Employment Application Form

Guidelines for filling the Employment Application form

1 This form has 5 sections - Personal details1, Personal details2, Personal details3, Education+Employment
& Declaration

2 Please Print or Write in Block Letters using a blue or black ink. Complete all the columns

3 Kindly ignore the numbers which appear next to the headers

4 The numbers in bracket against each information required, specifies the maximum length of the
character or number that should be specified in the column provided for furnishing the
required information

5 Kindly enclose proof of education, while submitting this form

6 Please provide the correct contact details of the refree's, since we would be calling them
as part of our reference check process

7 All segments indicated as - To be filled by the Candidate, is Mandatory. Do not leave any blanks

Employment Application Form Ver 2.0 (05082005)

 Employment Application Form

OFFICE USE ONLY - Not to be filled by the Candidate

New Hire Event (A1) Rehire To Employee (B1)

Hire the Applicant Rehire the Applicant

Create Event (IT 0000)

Applicant Number Personnel Number (6)

Event Date (dd.mm.yyyy) Position Number (8)

Position Description Personnel Area (4)

Employee Group (1) Employee Subgroup Code (2)

Employee Subgroup Description

Personal Details (IT 0002): To be filled by the Candidate

Name (as in the Passport)

Initial (expand initial)

First Name (40)

Middle Name (40)

Last Name (40)

Gender Male / Female Date of Birth (dd.mm.yyyy)

Title Mr. / Ms. City of Birth

Marital Status Country of Birth

Married since (dd.mm.yyyy) Citizenship

Number of Children

Organizational Assignment (IT 0001) - Not to be filled by the Candidate

Personnel Number of Supervisor (6) Percentage

T/E Entry Code (3) T/E Entry Decsription

Mail Code (3) Mail code Description

Residence Status (IT 0094) Citizen / Non-Citizen

Personal IDs (IT 0185): To be filled by the Candidate

PAN ID (5letters+4digits+1letter)

Passport No (30)

Date of Issue (dd.mm.yyyy) Issuing Authority

Place of Issue (30) Issuing Number

Date of Expiry (dd.mm.yyyy) Country of Issue

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 Employment Application Form

Permanent Residence Address (IT 0006/1) - To be filled by the Candidate

Address Line 1 (60) Address Line 2 (40)

City (40) State

Postal Code (6) Email address (100)

Telephone No (16) Cell No (16)

Fax No (16)

Current Residence Address (IT 0006/1) - To be filled by the Candidate

Address Line 1 (60) Address Line 2 (40)

City (40) State

Postal Code (6) Email address (100)

Telephone No (16) Cell No (16)

Fax No (16)

Emergency Contact Information (IT 0006) Please provide the name of the individual who can be contacted in case of mediacl emergency
To be filled by the Candidate

Relationship

C/o Name (40)

Address Line 1 (60) Address Line 2 (40)

City (40) State

Postal Code (6) Email address (100)

Telephone No (16) Cell No (16)

Fax No (16)

Planned Working Time (IT 0007) - Not to be filled by the Candidate

Employmnet %

Basic Pay (IT 0008) - Not to be filled by the Candidate

Reason code Reason Name

Annual Salary (INR)

OFFICE INFORMATION (IT 0006/900) - Not to be filled by the Candidate

Desk 1 - India Phone No. Fax Number (16)

Desk 2 - US Phone No. Cell Phone Number (16)

Voice Mail Number

Employment Application Form Ver 2.0 (05082005) Page 2

 Employment Application Form

Family Details 0021(required for Medical insurance purpose) - To be filled by the Candidate

Member Father Mother Spouse Child Child

Last Name (40)

First Name (40)

Title

Gender

Citizenship

Birth Country

Additional information (IT 9023) - To be filled by the Candidate

Blood group Total Experience (Months)

Current Location India / Abroad Relevant Experience (Months)

From Date (dd.mm.yyyy)

To Date (dd.mm.yyyy)

Hire Source (IT 9032) - Not to be filled by the Candidate

Source Type

Disability (IT 0034) - To be filled by the Candidate

Type of disability

Language Proficiency (other than English) IT0024 / 1001 - To be filled by the Candidate

Language Can Understand Can Read Can Speak Can Write

CPA License (IT 9030) - To be filled by the Candidate

Country Name

Certificate Number

License Number

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 Employment Application Form

Education Academic Background (IT 9036) - (start with most recent qualification) - To be filled by the Candidate
Institute / College with State University with Country Diploma / Degree with Major Part Time / Full
Time Years of Study
Grade/
From To Marks/CPA

State & Country should be mentioned clearly

Employment History - To be filled by the Candidate

Name of the current employer

Address of the current employer

Annual Gross Compensation (incl. benefits)

Your key job responsibilities

Are you bound by any Service Agreement / Bond in your present employment? If so, provide
details.

Employee ID Number No of employees

Nature of business Revenue turnover

Date of joining Current designation

Desig reporting to No of direct reportees

Expected Annual CTC Reason for seeking change

Notice period

Annual Gross
Compensation (incl.
Duration Designation benefits)

Name and Address of Previous Employer (s) From To Joining Leaving Joining Leaving

References Minimum of 2 (One of whom should have worked closely with you in professional capacity)

Name Designation Organisation(Name/Location) Contact Phone No E Mail ID

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Employment Application Form Ver 2.0 (05082005) Page 4
 Employment Application Form
Relevant Training: Inhouse / External Training Program Conducted or Attended

Institute / Organisation Program Attended From To

Are you related to any personnel at Deloitte, its affiliates or related entities? (yes/no/unknown) If yes, provide name(s), relationship(s), and office(s).

Have you ever submitted an employment application in any office of Deloitte, its affiliates or related entities? If yes, provide office name(s) and dates.

Have you ever worked in any office of Deloitte, its affiliates or related entities? If yes, provide office name(s) and dates.

Have you ever worked for any clients of Deloitte, its affiliates or related entities? (yes/no/unknown) If yes, provide client name(s), position(s) held, dates, and
information on any employment agreement(s), restriction(s) or contractual obligations.

Are you related to any of our clients' personnel? (yes/no/unknown) If yes, provide client name(s), relative name(s), relationship to you, and position(s) held.

Do you have any overseas / international work experience? If yes, provide countries worked, duration and visa type.

Are you willing to relocate withn India or outside India?

Are you willing to work in shifts?

I, _________________________________________ , hereby declare that all of the information stated herein is correct and necessary documents

can be provided, if necessary and requested. I also give my consent to proceed with reference check process with the referee's indicated in this

application.

Signature with Date : _____________________________________________

Employment Application Form Ver 2.0 (05082005) Page 5