Interview Location 9)

Candidate id
Infosys
INFOSYS LIMITED
Electronics City, Hosur Road, Barngalore - 560 100, India.
Tel.: (080)28520261. Fax: (080) 28520362.

Please Vin the wherever applicable.

Please answer each column fully and neatly in your own hand-writing.

APPLICATIONFOR EMPLOYMENT

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

AASHA FIRST MIDDLE

ARYA
LAST

ADDRESS FOR COMMUNICATION

Mobile No. 290130147
36.ALLn04E..NEAR.
E- mail:
..ARLA..AMA.MAN.Q1R. (Personal E-Mail iD only)
DETAILS
JHANSI GITIZENSHIP(S)
PERSONAL INOIAN
DO YOU HAVE A PASSPORT?
City:
YES NO
PIN /POSTAL CODE.

State:
OLIAR.RRADESIbountryTNOLA
Day Time Contact No. 98O30191. opona)

GENDER
document):
DATE OF BIRTH (as per passport / legal
(dd/mmmyyyy) MALE FEMALE OTHERS

S407.1942. HRD/RECI2023
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VER 9.2
SIGNATURE OF THE APPLICANT
 LEVEL DIPLOMAJEQUIV GRADUATION POST GRADUATION
(if applicable) OTHERS
(If applicable)
Name of the Qualification Awarded
BACHCL0R 'S
of DESIbN M BA
State Board/University NIET

EDUCATION LIM
Name of the School/College
NIPT ROHTAK
State
HARYANA
Branch/Stream/Area of Specialization
Marketi
*Percentage / CGPA

Year & Month of Final Examination

5-6|10
2014
3'22024
210
*ALL PERCENTAGES / CGPA SHOULD BE AS PER THE DEGREE CERTIFICATE OR FINAL YEAR MARKS SHEET (Documents
wil!

GAPS IN EDUCATION (If any) ........years. Reason:..

PLEASE WRITE NA' IF NOT APPLICABLE

SPECIFY CLEARLY IN CASE OF PART TME CONTRACT WORK EXPERENCE NOTICE PERIOD REQUIRED.
PERIOD (MMMIYYYY) EXPERIENCEJ
RELIEVING
PAYROLL ORGANIZATION FROM TO DURATION REASON FOR
DESIGNATION SEPARATION
LETTER
(in months) AVAJLABLE
YIN)
FlLÍER COFFEE
nkaphue coViD
WORK CARIGAR
EXPERIECE TOOLs l3o3/2 hiaphie CAT

ATHAAH 4
ANAND

Are you under any legal obligation to your current employer: YES No
IF YES, Please Specify:
* Please do specify "PayrollOrganization" if you are working on a contractual basis
valldated through Background check
Dlsclalmer: Please be informed that work experlence provided by you will be
HRDIRECI2023
VER 9.2 2of 4
SIGNATURE OF THE APPLICANT
 NEXT REVISION EXPECTED
ANNUAL CURRENT YOUR EXPECTATION AT
DATE: INFOSYS
COMPENSATION
AND
BENEFITS
Fixed Salary in Lakhs (NR)

Variable Pay in Lakhs (INR)

1 1.
Other Benefits
2 2

3 3 3

ANNUAL GROSS
COMPENSATION
in LAKHS (INR)

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS or INFOSYS GROUP
COMPANIES (like INFOSYS BPO, ETC.) PREVIOUSLY? YES NO
IF YES, HAVE YOU INFOSYS OTHER GROUP COMPANIES
RELEVANT DATES RELEVANT DATES
-TAKEN ANY TEST? YES NO YES NO

-SELECTED FOR NTERVIEW? YES NO YES NO

-MADE AN OFFER? YES NO YES NO

- JOINED&QUIT? YES NO YES NO

ARE YOU SERVINGENGAGED AS A DIRECTOR, PARTNER, SOLE PROPRIETOR OR IN YES NO

ANY OTHER EQUVALENT POSITION IN ANY COMPANY, FIRM OR BUSINESS ENTITY?
MISCELLANEOUS
IF YES, PLEASE PROVIDE DETAILS.
ARE YOU cURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES YES NO
IF YES, INFOSYs BPM OTHERS Please specify
HAVE YOUAT ANY TIME BEEN CHARGED, ACQUITTED OR CONICTED BY A COURT YES NO
OF LAW N INDUA OR OUTSIDE INDIA?

IF YES, PLEASE PROVIDE DETAILS.

HAS ANY WARRANT FOR YOUR ARREST OR SUMMONS FOR YOUR APPEARANGE BEEN
ISSUED OR AN ORDER PROHBITING YOUR ENTRY INTO OR EXIT FROM ANY COUNTRY.
YES NO
BEEN ISSUED BY ACOURT OF LAWOR ANY GOVERNMENTAL AUTHORITY?
IF YES, PLEASE PROVIDE DETAILS.
HAVE YOU AT ANY TIME BEEN SUBJECT TO OR ARE BEING SUBJECT TO ANY
NVESTIGATIONS BY THEFINANGCIAL MARKET REGULATOR SUCH AS SECURITIES AND
YES No
EXCHANGE BOARD OF NDIA?
IF YES, PLEASE PROVIDE DETAILS.

ARE YOUAWARE OF YOU BEING SUBJECT OF ANY INVESTIGATION BY ANY YES NO

GOVERNMENTAL AUTHORITY?
IF YES, PLEASE PROVIDE DETALS.

ARE THERE ANY CRIMINAL PROCEEDINGS PENDING AGAINST

YOU BEFORE ANY YES NO
COURT OF LAW IN INDIA OR OUTSIDE INDIA?
IF YES, PLEASE PROVIDE DETAILS
HRD/RECI2023
VER 9.2 3 of 4
SIGNATURE OF THE APPLICANT
 ARE YOU SUBJECT TO ANY *SANCTIONS LAWS? YES NO
IF YES, PLEASEPROVIDE DETAILS.
"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 govenments of Australia, the United Kingdom,
European Union and the United States of America or any other country.

Iauthorize Infosys to conduct investigation to verify facts of all staternents made in this application and my supporting documents. I
authorize Infosys to secure infomation about my experience from former employers, educational institutions, governmnent
establishments/agencies or any references Ihave provided,and for those parties to provide information concerning my qualifications
for employment and Ihereby release allparties from any liability arising from such investigation.
DECLARATION
Icertifty that the academic marks /CGPA are as per the University Guideline (percentage/CGPA mentioned on the Degree certificate or
finalyear marks sheet)

Iunderstand that if Iam employed with the company, any false statement, misrepresentation, or omission of facts on this application or
on any supporing documenits, regardiess of when discovered if found to be false, may resut in my immediate dismissal.The company
willhave the right towithdraw my ieter of appointment or to terminate my tralning/subsequent appointment at any time without notice or
compensation.

My signature below certifies that !have read, understand, and agree to the foregoing and to the best of my knowledge and belief, the
information on the applicaton fom is true and correct.

Date: -02- 5
Puca tHyceaabad Signature:

HRDIRECI2023
VER 9.2 4 of 4
SIGNATURE OF THE APPLICANT