Candidate id

Please affix
58146085 your latest
Passport
Interview Location Photograph
INFOSYS LIMITED Here
Electronics City, Hosur Road, Bangalore - 560 100, India.
Tel.: (080) 28520261. Fax: (080) 28520362.

APPLICATION FOR EMPLOYMENT

PERSONAL DETAILS

NAME IN FULL Sujin Sobitham. M

(in block letters) FIRST MIDDLE LAST
(As it appears on
passport / legal document)

ADDRESS FOR COMMUNICATION

No:2/316-11G, IInd Cross, Pothigai Nagar, Primary Contact No: 91 99862 66710

Pothigai Nagar, Mookandapalli, Alternate Contact No: 9944678988

E-mail: [email protected]

City : Hosur PIN / POSTAL CODE: 635126 CITIZENSHIP(S) :

Indian

State: Tamil Nadu Country: India DO YOU HAVE A PASSPORT? :

YES

DATE OF BIRTH : GENDER:

(dd/mm/yyyy)
03.06.1979 Male

LANGUAGES
Foreign Languages Known Read Write Speak Understand
(Please highlight foreign languages only)
No information about languages available

VER 8.1 Page 1 of 5 HRD/REC/F/013

SIGNATURE OF THE APPLICANT

 EDUCATION
EDUCATION TYPE X STD XII STD/ GRADUATION POST OTHERS
DIP./EQUIV. GRADUATION
Degree Secondary School Others Bachelor Of
Leaving Cert. Engineering
Country India India India
State Tamil Nadu Tamil Nadu Tamil Nadu
Board / University State Board State Board MANONMANIAM
SUNDARANAR
UNIV
Name of the Institution G.H.S.S. Munchirai G. H. S. S. Munchirai Francies Xavier Engg.
College
Stream / Specialization General Others Computer Science
Start (mm/yyyy) 06 / 1996 04 / 1996 06 / 2001
Completed (mm/yyyy) 04 / 1998 04 / 1998 04 / 2004
Simple average percentage / 58.60 79.08 65.42
CGPA
Full time / Part time / Full Time Full Time Full Time
Correspondence

WORK EXPERIENCE
Notice period : 060 days
EXPERIENCE/
ORGANIZATION* PERIOD (MM/YYYY) DESIGNATION REASON FOR RELIEVING
SEPARATION LETTER
AVAILABLE
(Y/N)
FROM TO DURATION
(in months)
Stabicon Life Sciences Pvt. Ltd 11/2010 56 IT Executive # System BETTER Yes
Admin OPPERTUNITY

Rajsriya Automotive Industrial Pvt Lt 06/2006 10/2010 52 System Admin BETTER No

OPPERTUNITY
Are you under any legal obligation to your current employer? : NO

IF YES, Please Specify: ........................................................................................................................................................................

* Please do specify "Payroll Organization" if you are working on a contractual basis

Please be informed that work experience provided by you will be validated through Background check

GAPS IN EDUCATION AND EMPLOYMENT

From (mm/yyyy) To (mm/yyyy) Reason for Gap
04/1998 06/2001 I have done Diploma

04/2004 06/2006 Searching Job

COMPENSATION AND BENEFITS

ANNUAL CURRENT NEXT REVISION EXPECTED YOUR EXPECTATION AT
DATE: 30.04.2012 INFOSYS

VER 8.1 Page 2 of 5 HRD/REC/F/013

SIGNATURE OF THE APPLICANT

 ANNUAL CURRENT NEXT REVISION EXPECTED YOUR EXPECTATION AT
DATE: 30.04.2012 INFOSYS
Fixed Salary 400000.00
Variable Pay 0
Other Benefits
ANNUAL GROSS 400000.00
COMPENSATION

REFERENCES
LIST PROFESSIONAL REFERENCES (PREVIOUS / CURRENT REPORTING MANAGER OR CLIENT AND NOT RELATED)
NAME DESIGNATION AND COMPANY EMAIL AND CONTACT NUMBER
Mr. Vijay Director Operation Stabicon Life Sciences Pvt. [email protected] 9591974355
Ltd.
MISCELLANEOUS

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS or INFOSYS GROUP COMPANIES (like INFOSYS BPO,
ETC.) PREVIOUSLY? :YES

IF YES, HAVE YOU INFOSYS OTHER GROUP COMPANIES

RELEVANT DATES RELEVANT DATES

- TAKEN ANY TEST? YES N/A YES N/A

- SELECTED FOR YES N/A YES N/A

INTERVIEW?

- MADE AN OFFER? YES N/A YES N/A

- JOINED & QUIT? YES N/A YES N/A

ARE YOU EMPLOYED AS: 1. A DIRECTOR / PARTNER IN ANY OTHER COMPANY? : YES

IF YES, PLEASE PROVIDE DETAILS : N/A

ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES : YES

IF YES, INFOSYS BPO OTHERS YES Please specify N/A

Have you at any time been convicted by a court of India for any criminal offence and sentenced : YES
to imprisonment, or any criminal proceedings are pending against you before a court in India,
or has an order prohibiting your departure from India, been issued by a court,

If yes, please give details of the same : N/A

VER 8.1 Page 3 of 5 HRD/REC/F/013

SIGNATURE OF THE APPLICANT

 DECLARATION
I authorize Infosys to conduct investigation to verify facts of all statements made in this application and my supporting documents. I authorize
Infosys to secure information about my experience from former employers, educational institutions, government establishments/agencies or any
references I have provided, and for those parties to provide information concerning my qualifications for employment and I hereby release all
parties from any liability arising from such investigation.

I certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives, optional subjects, additional
subjects, practicals and languages.

I understand that if I am employed with the company, any false statement, misrepresentation, or omission of facts on this application or on any
supporting documents, regardless of when discovered if found to be false, may result in my immediate dismissal. The company will have the right
to withdraw my letter of appointment or to terminate my training/subsequent appointment at any time without notice or compensation.

My signature below certifies that I have read, understand, and agree to the foregoing and to the best of my knowledge and belief; the information
on the application form is true and correct. 060

Date : ........................... Place : .......................... Signature: .............................

FOR OFFICE USE ONLY

Date of Test : ............................... Score: ................. Ref. No. : ............................. Date of Interview : ...........................................

Result : Selected Hold Rejected (Please )

Role : ............................................................................. Job/Personal Level : ............................................................................

Likely Joining Date : ..................................................... (MM/YYYY)

Location Preference : 1. ......................................................... 2. ........................................................ 3. ....................................................

INFOSYS ANCHOR:

Name : ........................................................................................................ Employee No. : ..............................................................

Role : .......................................................................................................... Signature : ......................................................................

Reason for Selection / Hold / Rejection : ......................................................................................................................................................................

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VER 8.1 Page 4 of 5 HRD/REC/F/013

SIGNATURE OF THE APPLICANT

 FOR OFFICE USE ONLY

......................................................................................................................................................................................................................................

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VER 8.1 Page 5 of 5 HRD/REC/F/013

SIGNATURE OF THE APPLICANT

 Scholastic Averages Sheet

FULL NAME Sujin Sobitham. M

CANDIDATE ID 58146085

X/SSLC/Junior/Equivalent
Board / University State Board
Total Marks Obtained for all Maximum Marks for all subjects
subjects (Including languages and (Including languages and optional
optional subjects) subjects)
Total 293.00 500.00
Simple Average % for all subjects (Including languages and optional 58.60
subjects)

XII/SSC/High/Equivalent
Board / University State Board
Total Marks Obtained for all Maximum Marks for all subjects
subjects (Including languages and (Including languages and optional
optional subjects) subjects)
Total 949.00 1,200.00
Simple Average % for all subjects (Including languages and optional 79.08
subjects)

Graduation/Bachelor/Equivalent
Board / University MANONMANIAM SUNDARANAR UNIV
Total Marks Obtained for all Maximum Marks for all subjects
subjects (Including languages and (Including languages and optional
optional subjects) subjects)
Semester 1 / Year 1 400.00 600.00
Semester 2 / Year 2 390.00 600.00
Semester 3 / Year 3 380.00 600.00
Semester 4 / Year 4 400.00 600.00
Total 1,570.00 2,400.00
Simple Average % for all subjects (Including languages and optional 65.42
subjects)

SIGNATURE (In case of Hard Copy Submission):

© 2011 Infosys Technologies Limited. All rights reserved. Copyright in the whole and any part of this document belongs to Infosys Technologies Limited.

This work may not be used, sold, transferred, adapted, abridged, copied or reproduced in whole or in part, in any manner or form, or in any media, without the prior written

consent of Infosys Technologies Limited.