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Personal Information Form

The document contains a personal information form for an employee of Zensar Technologies Limited. It requests information such as personal details, educational qualifications, employment history, and authorization to perform background checks. The form has 5 sections and spans 5 pages.

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ankitgupta190919
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
9 views

Personal Information Form

The document contains a personal information form for an employee of Zensar Technologies Limited. It requests information such as personal details, educational qualifications, employment history, and authorization to perform background checks. The form has 5 sections and spans 5 pages.

Uploaded by

ankitgupta190919
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

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: Commented [NW1]: Mention communication address
which has been updated in the Talent@zensar application
Building Name: Flat No/ Hs No: (No PG or Guest house address)

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:_______________________

Page 1 of 5
2. Educational Qualification: (Highest Degree)

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: _______________________

Page 2 of 5
4. Recent Employment History

Please add tabs in case more employment history


Details of Last Employer Before Zensar-

Company Name: Commented [NW3]: Payroll Company Name

Address of Main office Commented [NW4]: Head office or Registered office


Address

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 / Permanent
temporary or permanent in Nature:
Agency details
(If temporary or Contractual) Commented [NW5]: Only in case of Contractual or 3rd
Party Payroll
Annual CTC:

Salary Mode: Cash/ Cheque/Bank Transfer


Reason for leaving:

Supervisor Name, Position & Contact No - Commented [NW6]: Project Manager or Team Leader
name

Can reference check be done: Yes / No

1 Commented [NW7]: Colleague details of same


organisation
Name and contact details of 2 referees
2

Date: __________________________ Signature: _______________________

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5. 2nd Last Employment History

Details of 2nd 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 / Permanent
temporary or permanent in Nature:
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: _______________________

Page 4 of 5
Information Release Form

I hereby authorize XXXXX 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 and I release them from any liability in doing so.
I confirm that my appointment is based on the information furnished by me in my
employment application and all further declaration and undertakings. Hence, any false
statement or information furnished as above and/or furnished during the period of my
employment, will result in action based on company policy including dismissal without
notice.

First Name Middle Name Last Name

D D / M M / Y Y Y Y
Date

Signature

Page 5 of 5

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