Kindly Affix a Passport Size Photograph here

Application Employment

for

Full Name :_______________________________________________________________

Position Applied for:________________________________________________________________

Thank you for your interest in Yalamanchili. This form is intended to enable you to record important points about yourself, your experience, your achievements and your plans for the future. Please complete the form in full and use additional sheets if necessary.
FR/HR/FE/I/30 For Internal Use Only July 2011

Personal Information Full Name Date of Birth d d m m y y Current Address : y Y E-mail :

City

State

PIN

Phone (with STD code)

Office Res.

Permanent Address :

City

State

PIN

Phone(with STD code) Mobile Marital Status :

PAN Number : FAMILY DETAILS S. Members No d d d d d d d d d d

Date of Birth m m m m m m m m m m y y y y y y y y y y y y y y y y y y y y

Relationship

Occupation

d d m m y y y y EDUCATION (Begin with the most recent qualification and end with Std. X) Course/Deg ree Specialization Name of Institute /University Locatio n Graduatio n (Month/Yr .) Aggregate Marks (% or CGPA)

TRAINING Training/Development Programmes attended / IT Skills acquired

Institute / Organization

Location

Dates attended From To

TECHNOLOGY SKILLS (like ERP, JAVA, PRO C etc)

FR/HR/FE/I/30 For Internal Use Only

July 2011

WORK EXPERIENCE PRESENT / LAST EMPLOYMENT Name of the Employer Number of Employees Dates Employed Your Designation Reason For Leaving Supervisors Name & Designation & EMAIL ID MONTHLY EMOLUMENTS Fixed Salary Basic Bonus/Incentives Allowances Others (please specify) Total (A) From Employee Code Turnover To Responsibilities

Address : Phone : Notice Period :

Can we take reference from your supervisor? Yes No Deferred benefits PF, Pension, Gratuity etc. (C) Monthly Gross (A+B+C) Current Annual Gross Expected Annual Gross Address : Phone :

Variable / Perks Housing Company car Furnishings Others (please specify) Total (B)

PRIOR TO PRESENT / LAST EMPLOYMENT Name of the Employer Dates Employed Your Designation Reason For Leaving PREVIOUS EMPLOYMENT DETAILS Name of the organization Location Designatio n Employ ee Code Duration From To FROM TO Responsibilities

Employee Code

Monthly Gross: -

Monthly Salary Startin Final g

Reason for Leaving

ABOUT YOURSELF The answers to the following questions will help us get a better understanding of you as a person. Your personal strengths? Your personal areas of improvement?

Your career objectives?

Your expectations from the job/Yalamanchili?

FR/HR/FE/I/30 For Internal Use Only

July 2011

SIGNIFICANT ACHIEVEMENTS: Distinctions, Honours, Awards ( Academic/extra-curricular ) received

OTHER INTERESTS: Cultural, sports, community work and hobbies from school onwards & details of memberships of association REFERENCES Give references under whom you have either worked or who know you professionally for at least 6 months. Duration & Phone (with STD code) Organization & Name Nature of e-mail Designation Home Office Association Off: Per: Off: Per: ADDITIONAL DETAILS If Others, Specify Nationality : Nationality Indian Do you have work permit to work in India? Others Yes No Do you hold a valid Passport? If Yes, Passport No : Yes No (for Indian citizens only) Valid till : If Yes, Details Have you been denied VISA to any country? Yes No Have you worked on overseas assignments? If yes, provide details on countries visited and Yes No type of Visas held Have you attended any selection process at If Yes, Division : Location : Yes No Month/Year: Status : Yalamanchili before? Are you willing to relocate/ travel as may be Please specify if you have any preference on Yes No work location: required by the organisation? Do you have any relative / friend employed with Yalamanchili? Yes No Have you suffered from any major illness /surgery /accident in the last five years? Yes No Have you ever been arrested, prosecuted or convicted for any criminal offense, other than minor traffic offenses ? Yes No In the last ten years, have you been convicted of or plead guilty to any offence? Yes No In the last ten years have you been released from prison on a conviction? Yes No If Yes, his/her name : Division/Location : If Yes, Details If Yes, furnish details including type of offense and conviction

Do you have any commitment to another employer or organization that might affect your employment with us? Yes No Any other information you would like us to know which may have significant bearing on our hiring decision :

FR/HR/FE/I/30 For Internal Use Only

July 2011

I hereby declare that my statements on this application and on my resume or documents provided by me to Yalamanchili are correct to the best of my knowledge. I acknowledge and agree that providing any false information may result in a decision not to hire me or if hired, may result in termination of my employment. I give consent to Yalamanchili to institute and conduct a background check to verify the information furnished by me in this form. Date: Signature:

FR/HR/FE/I/30 For Internal Use Only

July 2011