Private and Confidential

TCS EMPLOYMENT APPLICATION FORM

Basic Details
EP Reference # : EP2013IR405190
Personal Details :
Name : Mr. Murugan M
Father's Name : Mr. Munusamy K
Date of Birth : 20/06/1990
Gender : Male
Nationality : India
Country of Residence : India PAN # : BYTPP0235N
E-mail ID: murugan.mdct@gmail.com
Languages Known :(Mother
Tounge appearing first)
Language Speak Read Write
Tamil Yes Yes Yes
English Yes Yes Yes
Telugu Yes No No
ADDRESS DETAILS :
Present Address : Echanahalli
Earupalli (post)
City : Dharmapuri State : Tamil Nadu
Country : India Pin Code : 636813
Landline/Mobile: 9943274462
Is the permanent and present
address same?
Yes
Permanent Address: Echanahalli
Earupalli (post)
City : Dharmapuri State : Tamil Nadu
Country : India Pin Code : 636813
Landline/Mobile: 9943274462
Private and Confidential

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ACADEMIC DETAILS :
Qualification : Starting from the latest qualification earned till class X or equivalent
Is your PG a 5 year integrated course: No
Degree/Diploma Passing
Year
Specialisation/Major
Subject
University/Institute Course
Type
Duration
From To
% of
Marks(Agg.
of all
semester/
grade
obtained
Awards and Scholarships
Bachelor Degree BACHELOR OF
ENGINEERING
2012 COMPUTER SCIENCE
AND ENGINEERING
Annai Mathammal Sheela Engg. College,
Namakkal
Full time Jun-2009 Apr-2012 70.60
Equivalent Diploma Diploma 2009 COMPUTER SCIENCE
AND ENGINEERING
DOTE Full time Jun-2007 Apr-2009 76.12
11th & 12th / Pre-
University
STANDARD XII / H.S.C. 2007 COMPUTER SCIENCE State Board Full time Jun-2005 Mar-2007 49.00
10th/SSC SSC 2005 Tamil,English,Maths,Scienc
e
Government Higher Secondary School Full time Jun-2004 Apr-2005 52.00
Break in Studies
Break in Study (Reason and Duration) : Nil
EMPLOYMENT DETAILS TILL DATE : Needs To be supported by relieving/release letter at the time of joining
Name of Company Address of Company Duration Post/Designation Duties/Nature of
Work
Annual Gross
Salary
Employee Id
Start Date End Date
CSC COMPUTER
EDUCATION
CSC COMPUTER EDUCATION
DHARMAPURI MAIN ROAD,
OMALUR TK,
01-Aug-2012 31-Mar-2013 FACULTY STAFF ` 6000 123
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SALEM DT.
Break in Employments
Duration From Duration To Reason
Aug-2012 Mar-2013 SEARCHING FOR IT JOBS
Break between Study & Employment (Reason and Duration) : Nil
Total IT Experience 8 Months
Total Non IT Experience 0 Months
Are you currently Employed No
Service Bond Details No
Private and Confidential

TCS RELATED DETAILS :
TCS Test/Interview :
Position Date Place Final Result
SOFTWARE ENGINEER 26/07/2013 Hyderabad SOFTWARE ENGG
REFERENCE DETAILS :
Reference 1
Name VIJAYA NIRMALA NAGARAJAN
Designation SOFTWARE ENGINEER
Organisation Name TCS
Address HYDERABAD
Contact Number 09866138911
Email ID vijaya.nagarajan1@tcs.com
Nature of Acquaintance SOFTWARE ENGINEER
Period of Acquaintance 7 Years , 2 Months
Reference 2
Name VIJAYA NIRMALA NAGARAJAN
Designation SOFTWARE ENGINEER
Organisation Name TCS
Address HYDERABAD
Contact Number 09866138911
Email ID vijaya.nagarajan1@tcs.com
Nature of Acquaintance SOFTWARE ENGINEER
Period of Acquaintance 7 Years , 2 Months
Joining Details :
Expected Cost to Company(CTC) : ` 20000
DECLARATION :
Declaration and General Consent to Background Investigation:
In connection with my application to render services to Tata Consultancy Services Ltd (the "Company"), I hereby agree as follows:
Private and Confidential


I certify that the information furnished in this form as well as in all other forms filled-in by me in conjunction with my employment 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 employment 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 employment history. I understand that the background investigation will include, 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.
Your Electronic Signature is :
Name : Mr. Murugan M
Date :Mon, 29 Jul 2013
Place :CHENNAI
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.