PERSONAL INFORMATION FORM

ZENSAR TECHNOLOGIES LIMITED

1. Personal Details:
Marital
Full Name: Male /Female
Status:
Date of Birth: Nationality: Father’s name:
Zensar Designation: Zensar Employee No:
Place of Joining: Date of Joining:
Current Residential Address:
Building Name: Flat No/ Hs No:
Address Line 1:
Address Line 2:

Landmark: Locality City and Pincode:

Period of stay at current address: From (MM/YY): To (MM/YY):

Mobile: Alternate Mobile No:
Email address:

Permanent Residential Address:

Building Name: Flat No/ Hs No:

Address Line 1:
Address Line 2:

Landmark: Locality City and Pin code:

Period of stay at Permanent address: From (MM/YY): To (MM/YY):

Mobile: Alternate Mobile No:
Email address:

Date: __________________________ Signature: _______________________

2. Educational Qualification: (Highest Degree)

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 University
Name and
Address

College Name
and Address

From – To Student ID/

Graduated Program
(Month / Year) Enrolment No
Full time /Part time/
Yes / No
Day / Evening
Type of Degree Graduated Year (MM/YY) Specialized Subject

3. Are you director in any company incorporated in India or outside

Yes No

If Yes, please fill in the below details.

Name of the Company / Companies where you are Director.

Company Name Type of Business Director Identification No

Date: __________________________ Signature: _______________________

4. Recent Employment History

Please add tabs in case more employment history

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Details of Last Employer Before Zensar-

Company Name:

Address of Main office

Address of where you Worked

Position Held & Department:

HR Telephone:
HR Email ID:
Employment Start Date (dd/mm/yyyy)
Employment End Date (dd/mm/yyyy)
Employee Code:
Whether employment is
temporary or permanent in Nature: Temporary / Permanent

Agency details
(If temporary or Contractual)
Annual CTC:

Salary Mode: Cash/ Cheque/Bank Transfer

Reason for leaving:

Supervisor Name, Position & Contact No -

Can reference check be done: Yes / No

1
Name and contact details of 2 referees
2

Date: __________________________ Signature: _______________________

5. 2nd Last Employment History

Details of 2nd Last Employer Before Zensar-

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Company Name:

Address of Main office

Address of where you Worked

Position Held & Department:

HR Telephone:
HR Email ID:
Employment Start Date (dd/mm/yyyy)
Employment End Date (dd/mm/yyyy)
Employee Code:
Whether employment is
temporary or permanent in Nature: Temporary / Permanent

Agency details
(If temporary or Contractual)
Annual CTC:
Salary Mode: Cash/ Cheque/Bank Transfer
Reason for leaving:

Supervisor Name, Position & Contact No -

Can reference check be done: Yes / No

1
Name and contact details of 2 referees
2

Date: __________________________ Signature: _______________________

Consent Form

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I acknowledge that the information furnished in this Form as well as in all other Forms filled-in by me
for my employment with Zensar is factually correct and subject to verification by Zensar
Technologies Ltd. including reference check and background verification.

As per process of background verification I hereby declare and accept that in case of any
insufficiency of document to aid the verification, I will submit the required documents within 5 (five)
working days from the date of receipt of request.

Submission of following documents at the time of joining:

1. Reliving/Service/Experience letters from Previous 2 Employers

2. Last Employer 3 month’s Payslip
3. Highest Qualification – Degree Certificate and All semester mark sheets
4. Address Proof – Government issued Identification Cards

In case verification cannot be carried out with above submitted primary documents, I will
submit below stated secondary documents for verification within 5 (five) working days from the
date of receipt of request.

Any/All of the below document for employment verification

1. Form 16 (Capturing TDS deduction) for any of the previous employment

requested.
2. Bank statements capturing salary credit for any of the previous employment
requested.
3. Provident Fund details /Provident fund credit slip
4. ESIC Card.
5. Contact details of the Reporting Manager/Director of the Establishment/
Supervisor details/ HR Details.

Any of the below documents for education verification

1. Convocation Letter
2. College/University Address Details
I further declare that there are no criminal case filed against me or pending against me in any Court
of law in India or overseas and no restrictions are placed on my travelling anywhere in India or
abroad. If required I will submit additional documents to prove above.

I understand and agree that Company reserves the right to ask for any additional documents and I
would be obligated to provide the same within 5 (five) working days for completion of satisfactory
background check

In case I am not able to submit the required document within the stipulated time, company has all
the right to terminate my employment at the end of stipulated time without any liability
whatsoever.

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I hereby authorize Zensar Technologies Ltd. or any of its Affiliates [or a third-party agent appointed
by the Company] to contact any former employers as indicated above and carry out all Background
Checks not restricted to education, employment, address and criminal checks before and during the
period of employment. I authorize former employers, agencies, education institutes etc. to release
any information pertaining to my employment/education.

Employee ID:
Employee Name:
Emp Signature:
Date of Joining:

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