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    Confidential CAMPUS APPLICATION FORM

    P ROFILE

    Name : Mr./Mrs............... ............... ............... ............... ............... ................ ............... ............... ............... ............... ............... ....First Name Middle Name Surname

    Position Applied for : .............................................................Referred ! : .............................................................................

    Ser"i#e Line : .........................................................................Su Ser"i#e Line : .....................................................................

    $ate%s& ' lo#ation of inter"ie( : )...............................................*.............................................+.............................................

    Lo#ation preferen#e : ,an-alore C ennai !dera ad 0ol1ata Mum ai Ne( $el i Pune

    $ate of irt : 2222/2222/2222 A-e :.................... Passport No.............................................$ate of 34pir! :.......................... dd mm !!

    Nationalit! :.............. ............... ............... ............... ........... .... PAN :.................... ................ ............... ............... ....... ...... ..... ..... .

    Lan-ua-es 0no(n :....................................................................................................................................................................

    C ONTACT D ETAILS :

    Current Residen#e Address :......................................................................................................................................................

    ..................................................................................................... P one %R& :..........................................................................

    Permanent Residen#e Address :..................................................................................................................................................

    ..................................................................................................... P one %R& :..........................................................................

    Offi#e Address :.........................................................................................................................................................................

    P one %O& : ........................................Offi#e 34tn. No..................................Mo ile No..........................................................

    3mer-en#! Conta#t Name ' Address :......................................................................................................................................

    .....................................................................................................P one :..................................................................................

    Personal e5mail I$ :....................................................................................................................................................................

    Family :

    Marital Status :.....................................................................$ate of Marria-e :........................................................................

    Name A-e Conta#t No. Profession%indi#ate name of t e

    #ompan! ' title&

    Spouse

    C ildren

    Fat er

    Mot er

    ,rot er%s&

    Sister%s&

    E DUCATION / A CADEMIC

    6ear From (mm/yy) To (mm/yy)

    Name of Institutionand Lo#ation

    Prin#ipal Su 7e#ts Mar1s 8

    Matri#ulation

    i- er Se#ondar!

    9raduation

    Post 9raduation

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    Affi4 re#ent passport si e p oto-rap

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    +. Please -i"e a des#ription of !our in"ol"ement in e4tra5#urri#ular/leaders ip/#ommunit! ser"i#e a#ti"ities ( ile at s# ool

    and/or #olle-e.

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    >. ,riefl! outline !our reasons to appl! to 3rnst ' 6oun- and for !our # oi#e of #areer.

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    P REVIOUS A SSOCIATION WIT" E RNST # $ OUN% OR ITS A SSOCIATES

    Are an! of !our relati"es (or1in- for 3rnst ' 6oun- or its affiliate firm an!( ere in India =

    6es No If !es t en please state :

    3ntit! Cit! Relations ip (it !ou

    a"e !ou een pre"iousl! inter"ie(ed ! 3rnst ' 6oun- or its affiliate firm an!( ere in India =

    6es No If !es t en please state :

    < en %mm/!!& Lo#ation Pra#ti#e / Fun#tion For ( i# position

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    a"e !ou een offered emplo!ment ! 3rnst ' 6oun- or its affiliate firm in t e past =

    6es No If !es t en please state :

    < en %mm/!!& Lo#ation Pra#ti#e / Fun#tion For ( i# position

    a"e !ou (or1ed pre"iousl! (it 3rnst ' 6oun- or its affiliate firm =

    6es No If !es t en please state :

    From %mm/!!& To %mm/!!& Position eld ( ilelea"in-

    Reason for lea"in-

    " O&&IES / I NTERESTS :

    " EALT" :

    ,lood 9roup : ....................

    a"e !ou suffered from an! ma7or illness / sur-er! / a##ident sin#e irt :

    6es No If !es? please pro"ide details

    P !si#al $isa ilities if an!: .................................................@@@@@@@@@@@@@@@@@@@@@@@@@@

    R EFERENCE :

    S. No.

    Name Or-anisation ' CurrentTitle

    Address ' Telep one Num er

    6our professional / personal relations ip

    (it im / er

    O T"ERS :

    a"e !ou e"er een t e su 7e#t of an! in"esti-ation? #i"il or #riminal or een prose#uted ! an! #ourt of la( = 6es No

    If !es? please state $ate ' Fa#ts %and also pro"ide details separatel!&

    $ate Fa#ts

    a"e !ou e"er een listed ne-ati"e on #redit ratin- ! an! finan#ial institution =

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    6es No If !es? please state %and also pro"ide details separatel!&:

    $ate Name of finan#ial institution Reason

    $o !ou a"e an! le-al o li-ation %Retention onds? loans et#.& (it !our #urrent emplo!er =

    6es No If !es? please state %and also pro"ide details separatel!&:

    Nature ' Limits of t e O li-ation Amount

    ADDITIONAL I NFORMATION FOR ' UALIFIED OR SEMI ( 'UALIFIED C "ARTERED A CCOUNTANTS O NL$ Name ' Lo#ation of t e Firm Period of Arti#les ip

    From (mm/yy) To (mm/yy) Nature of Assi-nments

    Mont ' 6ear of Passin- Per#enta-e At ( i# attemptdid !ou #lear t e

    e4amination =

    Merit Ran1

    Fo)n*a+ion / CPTIn+erme*ia+e / PE(II /PCE

    %rou& '

    %rou& '

    Final

    %rou& '

    %rou& '

    CA Mem ers ip Num er :.........................................................................................................................................................

    CA Mem ers ip 3nrolment 6ear :.............................................................................................................................................

    $o !ou old a Certifi#ate of Pra#ti#e : 6es / No.........................................................................................................................

    If !es? please state Certifi#ate of Pra#ti#e $ate :.........................................................................................................................

    ACA Status effe#ti"e from :.......................................................................................................................................................

    FCA Status effe#ti"e from :........................................................................................................................................................

    I a#1no(led-e and de#lare t at ! su mittin- all of t e data #ontained in t is Pre5inter"ie( Information form? m! Resume?and ot er do#uments furnis ed ! me % ereinafter #olle#ti"el! and se"erall!? Candidate $ataB&? I #onfirm and a-ree t at36PL ma! pro#ess t e Candidate $ata a##ordin- to t e re#ruitment purposes set out erein elo(

    ). 36PL and its asso#iated entities % ereinafter? 36PL entitiesB& pro#ess Candidate $ata for le-itimate R purposes.Su# pro#essin- (ill e #ondu#ted (it in su# purpose limitations and in a##ordan#e (it appli#a le la(. T ese

    prin#ipal purposes in#lude:

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    Identif!in- and/or e"aluatin- #andidates for 36PL positions ma1in- a de#ision a out ( et er t eindi"idual s ould e ired maintainin- appropriate re#ord51eepin- related to irin- pra#ti#esanal! in- t e irin- pro#ess and out#omes and #ondu#tin- a#1-round in"esti-ations? ( ere

    permitted ! la(.

    *. 36PL entities ma! e re;uired to transfer Candidate $ata to sele#ted e4ternal t ird parties t at t e! a"e ired to perform #ertain re#ruitment or emplo!ment5related ser"i#es on t eir e alf. T ese t ird parties ma! pro#ess t e datain a##ordan#e (it t e 36PL entit!Ds instru#tions or ma1e de#isions re-ardin- t e data as part of t e deli"er! of t eirser"i#es.

    +. 36PL entities ma! e re;uired to dis#lose #ertain Candidate $ata to ot er t ird parties %)& as a matter of la( %e.-.? tota4 and so#ial se#urit! aut orities& %*& to prote#t 36PL entit!Ds le-al ri- ts %e.-.? to defend a liti-ation suit& or %+& inan emer-en#! ( ere t e ealt or se#urit! of a Candidate is endan-ered.

    I ere ! de#lare t at m! statements on t is appli#ation and on m! resume or do#uments pro"ided ! me are true to t e est ofm! 1no(led-e. I a#1no(led-e and a-ree t at pro"idin- an! false information ma! result in a de#ision not to ire me or if

    ired? ma! result in termination of m! emplo!ment.

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    Si-nature

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