CANDIDATE APPLICATION FORM

Total
Relevant Experience
Skill Domain Experience
(Yrs.Mths)
(Yrs.Mths)
PHOTO
Load Runner Performance Testing 4 Yrs 4 Months

I. Personal Details
* Name: Mr/Mrs/Ms Gadhamsetti Suresh *
(as in your passport) Last First Middle

Current Address: D.No.14-3-13 Bhimanadham Vari Street

City: Bhimavaram State: Andhra Pradesh Pincode: 534201 Home Tel No:

Date of Birth: 26-Apr-88 Mobile: 9742388537 Personal Email Id: Gadamsuresh999@gmail.com

Permanent Address: D.No.14-3-13 Bhimanadham Vari Street

City: Bhimavaram State: Andhra Pradesh Pincode: 534201 Tel No:

Driving License #: Expiry Date: PAN #: AKRPG3212H

Passport #: Place of Issue: Issue Date: Expiry Date:

Marital status(Single/Married):
II. Education (Matriculation Onwards In Reverse Chronological Order)
Year of Passing
Qualification University/Board Percentage(GPA) Scholastic Achievment, If Any
From To

III. Professional Certification/Training

Certification/Training[Soft/Technical] Year Certification/Training[Soft/Technical] Year

IV. Employment History (All organisations in Reverse Chronological Order)

Duration Compensation
Responsibity (nature of resp, team size,
Organization Designation (Cost to
managerial role, etc.)
From To Company)

V. Have You Been Interviewed by any of the Capgemini Group company within the last 6 months? Y/N

If Y, When (mm/yy): Which group co.: What was the outcome?

VI. Current Salary Break-Up

Readiness to work on -
Current CTC Expected CTC Notice period Night Shifts Y/N
Lacs Lacs working days Support Projects Y/N

Declaration

I, hereby declare that the above information provided by me is true and accurate to the best of my knowledge. I was never arrested by the police or have a criminal record. I also
have got my self medically examined within last 3 months and declare that I am medically fit . I have no communicable disease and I am not addicted to drugs or substance
abuse. Any falsification of this information will hold me liable to the action taken against me by the organisation as per its prevailing rules and regulations.

PLACE: DATE: SIGNATURE:

Note: The above information provided by you will be used only for the purpose of Background Verification and Employee Records

Capgemini Public
 ANNEXURE 1

Information Release Form

I hereby authorize Capgemini Technology Services India Limited or any of it 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 and employment before and during the period of employment. I authorize
former employers, agencies, educational 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 declarations 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

PLACE: DATE: SIGNATURE:

(DD/MM/YYYY)

Capgemini Public