TCS EMPLOYMENT APPLICATION FORM

Basic Details :
EP Reference # : EP2012IR162014

Personal Details :
Name : Father's Name : Date of Birth : Gender : Nationality : Country of Residence : PAN # : Mr. Shiva Shankar Sangineni Mr. sammaiah sangineni 06/08/1983 Male India India DSZPS7259K

Languages Known: (Mother Tongue appearing first)

Language Telugu English Hindi

Speak Yes Yes Yes

Read Yes Yes Yes

Write Yes Yes Yes

ADDRESS DETAILS :
Present Address : no 26,27th cross,VGS Layout Ejipura, korumangala banglore India 8123492606 No State : Pin Code : karnataka 560047

City : Country : Telephone # : Is the permanent and present address same? Permanent Address :

hno:14-20 post:hasanparthy mandal:hasanparthy distrct:warangal warangal India 918702564366 shiva111.bi@gmail.com State : Pin Code : Mobile # : andhra pradesh 506371 8095708571

City : Country : Landline # : E-mail ID :

ACADEMIC DETAILS :
Qualification : Starting from the latest qualification earned till class X or equivalent

Degree/Diploma

Passing Year

Specialisation/Major Subject

University/Institute

Course Type

Duration From

To

% of Marks(Agg. of all semester/ grade obtained 54.30

Awards and Scholarships

Bachelor Degree

Bachelor of Information Technology STANDARD XII / H.S.C.

2006

INFORMATION TECHNOLOGY MATHEMATICS

J. N. Technological Univ, Hyderabad

Full time

Aug-2002

Jul-2006

11th & 12th / PreUniversity 10th/SSC

2002

Board of intermediate Education

Full time

Jul-2000

Mar-2002

81.30

SSC

2000

Mathematics

SSC

Full time

Jul-1999

Mar-2000

70.40

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 Start Date

Duration End Date

Designation

Nature of Duties

Annual Gross Salary

Employee Id

Accenture services pvt ltd

divya sree techno park no 36/2,KR Porum Hobli, White Field, Banglore 560066

17/08/2009

BI consultant

implementation and support projects.

` 420000

10625251

Others -Golden Slash Technologies ltd

#12-13-1240,Street no 8 Tarnaka Secunderabad-500017 Andhra Pradesh,India

04/02/2008

21/07/2009

PHP developer

Developing Web Pages

` 180000

Break During Employment (Reason and Duration) :

Nil

Break between Studies and Jobs

Duration From Jul-2006

Duration To Feb-2008

Reason Worked in family business

Total IT Experience Total Non IT Experience Are you currently Employed Service Bond Details

55

Months

0 Months Yes No

TCS RELATED DETAILS :

TCS Test/Interview :

Position

Date

Place

Final Result

REFERENCE DETAILS :
Reference 1 Name Designation Organisation Name Address Bharadwaj Team Lead Accenture services pvt ltd Divya sree technopark,#36/2 K.R puram Hobli,White field Bangalore-560066 9620418551 b.svsk.mantha@accenture.com Senior 3 Years , 2 Months

Contact No Email ID Nature of Acquaintance Period of Acquaintance Reference 2 Name Designation Organisation Name Address Name

gurkirat Senior software engineer Accenture services pvt ltd Divya sree technopark,#36/2 K.R puram Hobli,White field Bangalore-560066 9620007508 gurkirat.singh@accenture.com Senior 3 Years , 2 Months

Contact No Email ID Nature of Acquaintance Period of Acquaintance

Joining Details :
Expected Cost to Company(CTC) : ` 520000

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: 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 for the purpose of business of the company. Your Electronic Signature is : Name: Mr. Shiva Shankar Sangineni Date : Thu, 15 Nov 2012 Place : Bangalore

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.