Please attach your

passport size color

photo.

Mindtree Limited

Personal Information Form

Personal Details

Full Name First Name Middle Name Last Name

Former/Maiden Name
(if applicable)
Father's Name Gender : Male Female Other

Date of Birth Email Address

(DD/MM/YY)*
Current Address * Period of Stay:
From:(MM/YY)
To: (MM/YY) Prominent Landmark:
Mobile Landline
Number Number
Permanent Address* Period of Stay: Prominent Landmark:
From:(MM/YY)
To: (MM/YY)
Mobile Landline
Number number

Academics - Schooling

Details School Name City State/Board Year of Passing % /CGPA

th
12 *
10th*

Academics:- Higher Education

Details Highest Education (PG/Graduation/Diploma) 2nd Highest Education(Graduation/Diploma)

College Name*
College Address

University Name*

University Address*

Subject Major
Type of Degree*
Duration*(MM/YY) From : To: From : To:
Graduation Date*
% or CGPA
Roll No./ Enrollment
No.*
Graduated Yes No Yes No
Program Full Time Part Time Correspondence Full Time Part Time Correspondence
Copy of certificates attached Yes No
SSN/SIN No. (Mandatory if studied in USA or Canada)
Employment Details

Details Current Employer Previous employer 1 Previous Employer 2

Company Name*

Position Held & Dept.*

Address (Main office and

branch where worked)
with pin-code*

Telephone*

Period of Employment*
(DD/MM/YY)
CTC / Remunerations*

Reason for leaving*

Notice Period*(in days) N/A N/A

Employee Code/ID *

Name of Reporting
Manager*
Designation and Dept. of
reporting Manager*

Contact No. of Reporting

Manager*
Email ID of reporting
Manager*
Permanent/Contractual*

Client Name & Address if

worked at client location
on Contract*
Can a reference be take Yes No Yes No Yes No
now? *
If no, when can it be
taken?*
Salary Slips for the last three months attached: Yes No

Relieving letter/ service certificates for all previous employers attached: Yes No

(Note: It is mandatory to attach salary slips for past three months for the current company and relieving letter/
experience certificates from all previous employers)

Please mention any other employers you have worked with previously. Please mention the following: 1) Company Name
& Address 2) Period of employment 3) Reason for leaving. 4) Employee Code/Personnel No. 5) Name of Reporting
manager and his/her email ID and contact no.
Also, attach the relieving letter/service certificates for the mentioned organization.
Company Name & Address Period of Employment Reason for Leaving Reporting Manager's
(DD/MM/YY to DD/MM/YY Details

Overall Experience Details (in months)

Total Experience
__________________ months
Relevant IT Experience
__________________ months
Non IT experience
__________________ months
(Note: Relevant IT experience mentioned above will be validated and same will be considered in all records related to
employment with Mindtree)
Gaps in Employment

From To Reason

Professional References

Details Professional Reference 1 Professional Reference 2

Name
Contact Number
Company he/she is
currently working
Job Title/Designation
Alternate contact
number (if any)

Why do you want to join Mindtree ? (Please articulate your thoughts in a few sentences)
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
___________________________________________________________________________________________
Declaration and Authorization

At Mindtree, background verification is a joining prerequisite. If it is found that a candidate has falsified their credentials,
it would mean summary termination of employment and subsequent reporting of the breach of integrity to a national
skills registry formed the auspices of the Indian IT industry body- NASSCOM. Once a candidate is reported for breach of
integrity, the breach is permanently recorded in her/her employment record and the data is visible at the national level
for all future employers. Please find below the declaration for background verification.

Background verification Declaration and Authorization

I understand that any employment by Mindtree Limited or its affiliated companies is conditioned upon positive responses from my
references, bonding eligibility, continued adherence to Mindtree Limited policies and procedures, applicable rules and
regulations and job performance satisfactory at all times to Mindtree Limited.
I consent to take any pre or post-employment examinations as may be required by Mindtree Limited or its representative and release
Mindtree Limited from any liability that may arise from such examination.

I authorize an inquiry to be made on the information contained on this application. Former employers and officials of education
institutes, named on this application are authorized to give information about me and I release them from all liability for issuing such
information.
I hereby attest and warrant that all my answers on this application as well as on all forms completed in conjunction with my

employment are true and accurate. I understand that my misrepresentation of facts, failure to disclose information required on
this application or material change in my information provided which is not reported to Human Resources shall be cause for
dismissal regardless of when discovered by Mindtree Limited.

NASSCOM registration is mandatory in Mindtree, post joining it is expected that you complete this process facilitated by
Mindtree.

1. I agree to this pre requisite and declare that the given information is correct and to the best of my knowledge.
2. Also, I hereby agree to work from any offices of Mindtree or customer locations during the tenure of my
employment with Mindtree.

Name:

Signature: Date:
Would you like to refer a friend? (Optional)
Friend’s name Email ID Skills – eg. Java, City of residence
Mainframe, .Net

*We will email your friend an invitation to apply with us citing the reference.