HCL TECHNOLOGIES LTD.

APPLICATION FORM
Please fill in the details with utmost attention, as these shall be verified by HCL Technology Limited
and/ or by its authorized representatives.

All details are compulsory.

PERSONAL DETAILS
Full Name of Applicant: Sarthak Attri

HCL SAP Code: 52136817

HCL Official Email id: [email protected]

HCL Office Address: HCL Technology Hub, Plot No 3A, Sector 126, Noida - 201313. UP (India)

Date of Birth (dd/mm/yy): 10/09/2001 Place of Birth: Meerut

Sex: Male Nationality: Indian

Father’s Name: Bhupendra Singh Passport No.:

Home Phone: 8979175000 Office Phone: Mobile: 7252905000

RESIDENTIAL ADDRESSES
PERMANENT ADDRESS: 164/1 INDRA NAGAR I BRAHMPURI

City: Meerut State: U.P Pin Code: 250002 Phone No.: 7252905000
Duration of Stay: From (09/2001) To Nature of location: Rented Own Other (Specify)
(10/2022)

LANDMARK: SUNARO KI DHARAMSHALA

All details are compulsory

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 HCL TECHNOLOGIES LTD.
CURRENT ADDRESS: 164/1 INDRA NAGAR I BRAHMPURI

City: Meerut State: U.P Pin Code: 250002 Phone No.: 7252905000
Duration of Stay: From) (09/2001 To Nature of location: Rented Own Other (Specify)
(10/2022)

LANDMARK: SUNARO KI DHARAMSHALA

Address History:

EDUCATION DETAILS
NAME & ADDRESS
OF
DATES ATTENDED
NAME & BOARD / ROLL NUMBER/
COURSE MARKS (%)
ADDRESS OF UNIVERSITY YEAR REGISTRATION
ATTENDED CGPA
QUALIFICATION SCHOOL / TO WHICH THE OF YEAR NUMBER/
(MORNING/ EVENING/ &
COLLEGE/ SCHOOL / CORRESPONDENCE) ENROL PASSED EXAM SEAT
CLASS
INSTITUTE COLLEGE / MENT (MM/YY) NUMBER
INSTITUTE (MM/YY)
IS AFFILIATED TO
GRADUATION

DEGREE:

DISCIPLINE:

Full Time
Part time
Distance
learning
course
POST
GRADUATION

All details are compulsory

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 HCL TECHNOLOGIES LTD.
DEGREE:

DISCIPLINE:

Full Time
Part time
Distance
learning course

ANY OTHER

EMPLOYMENT RECORD: Starting with your present or most recent employer, please list last 5 employments. When listing consulting or
temporary assignments, under “Employer”, state the name of the consulting or temporary agency that placed you at the client site. Complete and
accurate dates (month/year) must be provided.

All details are compulsory

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 HCL TECHNOLOGIES LTD.
EMPLOYER 1: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for leaving:

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name:
Full Time
Contract /Through Outsourcing Agency Title:
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably official)

EMPLOYER 2: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for leaving:

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name:
Full Time
Contract /Through Outsourcing Agency Title:
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably official)

All details are compulsory

Strictly Private & Confidential
 HCL TECHNOLOGIES LTD.
EMPLOYER 3: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for leaving:

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name:
Full Time
Contract /Through Outsourcing Agency Title:
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably official)

EMPLOYER 4: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for leaving:

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name:
Full Time
Contract /Through Outsourcing Agency Title:
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably official)

All details are compulsory

Strictly Private & Confidential
 HCL TECHNOLOGIES LTD.
EMPLOYER 5: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for leaving:

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name:
Full Time
Contract /Through Outsourcing Agency Title:
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably official)

Professional References:

Reference Name Reference Mobile Number Company name Reference official number

All details are compulsory

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 HCL TECHNOLOGIES LTD.
INFORMATION RELEASE AUTHORIZATION
o I certify that the statements made in this application are valid and complete to the best of my knowledge. I
understand that false or misleading information may result in termination of employment.

o If upon investigations, any of this information is found to be incomplete or inaccurate, I understand that I will be
subject to dismissal at any time during my employment.

o I hereby authorize HCL Technologies and/or any of its subsidiaries or affiliates and any persons or organizations
acting on its behalf (TP --------------------------.), to verify the information presented on this application form and to
procure an investigative report or consumer report for that purpose.

o I hereby grant authority for the bearer of this letter to access or be provided with full details of my previous records.
In addition, please provide any other pertinent information requested by the individual presenting this authority.

o I hereby release from liability all persons or entities requesting or supplying such information.

o I authorize HCL Technology Ltd. to contact my previous employer. Yes No

o I have read, understand, and by my signature consent to these statements.

SIGNATURE:
DATE:
NAME (IN BLOCK LETTERS):

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 HCL TECHNOLOGIES LTD.

Documents checklist
Application Form:
 Duly signed application form

Education Verification:

 Photocopy of degree certificate and all years / semesters marks sheets

 Photocopy of provisional degree certificate required for courses completed in the last 6 months from the current date

Employment Verification:

 Photocopy of relieving certificate, service certificate, latest salary slips & offer letter
 Resignation acceptance letter is required in case full & final settlement is pending with employer

Address Verification:
 Address proof would be required (Copy of passport, driving license, utility bills, rental agreement or lease agreement)

Criminal verification:
 One photo id proof (Copy of passport, PAN card or voters ID)
 Address proof would be required (Copy of passport, driving license, utility bills, rental agreement or lease agreement)
 CID form (Demand draft of INR 100 mentioned in the form is not required)

Identity verification:
 Copy of valid passport and PAN card required

All details are compulsory

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