BGV FORM

Please provide complete and correct information. All fields are mandatory. Please do not use short forms / abbreviations
Dell Badge number Business Entity / Location

Perot Badge number

(If applicable)

Business Entity / Location

Experienced Fresher

Regular Contract

Date of Joining
(dd/mm/yyyy)

Personal Details Full Name (First & Last name is Mandatory) First Middle Former Name(s) / Maiden Name (if applicable): Date of name change Date of Birth (dd/mm/yyyy): Nationality PAN Number: Blood Group Last Gender: Male Female

Fathers Name:

Marital Status : Single / Married / Divorced

Name of Spouse: Telephone (Home Landline with STD code) Mobile Number

Number of Children: Alternative Contact number (Landline with STD code)

E-mail address (personal)

Alternate E Mail address(if any)

SSN / SIN number (In case resided in USA OR CANADA)

Passport Details Place of Issue

Date of Issue (dd/mm/yyyy)

Expiry Date (dd/mm/yyyy)

Passport Number Details of Addresses

(Please attach a copy of the Address Proof)

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Complete Address with Pin Code Current Residential Address (along with prominent landmark)

Period of Stay: From: (dd/mm/yyyy)

To: (dd/mm/yyyy)

Pin Code :

Contact Number: Landline with STD code Mobile number Permanent Residential Address (along with prominent landmark) From: (dd/mm/yyyy)

To: (dd/mm/yyyy)

Pin Code :

Contact Number: Landline with STD code Mobile number Address resided at while attaining highest qualification (along with prominent landmark) From: (dd/mm/yy)

To: (dd/mm/yyyy)

Pin Code :

Contact Number: Landline with STD code Mobile number

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Personal Details Section

Education Qualification Section

Please provide details of Education (IMPORTANT: Copy of all years mark sheet, provisional certificate and both sides of degree certificate MUST be attached)

10th Standard:
From (month / year) To Graduated Program Type of degree, certificate, diploma:

Yes No Pursuing Student ID No./ Enrolment No./ Registration No./ Hall Card No / Roll No

Full Time Part Time Graduation date (dd/mm/yyyy) Subject Major

School Name School Address

Pin Code

University Name and Address

Pin Code

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12th Standard / PUC:

From (month / year) To Graduated Program Type of degree, certificate, diploma:

Yes No Pursuing Student ID No./ Enrolment No./ Registration No./ Hall Card No / Roll No

Full Time Part Time Graduation date (dd/mm/yyyy) Subject Major

School/ College Name School / College Address

Pin Code

University Name and Address

Pin Code

GRADUATION:
From (month / year) To Graduated Program Type of degree, certificate, diploma:

Yes No Pursuing

Full Time Part Time

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Student ID No./ Enrolment No./ Registration No./ Hall Card No / Roll No

Graduation date (dd/mm/yyyy)

Subject Major

College Name College Address

Pin Code

University Name and Address

Pin Code

POST GRADUATION:
From (month / year) To Graduated Program Type of degree, certificate, diploma:

Yes No Pursuing Student ID No./ Enrolment No./ Registration No./ Hall Card No / Roll No

Full Time Part Time Graduation date (dd/mm/yyyy) Subject Major

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College Name College Address

Pin Code

University Name and Address

Pin Code

ADDITIONAL QUALIFICATION:
From (month / year) To Graduated Program Type of degree, certificate, diploma:

Yes No Pursuing Student ID No./ Enrolment No./ Registration No./ Hall Card No / Roll No

Full Time Part Time Graduation date (dd/mm/yyyy) Subject Major

College Name

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College Address

Pin Code

University Name and Address

Pin Code

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EMPLOYMENT SECTION
Employment History Details of previous employers ( in descending order) (1)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details Supervisors Name Designation

From: (dd/mm/yyyy) Telephone (Office 1) Supervisors Contact Details Office & Extension Mobile

To: (dd/mm/yyyy) Telephone (Office 2)

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Employment History
Details of previous employers ( in descending order) (2)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details

From: (dd/mm/yyyy) Telephone (Office 1)

To: (dd/mm/yyyy) Telephone (Office 2)

Supervisors Name Designation

Supervisors Contact Details Office & Extension Mobile

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Employment History Details of previous employers ( in descending order) (3)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details

From: (dd/mm/yyyy) Telephone (Office 1)

To: (dd/mm/yyyy) Telephone (Office 2)

Supervisors Name Designation

Supervisors Contact Details Office & Extension Mobile

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Employment History Details of previous employers ( in descending order) (4)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details

From: (dd/mm/yyyy) Telephone (Office 1)

To: (dd/mm/yyyy) Telephone (Office 2)

Supervisors Name Designation

Supervisors Contact Details Office & Extension Mobile

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Employment History Details of previous employers ( in descending order) (5)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details

From: (dd/mm/yyyy) Telephone (Office 1)

To: (dd/mm/yyyy) Telephone (Office 2)

Supervisors Name Designation

Supervisors Contact Details Office & Extension Mobile

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Employment History Details of previous employers ( in descending order) (6)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details Supervisors Name Designation

From: (dd/mm/yyyy) Telephone (Office 1) Supervisors Contact Details Office & Extension Mobile

To: (dd/mm/yyyy) Telephone (Office 2)

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Employment History Details of previous employers ( in descending order) (7)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details Supervisors Name Designation

From: (dd/mm/yyyy) Telephone (Office 1) Supervisors Contact Details Office & Extension Mobile

To: (dd/mm/yyyy) Telephone (Office 2)

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Employment History Details of previous employers ( in descending order) (8)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details Supervisors Name Designation

From: (dd/mm/yyyy) Telephone (Office 1) Supervisors Contact Details Office & Extension Mobile

To: (dd/mm/yyyy) Telephone (Office 2)

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Employment History Details of previous employers ( in descending order) (9)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details Supervisors Name Designation

From: (dd/mm/yyyy) Telephone (Office 1) Supervisors Contact Details Office & Extension Mobile

To: (dd/mm/yyyy) Telephone (Office 2)

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Employment History Details of previous employers ( in descending order) (10)Company Name

Position Held

Employee Code

Department Address

Oracle ID or SAP ID (if any)

Exact Location / Branch

Employment Period Contact Details Supervisors Name Designation

From: (dd/mm/yyyy) Telephone (Office 1) Supervisors Contact Details Office & Extension Mobile

To: (dd/mm/yyyy) Telephone (Office 2)

Nature of employment

Permanent

Temporary

Agency Details (if temporary or contractual) Company Name

Address

Telephone (Office 1)

Telephone (Office 2)

Reason(s) for Leaving

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Letter of Authorization
To whomsoever it may concern I hereby authorize and its representative to verify information provided in my resume and application of employment, and to conduct enquiries as may be necessary, at the company's discretion. I authorize all persons who may have information relevant to this enquiry to disclose it to . or its representative. I release all persons from liability on account of such disclosure.

Signed: Name in Block Capitals: Date of Birth: Date:

________________________ ________________________ ________________________ ________________________ (dd/mm/yyyy)

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