Interview Location Please affix

your latest
Candidate id Passport
Photograph
12110080 Here
INFOSYS LIMITED
Electronics City, Hosur Road, Bangalore - 560 100, India.
Tel.: (080) 28520261. Fax: (080) 28520362.

APPLICATION FOR EMPLOYMENT

PERSONAL DETAILS

NAME IN FULL
(in block letters)
(As it appears on passport / legal document)

Mohd Tarikh Ahmed Khan

FIRST MIDDLE LAST

ADDRESS FOR COMMUNICATION

12-1-486/13 jhirra,asif nagar Primary Contact No: +91-9700706482

NA Alternate Contact No:

E-mail : tak.khan15@gmail.com
(Personal E-Mail ID only)

City: Hyderabad CITIZENSHIP(S) :

PIN / POSTAL CODE: 500006 india

State: Telangana Country: India DO YOU HAVE A PASSPORT? :

YES

DATE OF BIRTH (as per passport / legal document) : GENDER:

(dd/mm/yyyy)
13.05.1990 Male

VER 8.2 Page 1 of 4 HRD/REC/F/016

SIGNATURE OF THE APPLICANT

 EDUCATION
LEVEL X STD XII STD/ GRADUATION POST OTHERS
DIP./EQUIV. GRADUATION
Name Of The Qualification Secondary School Others BTech MTech
Awarded Leaving Cert.
State Board / University ssc Board Of Secondary JAWAHARLAL JAWAHARLAL
Education NEHRU NEHRU
UNIVERSITY UNIVERSITY
Name Of The School/ College vani high school ms junior college vifcet rits
State Telangana Telangana Telangana Telangana
Branch/ Stream / Area Of Information Computer Science
Specialization Technology
*Total Aggregate Marks Scored 404.00 605.00 3337.00 1154.00
For All Subjects / Semesters /
Years
*Maximum Marks For All 600.00 1000.00 5350.00 1600.00
Subjects / Semesters / Years
*Simple Average Percentage / 67.33 60.50 62.37 72.12
CGPA / Grade For All Semesters
/ Years
Year & Month Of Final 07 / 2005 03 / 2007 08 / 2012 08 / 2015
Examination
*All Percentages / CGPA should be simple average for all your Subjects / Semesters / Years , including electives, optional subjects, additional
subjects , practicals and languages

WORK EXPERIENCE
PLEASE WRITE 'NA' IF NOT APPLICABLE.
Specify clearly in case of part time/contract work experience. Notice period required: 015 days

EXPERIENCE/
PAYROLL ORGANIZATION* PERIOD (MM/YYYY) DESIGNATION REASON FOR RELIEVING
SEPARATION LETTER
AVAILABLE
(Y/N)
FROM TO DURATION
(in months)
WIRED 2 WIRELESS 09/2014 38 Software Engineer
TECHNOLOGY SOLUTIONS

Are you under any legal obligation to your current employer? : NO

IF YES, Please Specify: ........................................................................................................................................................................

* 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

GAPS IN EDUCATION AND EMPLOYMENT

From (mm/yyyy) To (mm/yyyy) Reason for Gap
03/2007 09/2008 taken some career enhancement oaching

VER 8.2 Page 2 of 4 HRD/REC/F/016

SIGNATURE OF THE APPLICANT

 08/2012 09/2013 working as a freelance as well as taken
professional training
COMPENSATION AND BENEFITS
ANNUAL CURRENT NEXT REVISION EXPECTED YOUR EXPECTATION AT
DATE: INFOSYS
Fixed Salary 240000.00
Variable Pay 240000
Other Benefits
ANNUAL GROSS 480000.00
COMPENSATION

MISCELLANEOUS

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS or INFOSYS GROUP COMPANIES (like INFOSYS BPO,
ETC.) PREVIOUSLY? :NO

IF YES, HAVE YOU INFOSYS OTHER GROUP COMPANIES

RELEVANT DATES RELEVANT DATES

- TAKEN ANY TEST? NO NA NO NA

- SELECTED FOR NO NA NO NA
INTERVIEW?

- MADE AN OFFER? NO NA NO NA

- JOINED & QUIT? NO NA NO NA

ARE YOU EMPLOYED AS: 1. A DIRECTOR / PARTNER IN ANY OTHER COMPANY? : NO

IF YES, PLEASE PROVIDE DETAILS : NA

ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES : NO

IF YES, INFOSYS BPO OTHERS Please specify NA

Have you at any time been convicted by a court of India for any criminal offence and sentenced : NO
to imprisonment, or any criminal proceedings are 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 : NA

VER 8.2 Page 3 of 4 HRD/REC/F/016

SIGNATURE OF THE APPLICANT

 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 8.2 Page 4 of 4 HRD/REC/F/016

 Scholastic Averages Sheet

FULL NAME Mohd Tarikh Ahmed Khan

CANDIDATE ID 12110080

X/SSLC/Junior/Equivalent
Board / University ssc
Total Marks Obtained for all Maximum Marks for all subjects
subjects (Including languages and (Including languages and optional
optional subjects) subjects)
Total 404.00 600.00
Simple Average % for all subjects (Including languages and optional 67.33
subjects)

XII/SSC/High/Equivalent
Board / University Board Of Secondary Education
Total Marks Obtained for all Maximum Marks for all subjects
subjects (Including languages and (Including languages and optional
optional subjects) subjects)
Total 605.00 1,000.00
Simple Average % for all subjects (Including languages and optional 60.50
subjects)

Graduation/Bachelor/Equivalent
Board / University JAWAHARLAL NEHRU UNIVERSITY
Total Marks Obtained for all Maximum Marks for all subjects
subjects (Including languages and (Including languages and optional
optional subjects) subjects)
Semester 1 / Year 1 650.00 1,050.00
Semester 2 / Year 2 833.00 1,500.00
Semester 3 / Year 3 883.00 1,500.00
Semester 4 / Year 4 971.00 1,300.00
Total 3,337.00 5,350.00
Simple Average % for all subjects (Including languages and optional 62.37
subjects)

Post Grad/Master/Equivalent
Board / University JAWAHARLAL NEHRU UNIVERSITY
Total Marks Obtained for all Maximum Marks for all subjects
subjects (Including languages and (Including languages and optional
optional subjects) subjects)
Semester 1 / Year 1 1,055.00 1,500.00
Semester 2 / Year 2 99.00 100.00
Total 1,154.00 1,600.00
Simple Average % for all subjects (Including languages and optional 72.12
subjects)
SIGNATURE (In case of Hard Copy Submission):

© 2011 Infosys Technologies Limited. All rights reserved. Copyright in the whole and any part of this document belongs to Infosys Technologies Limited.

This work may not be used, sold, transferred, adapted, abridged, copied or reproduced in whole or in part, in any manner or form, or in any media, without the prior written

consent of Infosys Technologies Limited.