Application Form - Cognizant UBS

APPLICATION FORM Please fill in the details with utmost attention, as these shall be verified by Cognizant Technology Solutions and/ or by its authorized representatives.

Please Affix Your  Passport Size Photograph

All details are compulsory.

PERSONAL DETAILS

Name of Applicant:               Surname                                      Date of Birth (dd/mm/yy):

Marital Status:

Place of Birth:

Nationality: National ity:

Sex:

Passport No.:

Home Phone:

STD

Code           Number 

Office Phone:

STD

Code           Number 

Mobile:

E-mail id:

R  ESIDENTIAL ESIDENTIAL ADDRESSES CURRENT ADDRESS:

City:

State:

(mm/yy) Duration of Stay:    From

Pin Code: To (mm/yy)

Nature of location:

Phone No.: Rented

Own

Other  (Specify)

PERMANENT ADDRESS:

City:

State:

(mm/yy) Duration of Stay:    From

Pin Code: To (mm/yy)

Nature of location:

Phone No.: Rented

Own

(Specify) Other 

LONGEST STAY ADDRESS IN THE LAST SEVEN YEARS:

City:

State:

(mm/yy) Duration of Stay:    From

All details are compulsory

Pin Code: To (mm/yy)

Nature of location:

Phone No.: Rented

Own

Other  (Specify)

Strictly Private & Confidential 

FAMILY DETAILS R  ELATION

NAME

AGE

EDUCATION

OCCUPATION

DEPENDANT (Y/N)

FATHER  MOTHER  SPOUSE CHILDREN B ROTHERS

SISTERS

EDUCATION DETAILS DATES

QUALIFICATION

NAME & ADDRESS OF SCHOOL / COLLEGE/ INSTITUTE

NAME & ADDRESS OF BOARD / UNIVERSITY TO WHICH THE SCHOOL / COLLEGE / INSTITUTE IS AFFILIATED TO

COURSE ATTENDED ORNING/  VENING/  (M  E  ORRESPONDENCE  C  )

MARKS (%) CGPA & CLASS

ATTENDED YEAR  OF ENROL MENT (MM/YY)

YEAR  PASSED (MM/YY)

R  OLL NUMBER  / EGISTRATION R  NUMBER  / EXAM SEAT NUMBER 

SSC (X TH GRADE)

HSC (XII TH GRADE) GRADUATION DEGREE:

DISCIPLINE:

POST GRADUATION DEGREE:

DISCIPLINE:

ANY OTHER 

All details are compulsory

Strictly Private & Confidential 

R  EASONS FOR  BREAKS IN EDUCATION: ______________________________________________________  ____________________________________________________________________________________ 

____________________________________________________________________________________ 

SKILL SET: (MENTION SKILLS YOU ARE APPLYING FOR  ): TOTAL EXPERIENCE

SKILLS

* SELF R  ATING

(IN MONTHS)

* 

(Please follow this Rating Scale for each skill: -4 - Excellent, 3 - Good, 2 - Average, 1 ± Beginner)

WILLINGNESS TO WORK ANYWHERE IN INDIA:

YES

NO

WILLINGNESS TO WORK ANYWHERE OUT OF INDIA:

YES

NO

PRIOR  INTERNATIONAL EXPERIENCE:

YES

NO

DURATION OF ONSITE ASSIGNMENTS ABROAD IN MONTHS:

_________________ 

PASSPORT DETAILS: AVAILABILITY

YES

NO

IF YES, PASSPORT NO: VISAS STAMPED (LIST OF COUNTRIES):

VISA R  EJECTION HISTORY:

R  R  EASONS FOR  EJECTION:

All details are compulsory

Strictly Private & Confidential 

EMPLOYMENT R  ECORD: Starting with your present or most recent employer, please list all employments during the last five years.  Include military service, temporary, part-time and summer work. When listing consulting or temporary assignments, under ³E mployer´, state the name of the consulting or temporary agency that placed you at the client site. Complete and accurate dates (month/year) must be provided. For compensation sections, specify currency and basis for salary (i.e. monthly or yearly).

CURRENT EMPLOYER:

Street Address: City:

From (mm/yy):

Employee Id:

Employer¶s Phone No.: State:

Country:

Fax No.: Postal Code:

Job Title:

Description of Duties:

Employment Status: (Please check the relevant box)

Supervisor¶s Details:

Full Time Contract /Through Outsourcing Agency

To (mm/yy):

Name: Title: Phone No.:

Outsourcing Agency Details: Name: Address:

Tel No.:

E-mail id: (Preferably official) HR Manager¶s Details: Name:

Reason for leaving:

Phone No.: E-mail id: (Preferably official)

EMPLOYER 1:

Street Address: City:

From (mm/yy):

Employee Id:

Employer¶s Phone No.: State:

Country:

Job Title:

Description of Duties:

Employment Status: (Please check the relevant box)

Supervisor¶s Details:

Full Time Contract /Through Outsourcing Agency

To (mm/yy): Fax No.:

Postal Code:

Name: Title: Phone No.:

Outsourcing Agency Details: Name: Address:

Tel No.:

E-mail id: (Preferably official) HR Manager¶s Details: Name:

Reason for leaving:

Phone No.: E-mail id: (Preferably official)

All details are compulsory

Strictly Private & Confidential 

EMPLOYMENT R  ECORD CONTINUED: EMPLOYER 2:

Street Address: City:

From (mm/yy):

Employee Id:

Employer¶s Phone No.: State:

Country:

Fax No.: Postal Code:

Job Title:

Description of Duties:

Employment Status: (Please check the relevant box)

Supervisor¶s Details:

Full Time Contract /Through Outsourcing Agency

To (mm/yy):

Name: Title: Phone No.:

Outsourcing Agency Details: Name: Address:

Tel No.:

E-mail id: (Preferably official) HR Manager¶s Details: Name:

Reason for leaving:

Phone No.: E-mail id: (Preferably official)

EMPLOYER 3:

Street Address: City:

From (mm/yy):

Employee Id:

Employer¶s Phone No.: State:

Country:

Job Title:

Description of Duties:

Employment Status: (Please check the relevant box)

Supervisor¶s Details:

Full Time Contract /Through Outsourcing Agency

To (mm/yy): Fax No.:

Postal Code:

Name: Title: Phone No.:

Outsourcing Agency Details: Name: Address:

E-mail id: (Preferably official) HR Manager¶s Details:

Tel No.:

Name:

Reason for leaving:

Phone No.: E-mail id: (Preferably official)

All details are compulsory

Strictly Private & Confidential 

EMPLOYMENT R  ECORD CONTINUED: EMPLOYER 4:

Street Address: City:

From (mm/yy):

Employee Id:

Employer¶s Phone No.: State:

Country:

Fax No.: Postal Code:

Job Title:

Description of Duties:

Employment Status: (Please check the relevant box)

Supervisor¶s Details:

Full Time Contract /Through Outsourcing Agency

To (mm/yy):

Name: Title: Phone No.:

Outsourcing Agency Details: Name: Address:

Tel No.:

E-mail id: (Preferably official) HR Manager¶s Details: Name:

Reason for leaving:

Phone No.: E-mail id: (Preferably official)

Note: Incase of more than three employer¶s during the last five years of employment, kindly attach an additional  employment sheet and fill in the details.

R  BREAKS IN EMPLOYMENT HISTORY : ______________________________________________  EASONS FOR  ____________________________________________________________________________________________ 

SIGNIFICANT ACHIEVEMENTS (FROM PREVIOUS EMPLOYMENTS): ____________________________________________________________________________________________  ____________________________________________________________________________________________ 

EXPECTATIONS FROM COGNIZANT (R  OLE/R  ESPONSIBILITY): ____________________________________________________________________________________________  ____________________________________________________________________________________________ 

YOUR  K  EY STRENGTHS /WEAKNESS: ____________________________________________________________________________________________  ____________________________________________________________________________________________ 

CURRENT SALARY DETAILS : BASIC:

OTHER  ALLOWANCES:

HRA:

MEDICAL:

PF:

CONVEYANCE :

LTA:

TOTAL MONTHLY:

All details are compulsory

TOTAL ANNUAL PACKAGE: EXPECTED SALARY AT COGNIZANT (INR):

Strictly Private & Confidential 

PROFESSIONAL R  EFERENCES PARTICULARS

R  EFERENCE 1

R  EFERENCE 2

NAME DESIGNATION COMPANY LANDLINE MOBILE E- MAIL ADDRESS

YOUR  SHORT TERM AND LONG-TERM GOALS: ___________________________________________________________________________________________  ___________________________________________________________________________________________  ANY OTHER  DETAILS YOU WOULD LIKE TO MENTION (CERTIFICATIONS/PRESENTATIONS MADE ETC,) ___________________________________________________________________________________________  ___________________________________________________________________________________________ 

AFFIDAVIT I certify that the statements made in this application are valid and complete to the best of my knowledge. I understand that Cognizant  Technology Solutions is an at will employer, false or misleading information may result in termination of employment, with or without cause and with or without notice. I understand that Cognizant Technology Solutions may request a credit and/or background check from a credit reporting agency or related service. I understand that I have a right to make a written request within a reasonable time for the disclosure of the name and address of the credit-reporting agency so that I may obtain a complete disclosure of the nature and scope of any investigation. I understand that the records will be used for employment purposes only and will not be given to unauthorized persons. I authorize Cognizant Technology Solutions, and/or its agents to conduct a reference check so that a hiring decision may be made. In the event that Cognizant Technology Solutions is unable to verify any reference stated in this application, it is my responsibility to furnish the necessary documentation. I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. I have read, understood, and by my signature consent to these statements.

SIGNATURE:

DATE:

NAME (IN BLOCK LETTERS): DOCUMENTS R  EQUIRED (COMPULSORY) Completed & Signed Application Form

 

Copy of Relevant Education Certificates Copy of all past Employment Relieving Letters / Salary Slips

All details are compulsory

Two Passport Size Photographs (if stay at current address > 6 months) else Current Address Proof  Longest Stay Address Proof. Please note: Your name should be mentioned on the address proof. Accepted address proofs: MTNL Bill / Electricity Bill/ Copy of Rent  Agreement/ Passport/ Voter Id/ Driving License.

Strictly Private & Confidential