elephone! elephone! %eriod of "mploment! (DD/MM/) $$ / 4emunerations! 4eason for leain-! Notice %eriod!(in das) "mpl "mplo oee ee $o $ode de/6 /6D D! Name of 4eportinMana-er! Desi-nation and Dept2 of reportinMana-er! $ontact No2 of 4eportin- Mana-er! "mail 6D of reportin- Mana-er! %ermanent/$ontract ual! $lient Name 8 #ddress if ored at client location on
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N/#
$ontract! $an a reference be tae no< ! 6f no= hen can it be taen
es
No
es
No
&alar &lips for the last three months attached:
es
No
es
4eliein- letter/ serice certi5cates for all p reious emploers attached:
No es
No
(Note: It is mandatory to attach salary slips for past three months for the current company and relieving letter/ experience certicates from all previous employers)
%lease mention any other em'loyers ou hae ored ith preiousl2 %lease mention the folloin-: *) $ompan Name 8 #ddress +) %eriod of emploment >) 4eason for leain-2 ?) "mploee $ode/%ersonnel $ode/%ersonnel No2 @) Name of 4eportin- mana-er and his/her email 6D and contact no2 #lso= attach the reliein- letter/serice certi5cates for the mentioned or-ani1ation2 $ompan Name 8 %eriod of "mploment 4eason fo for Le Leain4epo eportin- Ma Mana-er's #ddress (DD/MM/ to Details DD/MM/
months (Note: 4eleant 4eleant 6 eAperience mentioned aboe ill be alidated and same ill be considered in all records related to emploment ith Mindtree) !a's in $m'loyment From
.o
eason
Professional eferences Details
Name
Professional eference +
Professional eference )
$ontact Number $ompan he/she is currentl orin Cob itle/Desi-nation itle/Desi-nation #lternate contact number (if an) h do ou ant to 0oin Mindtree < (%lease articulate our thou-hts in a fe sentences) Declaration and A%thori0ation
#t Mindtree= bac-round eri5cation is a 0oinin- prereEuisite2 6f it is found that a candidate has falsi5ed their credentials= it ould mean summar termination of emploment and subseEuent reportin- of the breach of inte-rit to a national sills re-istr formed the auspices of the 6ndian 6 industr bod; N#&&$OM2 Once a candidate is reported for breach of inte-rit= the breach is permanentl recorded in her/her emploment record and the data is isible at the national leel for all future emploers2 %lease 5nd belo the declaration for bac-round eri5cation2 Bac1gro%nd *eri2cation Declaration and A%thori0ation
6 understand that an emploment emploment b Mindtree Mindtree Limited or its a9liated companies companies is conditioned conditioned upon positie responses from m references= bondin- eli-ibilit= continued adherence to Mindtree Limited policies and procedures= applicable rules and re-ulations and 0ob performance satisfactor at all times to Mindtree Limited2 6 consent to tae an pre or post;emploment eAaminations as ma be reEuired b Mindtree Limited or its representatie and release Mindtree Limited from an liabilit that ma arise from such eAamination2 6 authori1e an inEuir to be made on the information contained on this application2 Former emploers and o9cials of education institutes= named on this application are authori1ed to -ie information about me and 6 release them from all liabilit for issuin- such information2 6 hereb attest and arrant that all m ansers on this application as ell as on all forms completed in con0unction ith m emploment are true and accurate2 6 understand that m misrepresentation of facts= failure to disclose information reEuired on this application or m aterial chan-e in m information proided hich is not reported to 7uman 4esources shall be cause for dismissal re-ardless of hen discoered b
N#&&$OM re-istration is mandator in Mindtree= post 0oinin- it is eApected that ou complete this process facilitated b Mindtree2 *2 6 a-ree to this pre pre reEuisite reEuisite and declare declare that the -ien -ien informatio information n is correct correct and to the best of m noled-e2 +2 #lso= #lso= 6 hereb a-ree a-ree to or from from an o9ces o9ces of Mindtree Mindtree or custome customerr locations locations durindurin- the tenure of m emploment ith Mindtree2
Name"
Signat%re"
Date"
3o%ld yo% li1e to refer a friend4 friend4 &,'tional( Friend5s name
$mail ID
S1ills 6 eg7 8a*a9 Mainframe9 7Net
!e ill email our friend an initation to appl ith us citin- the reference2 reference2
