O U S

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS OR INFOSYS GROUPCOMPANIES (LIKE INFOSYS BPO, ETC.) PREVIOUSLY ?

IF YES , HAVE YOU INFOSYS OTHER INFOSYS GROUP COMPANIES

- TAKEN ANY TEST ?

- BEEN SELECTED FOR INTERVIEW ?

- BEEN MADE AN OFFER ?

- JOINED ?

YES NO

NO YES

NO

NO

YES

YES

RELEVANT DATES RELEVANT DATES

NO

NO

NO

YES

YES

YES

NA

NA

NA

NA

NA

ARE YOU EMPLOYED AS : 1. A DIRECTOR IN ANY OTHER COMPANY ?

2. A PARTNER IN ANY FIRM ?

YES

YES NO

NO

YES NO

F O R O F F I C E

U S E O N L Y

Date of Test / Interview :.............................................. Date of Interview (if differ from Date of Test) :..............................................

Result : (Please ' ' )

Name : ............. ................ ............... ................ ............... ............... Emp. No. : ................ ............ Signature : .............. ................ ............... .......

Selected Hold Rejected

D E C L A R A T I O N

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NA

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NA

NA

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NA

TO DURATIONFROM

YES NO

NO YES NO YES

IF YES, PLEASE PROVIDE DETAILS