Академический Документы
Профессиональный Документы
Культура Документы
:
:
photograph
D D M M Y Y Y Y
Personal Details
Please expand initials in your name -- As the same would be used in our Employment records
Title (Mr./Mrs./Ms.)
First Name
(Mandatory)
Middle Name
Last Name
(Mandatory)
Employee
Candidate
Yes
No
D D M M Y Y
Gender (Mandatory)
Date of Birth (DD/MM/YYYY)
No
D D M M Y Y
Yes
Male
D
Female
M
Place of Birth
Maiden Name (applicable for married ladies)
Fathers Name (As per PAN Card)
Mothers Name
Guardian Name (If applicable)
Single
Married
Divorced
Widow
Marital Status
Spouse Name
Contact Information
Permanent Address:
PIN
Code:
PIN
Code:
Current Address
Permanent Address
From (month/year)
Period of Stay
Bangalore
To (month/year)
Hyderabad
Mumbai
Chennai
From (month/year)
Kolkata
Pune
To (month/year)
D D M M Y Y Y Y
Passport Number :
D D M M Y Y Y Y
Yes
No
Date of rejection :
For which country :
Reason :
Permanent Account Number - PAN (Mandatory) :
Qualification
with
Driving
License
Number:
Specialization
(Starting from
most recent)
Period
Program
Driving License valid up to :
Provide References from 2 Individuals (Professional
Contacts)
(Fromor Educational
To)
D M Board
M Y Affiliated
Y Y To
Y
Name :
(DD/MM/YYYY)
1.
Designation :
2.
% Marks/ CGPA
D D M M Y Y Y Y
Post-Graduation
Organization/
Institute :
TO
D D M M Y Y Y Y
Relationship :
D D M M Y Y Y Y
Telephone
No. :
Graduation
Email(Mandatory)
ID :
TO
D D M M Y Y Y Y
D D M M Y Y Y Y
Address :
HSC/ 12th
(Mandatory)
TO
D D M M Y Y Y Y
**Candidates who have worked with Accenture as outsourced contract staff by Agencies are requested to select No
SSC/ 10th
Have(Mandatory)
you worked with Accenture before?
D D M M Y Y Y Y
Yes
No
TO
Dmention
D M the
M Y Y Y D
Y
If yes, please
D
M M Y Y Y Y
period : From To
D
D M M Y Y Y Y
D D M M Y Y Y Y
____________________________________
Old Employee ID: _________________
TO
D D M M Y Y Y Y
M M Y Y Y Y
Yes
No
Begin with the details of your latest employer followed by previous employers as you go below and add page for additional employers as required.
Ensure that you are descriptive wherever necessary e.g. If your previous company is closed down, please do mention it.
Telephone Number with specific location code, Employee Code/ ID/ Number is mandatory. If your previous employer did not provide the Employee ID, please mention and state
reasons for the same. If you do not have some necessary details like PF A/C no. and/or others, please mention as NA and provide the relevant reasons.
Employment details should be of the company you are on payrolls of, not of a company you are deputed to on an assignment with. In case you are showing employments
experience in a skill enabling or professional Training institute the same should only be shown if you were on the payrolls of such an institute.
S
l
N
o
Address
Compa (Main office
ny
& branch
Name
where
worked)
with
Company
Telephone
Board Line
Reported
Emp Code/
Emplo
to
Employmen
Personnel
yment (Name,
t Period
No.
Type& Position
From - To (Mandatory) /
Design & direct
(dd/mm/
Social
ation/ contact
yyyy)
Security No.
Positio number)
(Mandatory if
n held
worked in
USA)
D D MMY Y Y Y
TO
Last
drawn
monthly
gross
Salary
(INR)
&
PF A/C
No.
Monthly
Salary-
Perma
nent
ct
PF A/C
No. -
Design
ation
D MMY Y
Employer 2
Contra
ct
Employer 3
Employer 4
Design
ation
Additional Information:
Monthly
Salary-
TO
..
.
Resignation
Termination
Closed
Others(Specify)
..
.
Resignation
Termination
Absconded
Operations
D MMY Y
Closed
Others(Specify)
PF A/C
No. -
D MMY Y
Contra
ct
Others(Specify)
Absconded
Operations
PF A/C
No. -
Design
ation
Perma
nent
Monthly
Salary-
D MMY Y
D MMY Y
Contra
ct
Resignation
Termination
TO
Design
ation
Perma
nent
Mode of separation
from the
organization
(Pls select the
below option)
Absconded Closed
Operations
D D M M Y Y Y YContra
Perma
nent
Reason
s for
leaving
Monthly
Salary-
...
Resignation
Termination
TO
Absconded
Operations
D MMY Y
PF A/C
No. -
Closed
Others(Specify)
...
EAF Version 6.0
Letter of Authorization
To whom it may concern
I agree to provide copies of mark sheets and relevant certificates. I understand that employment with
Accenture is governed by Accenture Employment Policies as applicable, including satisfactory information
from a background check and reference check.
I hereby certify all of the statements made on the Accenture Services Private Ltd Employee Application Form
are true and complete and I understand that omission or misrepresentation of any fact may result in refusal of
employment or immediate dismissal.
I hereby authorize Accenture Services Private Ltd and its representative to verify information provided in my
resume and application of employment, and to conduct enquiries as may be necessary, at the company's
discretion. I authorize Accenture Services Private Ltd. and its representative to initiate the necessary
enquiries/checks with immediate effect; barring my current employment. Verification of my current
employment can be initiated on or after the date of joining. I also authorize Accenture Services Private Ltd.
and its representative to initiate reference checks with the references provided by me with immediate effect.
I authorize all persons who may have information relevant to this enquiry to disclose it to Accenture Services
Private Ltd. or its representative. I release all persons from liability on account of such disclosure.
Signature
D D M M Y Y Y Y
Note instruction:
Kindly do not paste Digital Signatures. Please print this page and sign it. Mention Name & Date,
scan and upload / share it with the recruitment POC.
7
Effective from 23rd January, 2016