Interview Location
Bangalore
Candidate Id
1008753837
Please ✓ in the ❑ wherever applicable.
Please answer each column fully and neatly in your own hand-writing.
APPLICATION FOR EMPLOYMENT
PERSONAL DETAILS
NAME IN FULL
(in block letters)
(As it appears on passport / legal document)
RAJAT S PANDEY
FIRST MIDDLE LAST
ADDRESS FOR COMMUNICATION
Daiva Kripa House, 25-24-1720/10 Mobile No : +91-9040438566
Janardhan Nagar, Jeppu bappal Pan Card No : XXXXXX332H
E-mail: [email protected]
(Personal E-Mail ID only)
City MANGALORE CITIZENSHIP(S) :
PIN / POSTAL CODE 575002 India
State : Karnataka DO YOU HAVE A PASSPORT?:
YES: R NO: ❑
Country India
DATE OF BIRTH (as per passport / legal document) :
(dd/mm/yyyy) GENDER:
04/05/1995 MALE R FEMALE ❑ OTHER ❑
VER 9.3 1 of 4 HRD/REC/2025
SIGNATURE OF THE APPLICANT
EDUCATION
LEVEL DIPLOMA/EQUIV GRADUATION POST OTHER
(If applicable) GRADUATION
(If applicable)
Name Of The Qualification BE PGDEM
Awarded
State Board / University Kiit University National Institute
Of Industrial
Engineering
(nitie), Mumbai
Name of School/College KIIT School of Indian Institute
Mechanical of Management
Engineering Mumbai
Branch/ Stream / Area Of Mechanical and Supply chain
Specialization Automation Management
Engg Purchasing
*Percentage / CGPA 89 8.6 7.8
Year & Month Of Final June 2017 July 2024
Examination
*ALL PERCENTAGES / CGPA SHOULD BE AS PER THE DEGREE CERTIFICATE OR FINAL YEAR MARKSHEET (Documents
will be checked during interview round.)
GAPS IN EDUCATION (If any) 0 years. Reason: Was doing my MBA
WORK EXPERIENCE
PLEASE WRITE 'NA' IF NOT APPLICABLE
SPECIFY CLEARLY IN CASE OF PART TIME/CONTACT WORK EXPERIENCE NOTICE PERIOD REQUIRED : 15 Days
PERIOD (DD-MM-YYYY)
PAYROLL FROM TO DURATION DESIGNATION REASON FOR EXPERIENC
ORGANIZATION* (in months) SEPARATION E/
RELIEVING
LETTER
AVAILABLE
(Y/N)
Realization Technologies 03-07-2024 Till date 8 Project Manager Still working here N
TATA Hitachi 01-09-2019 14-06-2023 45 Assistant Manager To peruse higher Y
Construction Equipment education
TVS Motor Company 01-07-2017 30-08-2019 25 Senior Engineer Better Opportunity Y
Preferred work location : BANGALORE, PUNE, HUBBALLI
GAPS IN EXPERIENCE (If any) 0 years. Reason: Was doing my MBA
* Please do specify "Payroll Organization" if you are working on a contractual basis
Disclaimer : Please be informed that work experience provided by you will be validated through Background check
VER 9.3 2 of 4 HRD/REC/2025
SIGNATURE OF THE APPLICANT
COMPENSATION AND BENEFITS
ANNUAL CURRENT NEXT REVISION YOUR EXPECTATION AT
EXPECTED DATE: INFOSYS
11-03-2025
Fixed Salary in Lakhs 16.00
(INR)
Variable Pay in Lakhs 4.00
(INR)
Other Benefits in Lakhs
(INR)
Annual Gross 20.00 22.00 24.00
Compensation in Lakhs
(INR)
MISCELLANEOUS
HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS OR INFOSYS GROUP COMPANIES YES ❑ NO R
(LIKE INFOSYS BPM, ETC.) PREVIOUSLY?
MONTH & YEAR
- TAKEN ANY TEST? YES ❑ NO R ................
- SELECTED FOR INTERVIEW? YES ❑ NO R ................
- MADE AN OFFER? YES ❑ NO R ................
- JOINED & QUIT? YES ❑ NO R ................
ARE YOU SERVING/ENGAGED AS A DIRECTOR, PARTNER, SOLE PROPRIETOR OR IN ANY OTHER YES ❑ NO R
EQUIVALENT POSITION IN ANY COMPANY, FIRM OR BUSINESS ENTITY?
IF YES, PLEASE PROVIDE THE DETAILS
ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES? YES ❑ NO R
IF YES, INFOSYS BPM ❑ OTHERS ❑ PLEASE SPECIFY
HAS ANY WARRANT FOR YOUR ARREST OR SUMMONS FOR YOUR APPEARANCE BEEN ISSUED OR YES ❑ NO R
AN ORDER PROHIBITING YOUR ENTRY INTO OR EXIT FROM ANY COUNTRY, BEEN ISSUED BY A
COURT OF LAW OR ANY GOVERNMENTAL AUTHORITY?
IF YES, PLEASE PROVIDE THE DETAILS
HAVE YOU AT ANY TIME BEEN SUBJECT TO OR ARE BEING SUBJECT TO ANY INVESTIGATIONS BY YES ❑ NO R
THE FINANCIAL MARKET REGULATOR SUCH AS SECURITIES AND EXCHANGE BOARD OF INDIA?
IF YES, PLEASE PROVIDE THE DETAILS
VER 9.3 3 of 4 HRD/REC/2025
SIGNATURE OF THE APPLICANT
ARE YOU AWARE OF YOU BEING SUBJECT OF ANY INVESTIGATION BY ANY GOVERNMENTAL YES ❑ NO R
AUTHORITY?
IF YES, PLEASE PROVIDE THE DETAILS
ARE THERE ANY CRIMINAL PROCEEDINGS PENDING AGAINST YOU BEFORE ANY COURT OF LAW IN YES ❑ NO R
INDIA OR OUTSIDE INDIA?
IF YES, PLEASE PROVIDE THE DETAILS
ARE YOU SUBJECT TO ANY *SANCTIONS LAWS? YES ❑ NO R
[*SANCTIONS LAWS MEANS ALL APPLICABLE FINANCIAL, ECONOMIC AND TRADE SANCTIONS
(WHETHER PRIMARY OR SECONDARY), AND EXPORT CONTROL LAWS AND REGULATIONS (OR ANY
SIMILAR RESTRICTIONS) IMPOSED BY THE UNITED NATIONS OR THE GOVERNMENTS OF
AUSTRALIA, THE UNITED KINGDOM, EUROPEAN UNION AND THE UNITED STATES OF AMERICA OR
ANY OTHER COUNTRY]
IF YES, PLEASE PROVIDE THE DETAILS
YES ❑ NO ❑
ARE YOU UNDER ANY LEGAL OBLIGATION TO YOUR CURRENT EMPLOYER? YES ❑ NO R
IF YES, IN SIGNING THIS VERIFICATION AND AFFIRMATION REGARDING CONTRACTUAL
RESTRICTIONS, I AFFIRM THAT THERE ARE NO CONTRACTUAL RESTRICTIONS ON THE
ABILITY OF INFOSYS TECHNOLOGIES LTD. TO HIRE ME TO PERFORM THE POSITION FOR
WHICH I MAKE APPLICATION. I HEREBY AGREE TO RELEASE INFOSYS TECHNOLOGIES
LTD FROM ANY SUIT/CLAIMS MADE BY ANY OF MY PREVIOUS EMPLOYER(S) ARISING
OUT OF VIOLATION OF ANY CONTRACTUAL LEGAL OBLIGATIONS WITH THEM.
DECLARATION
I authorize Infosys to conduct investigation to verify facts of all statements made in this application and my supporting
documents. I authorize Infosys to secure information about my experience from former employers, educational institutions,
government establishments/agencies or any references I have provided, and for those parties to provide information
concerning my qualifications for employment and I hereby release all parties from any liability arising from such
investigation.
I certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives, optional
subjects, additional subjects, practicals and languages.
I understand that if I am employed with the company, any false statement, misrepresentation, or omission of facts on this
application or on any supporting documents, regardless of when discovered if found to be false, may result in my immediate
dismissal. The company will have the right to withdraw my letter of appointment or to terminate my training/subsequent
appointment at any time without notice or compensation.
My signature below certifies that I have read, understand, and agree to the foregoing and to the best of my knowledge and
belief; the information on the application form is true and correct.
Date : ........................... Place : .......................... Signature: .............................
VER 9.3 4 of 4 HRD/REC/2025
SIGNATURE OF THE APPLICANT
