TCS APPLICATION FORM

PERSONAL DETAILS

CT Reference # College/Institute Name Mother's Maiden Name Father's Name Mother's Name Date of Birth Nationality Gender Area Of Interest

CT20110375357 Institute Of Engg. Technology, Lucknow Mr. Bhupendra Singh Heera Kali Devi Mr. Hari Singh Ms. Heera Kali Devi 18/04/1990 India Male Both

ACADEMIC DETAILS :

Is your PG a 5 year Integrated Course? No

Degree

Course Name

Duration From

Duration To

Course Type

University/ Institute

Major Subject

CGPA /Marks Obtained

Total CGPA/ Marks 6000.0

Percentage

Graduate Bachelor Of 08/08/2008 30/06/2012 FULL TIME Institute Of Electronics

Technology Engg. & Technology, Communica Lucknow XII/ Equivalent Diploma XI Intermediate 01/07/2005 30/05/2006 FULL TIME U.P. Board Intermediate 01/07/2006 30/05/2007 FULL TIME U.P. Board tion Physics Chemistrym athematics Physics Chemistrym athematics X High School 01/07/2004 30/05/2005 FULL TIME U.P. Board

3831.0

63.84

323.0

500.0

64.6

521.0

1000.0

52.1

445.0

600.0

74.16

Are there any break in studies?

No

Rewards or Scholarships: NA

Academic Projects Undertaken : NA

Have you done any other course?

No

Do you have any pending backlogs currently?

No

OTHER DETAILS

LANGUAGE DETAILS

Language
Hindi English

Mother Tongue
Yes No

Read
Yes Yes

Speak
Yes Yes

Write
Yes Yes

Have you appeared for TCS Tests/Interviews earlier? No

REFERENCES

Reference1 Name Designation Contact No. E-mail ID Vinod Kumar Singh Assistant Professor 9915111799 vksingh@ietlucknow.edu

Reference2 H K Paliwal Assistant Professor 9415540843 paliwal@ietlucknow.edu

CONTACT DETAILS
PERMANENT ADDRESS
House No./ Apartment Name/ Block No Road/Street/Lane Area City State PIN Code Country 190 Longi Khurd Thakurdwara Moradabad Uttar Pradesh 244001 India

PRESENT ADDRESS
House No./ Apartment Name/ Block No. Road/Street/Lane Area City State PIN Code Country 190 Longi Khurd Thakurdwara Moradabad Uttar Pradesh 244001 India

CONTACT
E-mail ID Telephone(R) Alternate E-mail ID Telephone(M) bhu.iet08@gmail.com 91-9568793320 bhu_tkd8888@rediffmail.com 91-9889757995

TCS TERMS AND CONDITIONS

In - connection with my application to render services to Tata Consultancy Services Ltd (the "Company"), I hereby agree as follows: I certify that the information furnished in this form as well as in all other forms filled-in by me in conjunction with my traineeship is factually correct and subject to verification by TCS including Reference Check and Background Verification. I accept that an appointment given to me on this basis can be revoked and/ or terminated without any notice at any time in future if any information has been found to be false, misleading, deliberately omitted/ suppressed. As a condition of Company's consideration of my application for traineeship with the Company, I hereby give my consent to the Company to investigate or cause to be investigated through any third parties my personal, educational and pre or post joining history. I understand that the background investigation willinclude, but not be limited to, verification of all information given by me to the Company. I confirm that the Company is entitled to share such investigation report with its clients to the extent necessary in connection with the Services, which I may be required to provide to such clients. I confirm and undertake that the Company shall incur no liability or obligation of any nature whatsoever resulting from such investigation or sharing of the investigation results as above. I certify that I am at present in sound mental and physical condition to undertake employment with TCS. I also declare that there is no criminal case filed against me or pending against me in any Court of law in India or abroad and no restrictions are placed on my travelling anywhere in India or abroad for the purpose of business of the company.

Date: 30/08/2011 Signature ________________

Place: Lucknow

TCS is an equal opportunity employer that aims to integrate global diversity and inclusion at each level within our organization. Hiring decisions are solely made on the capability of an individual to perform a role. Any personal details like gender, age and nationality that may be provided by you during the course of application or selection process will be used for administrative records and all qualified applicants will receive consideration for employment without regard to this information.