APPLICATION FOR EMPLOYMENT

Thank you for your interest in HCL Technologies. This form is intended to enable you to record important points
about yourself, your experience, your achievements and your plans for the future. Please complete the form in full
and use additional sheets if necessary. When we meet you at the interview, the contents of this application will
provide a base for our interaction.
 Kindly affix a
PERSONAL INFORMATION
Passport size
Photograph
First Name SHRIYA Middle Name Last Name RAGHUVANSHI
here
Mr/Ms

( Expand all names)

Date of Birth
e-mail : contactshriyar@gmail.com
0 9 0 7 1 9 9 2
Current Address :
218, RAJENDRA NAGAR LUCKNOW, UTTAR PRADESH

Fathers Name : PRABHAKAR RAGHUVANSHI Mothers Name: MITA RAGHUVANSHI

City LUCKNOW State UTTAR PRADESH PIN Phone (with Office

2 2 6 0 0 4 STD code) Res.
Permanent Address :
218, RAJENDRA NAGAR LUCKNOW, UTTAR PRADESH

City LUCKNOW State UTTAR PRADESH PIN Phone(with STD code)

2 2 6 0 0 4 Mobile
EDUCATION
(Begin with the most recent qualification and end with Std. X)
Course/Degree Specialization Name of Institute /University Location Graduation Aggregate
(Month/Yr.) Marks
(% or CGPA)
BACHELOR OF COMMERCE LUCKNOW UNIVERSITY LUCKNOW 2013
COMMERCE
12TH ISC COMMERCE LUCKNOW

10TH ICSC LUCKNOW

PREVIOUS EMPLOYMENT DETAILS

Name of the organization Location Designation Notice Duration Monthly Salary Reason for
Period From To Starting Final Leaving
In3corp LUCKNOW LEAD 1
AUDITOR MONTH

In3corp LUCKNOW AUDITOR

In3corp LUCKNOW ANALYST

REFERENCES
Give references under whom you have either worked or who know you professionally for at least 6 months.

Name Duration & Organization & Designation e-mail Phone (with STD code)
Nature of Mobile Office
Association
Off:
JAYA TIWARI

Per:
Off:

Per:
MONTHLY EMOLUMENTS

Fixed Salary Variable / Perks Deferred benefits

Basic Housing PF, Pension, Gratuity etc. (C)

Allowance/Bonus/Incentives Company car Monthly Gross (A+B+C)

Others
(please specify) Others
Current Annual Gross
(please specify)

Total (A) Total (B) Expected Annual Gross

ABOUT YOURSELF
The answers to the following questions will help us get a better understanding of you as a person.

Your personal strengths? Your personal areas of improvement?

Your career objectives? Your expectations from the job/HCL?

ADDITIONAL DETAILS

If Others, Specify Nationality :

Nationality  Indian  Others
Do you have work permit to work in India?  Yes  No
If Yes, Passport No :
Do you hold a valid Passport? Yes No
(for Indian citizens only)
Valid till :
If yes, provide details on countries visited and type of Visas held
Have you worked on overseas assignments? Yes No

If Yes, Division : Location :

Have you attended any selection process at Yes No
HCL before?
Month/Year: Status :
If Yes, his/her name :
Do you have any relative / friend employed
Division/Location :
with HCL? Yes No
Have you ever been arrested, prosecuted or convicted for any criminal If Yes, furnish details including type of offense and conviction
offense, other than minor traffic offenses ? Yes No
Yes ( ) NO ( )
In the last ten years, have you been convicted of or plead guilty to any
offence? Yes ( ) NO ( )

In the last ten years have you been released from prison on a
conviction?

Do you have any commitment to another employer or organization that might affect your employment with us? Yes No

WORK LOCATIONS

Are you willing to be posted anywhere in India? Yes No Are you willing to be posted abroad? Yes No

Indicate your preferred work location in India

I hereby declare that my statements on this application and on my resume or documents provided by me to HCL are correct to the best of my
knowledge. I acknowledge and agree that providing any false information may result in a decision not to hire me or if hired, may result in
termination of my employment. I give consent to HCL to institute and conduct a background check to verify the information furnished by me in this
form.

Date: Place: Signature: