APPLICATION FOR EMPLOYMENT
Thank you for your interest in Wipro. This form is intended to enable you to record important points about yourself, your experience, your achievements and your plans for the future. Please complete the form in full and use additional sheets if necessary. necessary. When we meet you at the interview, the contents of this application will provide a base for our interaction.
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Kindly affix a Passport size Photograph Her
PERSONAL INFORMATION First Name Mr/Ms ( Expand all names)
Middle Name
Date of Birth d d m m y y Current Address :
y
City
State
PIN
State
PIN
Y
Last Name
e-mail :
Phone (with STD code)
Offic e Res.
Permanent Address : City
Phone(with STD code) Mobile
EDUCATION (Begin with the most recent qualification and end with Std. X) Course/Degree Specialization Name of Institute /University
Address
Graduatio n (Month/Yr. )
Aggregate Marks (% or CGPA)
TRAINING Training/Development Programmers attended / IT Skills acquired
WORK EXPERIENCE
Institute / Organization
Location
Dates attended From To
Number of Companies Worked for (Count should include the Present Employer)
CURRENT EMPLOYMENT Name of the Employer
Address :
Number of Employees
Date Employed
Sales Turnover
From
Your Designation & Department
Employee Code
Phone : To
Notice Period :
Responsibilities
Reason For Leaving
Supervisor’s Name & Designation, EMAIL ID & Contact Number Can we take reference from your supervisor? No Yes
Deputation Details :( Mention name through current
of organization to whom you were deputed employer Please mention NA if not applicable)
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MONTHLY EMOLUMENTS Fixed Salary
Variable / Perks
Deferred benefits PF, Pension, Gratuity etc. (C)
Basic
Housing
Bonus/Incentives
Company car
Allowances
Furnishings
Monthly Gross (A+B+C)
Others (please specify)
Current Annual Gross
Others (please specify)
Total (A)
Do you have employee stock options? No PREVIOUS EMPLOYMENT Name of the Employer Dates Employed
Expected Annual Gross
Total (B)
If yes, Nett gain at current value : {(Current Market Price – Issue price) x No. of stocks} Address :
FROM
Your Designation & Department
Yes
Phone :
TO
Employee Code
Responsibilities
Reason For Leaving
Monthly Gross: -
Supervisor’s Name & Designation, EMAIL ID & Contact Number
Deputation Details :( Mention name of organization to
which you were deputed through
current employer. Please mention NA if not applicable)
ALL OTHER PREVIOUS EMPLOYMENT DETAILS Na me of the organization Lo cation Designatio n
Employe e Code
Duration From To
Monthly Salary Starting Final
Reason for Leaving
ABOUT YOURSELF The answers to the following questions will help us get a better understanding of you as a person. Your personal strengths? Your personal areas of improvement?
Your career objectives?
Your expectations from the job/Wipro?
SIGNIFICANT ACHIEVEMENTS: Distinctions, Honors, Awards ( Academic/extra curricular ) received OTHER INTERESTS: Cultural, sports, community work and hobbies from school onwards & details of memberships of association
REFERENCES Give references under whom you have either worked or who know you professionally fo r at least 6 months. Name Duration & Organization & Designation e-mail Phone (with STD code) Nature of Home Office Association
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Off: Per: Off: Per:
Off: Per:
ADDITIONAL DETAILS If Others, Specify Nationality : Nationality
Indian
Others
Do you have work permit to work in India? No If Yes, Passport No :
Yes
Do you hold a valid Passport? No (for Indian citizens only)
Yes
Have you been denied VISA to any country? No Have you worked on overseas assignments? No
Valid till : If Yes, Details
Yes
Yes
Have you attended any selection process at Yes No Wipro before? Do you have any relative / friend employed With Wipro? Yes No Have you suffered from any major illness /surgery /accident in the last five years? Yes No Have you ever been arrested, prosecuted or convicted for any criminal offense, other than minor traffic offenses ? Yes No In the last ten years, have you been convicted of or plead guilty to any offence? In the last ten years have you been released from prison on a conviction?
If yes, provide details on countries visited and type of Visas held If Yes, Division :
Location :
Month/Year: If Yes, his/her name : Division/Location :
Status :
If Yes, Details
If Yes, furnish details including type of offense and conviction Yes ( ) NO ( ) Yes ( ) NO ( )
Do you have any commitment to another employer or organization that might affect your employment with us? No
Yes
Any other information you would like us to know which may have significant bearing on our hiring decision :
WORK LOCATIONS Are you willing to be posted anywhere in India? No Indicate your preferred work location in India
Yes
Are you willing to be posted abroad?
Yes
No
DECLARATIONS
1.
I hereby declare that my statements on this form and on my resume or documents provided by me to Wipro are true and correct to the best of my knowledge.
2.
I understand that Wipro, at its discretion, may institute and conduct a background check to verify the information furnished by me in this form. Wipro assures me that background check on my current employment will be taken up only post my joining Wipro and this is acceptable to me.
3.
I authorize all persons who may have information relevant to the verification to make disclosures to Wipro or its representatives/ agents.
4.
I acknowledge and agree that providing any false information may result in a decision not to hire me or if hired, may result in termination of my employment.
5.
I understand that Wipro may notify and publish any information provided by me that is found false. In addition, I understand and agree that Wipro has rights to seek any legal remedies including indemnification and damages from me for any loss caused to Wipro as a result of any such false information.
Date: Signature:
Place:
Name:
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