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TCS EMPLOYMENT APPLICATION FORM
Personal Details :
EP Reference # : EP2010RA547824
Source of Recruitment : Placement agency
Name : Mr. Jaya Kumar
Father's Name : Mr. Hari Haran
Date of Birth : 20/09/1984 Gender : M
Nationality : India Country of Residence : India
Passport # :
Date of Issue : Valid Upto :
Place of Issue : ECNR Check :
PAN # : AODPJ8147A
Present Address : No 29, Poosari Thoppu Street,
Munichalai Road
City : Madurai State : Tamil Nadu
Country : India Pin Code : 625009
Telephone # : 919535194395
Permanent Address : No 29, Poosari Thoppu Street,
Munichalai Road
City : Madurai State : Tamil Nadu
Country : India Pin Code : 625009
Telephone # : 919535194395
Mobile # : 919535194395 E-mail ID : [email protected]
Service Bond Details :
Expected Annual Gross Salary : Indian Rupee 600000 Tentative Joining Date : 15/12/2010
ACADEMIC QUALIFICATIONS :
Degree/Diploma Specialisation Institute Name From To Year of Passing % of
Marks
Course
Type
Awards and
Scholarships
Bachelor Degree BACHELOR OF
ENGINEERING
ELECTRICAL &
ELECTRONICS
ENGINEERING
ANNA UNIVERSITY - MADRAS 18/07/2002 15/04/2006 2006 70 Full time
12th/Pre.Univ HIGHER SECONDARY
EDUCATION
PHYSICS & MATHS HSC 14/06/2001 13/05/2002 2002 80.1 Full time
10th/SSC SSC Maths, Science SSLC 14/06/1999 18/05/2000 2000 89.8 Full time
Break in Study (Reason and Duration) :
Break between Study & Employment (Reason and Duration) :
EMPLOYMENT DETAILS : Work Experience : 35 Months
Name of Employer Address of Employer From To Designation Nature of Duties Monthly Gross
Salary
Yearly Gross
Salary
InterCall Bangalore 21/10/2009 27/11/2010 Software Engineer Developing asp.net
applications
Indian Rupee
20166
Indian Rupee
241992
Angel Broking Limited Mumbai 16/04/2009 28/09/2009 Web Developer Developing asp.net
applications
Indian Rupee
10100
Indian Rupee
121200
Mindssoft Technology Madurai 05/12/2007 28/03/2009 Web Developer Developing asp.net
applications
Indian Rupee 4000 Indian Rupee
48000
Sutherland Global Services Chennai 05/10/2006 17/08/2007 Technical Support Executive Providing hardware and
network support
Indian Rupee
19567
Indian Rupee
234804
Break During Employment (Reason and Duration) : Did asp.net course in NIIT / 3 Months, 0 Years
Languages Known (Mother Tongue appearing first) :
Language Speak Read Write
Tamil Yes Yes Yes
Hindi No Yes Yes
English Yes Yes Yes
Relatives in TCS
Name Employee # Location Relationship
Rajasekaran N 385829 Pune Friend
REFERENCE DETAILS :
Reference 1 Reference 2
Name Madhusudhanam Reddy Rajasekaran
Full Address Bangalore Pune
Contact Number 919438958038 918600925247
Designation Software Engineer Software Engineer
Organization InterCall TCS
Known since 2 Months, 1 Years 9 Months, 8 Years
Nature of acquaintance experience experience
Details of earlier appearance in TCS Test/Interview :
DECLARATION :
I certify that the information furnished above is factually correct and subject to verification by TCS (including Reference Check & Background Verification). I accept that an
appointment given to me on this basis can be revoked and/ or terminated without any notice at any time in future if any information has been false, misleading or deliberately
omitted/suppressed. I also certify that I am at present in sound mental and physical condition to undertake employment with TCS.
Bangalore 27/11/2010
(Place) (Signature) (Date)