Personal Name and Form Mandatory Information

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  • Topic: Personal name
  • Pages : 7 (359 words )
  • Download(s) : 84
  • Published : February 24, 2013
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MANDATORY INFORMATION FORM
COLLEGE NAME: ____________________________________

DATE: __________________

PERSONAL INFORMATION (All the fields are Mandatory. Incomplete Forms may be Rejected. Please use block letters)

_________________________
Last Name: _________________________

Please paste
your Passport
Size
Photograph
here

First Name:

Father/Husband Name:

______________

Date of Birth (DD/MM/YY): _______________________

Gender: Male

Female

Present Mobile Number: _______________________
Contact Number :

Permanent/Alternate Contact No: City STD Code: _______ Phone Number: ______________ Address: ____________________________________________________________________

Permanent Residential
Address :

Email (In case you have
two ID’s kindly mention
both)

City: ______________________ State: ___________________ Pin Code: ______________

Email 1: _________________________________________
Email 2: _________________________________________
Education

Level
10th Std
12th Std
Graduation
Post-Graduation
Add. Qualification

Qualifi
ti

Stream/Branch

University/College

Year Of
Passing

% Or CGPA

Project Details

Project Title

From

Project Description

(DD/MM/YY)

To
(DD/MM/YY)

Project Domain (Please Tick)
Domain
Please
Tick
Domain
Please
Tick

Life
Sciences

Pharma

Banking

Health Care

Retail

Computers

Energy

Supply
Chain

Sales &
Marketing

IT
Services

Net
working

Operations
Research

Insurance

Telecom

Automotive

Note: Please attach your updated CV with this form. All information provided would be validated at the time of joining, if an offer is made. If any information provided by you is found incorrect GENPACT reserves the right to withdraw the offer of appointment.

Work Experience
Company

Date of
Joining

Position

Total Experience (Years, Months
& Days)
Are you open for relocation: Yes

Date of
Leaving

Responsibilities

Industry
Domain

________________ Years, _________ Months, _______________ Days

No

If No, then write your preferred location: ___________________________

I certify that I have not attended the GENPACT selection process in the last 6 months. I also certify that the above statements made by me are true, complete and correct to the best of my knowledge. Place: ______________________________

Date: ______________________________

Signature: ___________________

NIPE Coordinator Name: ________________________
NIPE Coordinator Sign: _________________________
For GENPACT Use Only
S.N.

Stage Name

1

GD

3

Tech Interview

4

HR Interview

5

Score

Status

Written Test

2

Panelist Name

Final Status

Select

Reject

Note: Please attach your updated CV with this form. All information provided would be validated at the time of joining, if an offer is made. If any information provided by you is found incorrect GENPACT reserves the right to withdraw the offer of appointment.

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