Confidential

CAMPUS APPLICATION FORM

Profile

Name: Mr./Mrs......

First NameMiddle NameSurname

Position Applied for :...... Referred by : ......

Service Line :...... Sub Service Line : ......

Date(s) & location of interview : 1...... 2...... 3......

Location preference : Bangalore Chennai Hyderabad Kolkata Mumbai New Delhi Pune

Date of birth : ____/____/____ Age :...... Passport No...... Date of Expiry:......

dd mm yy

Nationality :...... PAN :......

Languages Known :......

Contact Details :

Current Residence Address :......

...... Phone (R) :......

Permanent Residence Address :......

...... Phone (R) :......

Office Address :......

Phone (O) :...... Office Extn. No...... Mobile No......

Emergency Contact Name & Address :......

...... Phone :......

Personal e-mail ID :......

Family :

Marital Status :...... Date of Marriage :......

Name / Age / Contact No. / Profession
(indicate name of the company & title)
Spouse
Children
Father
Mother
Brother(s)
Sister(s)

Education / Academic

Year
From (mm/yy) To (mm/yy) / Name of Institution and Location / Principal Subjects / Marks %
Matriculation
Higher Secondary
Graduation
Post Graduation

Previous Work Experience (Begin from your current job. Also include any Vacation / Project work) :

Name and address of the Company / From
(mm/yy) / To
(mm/yy) / Position Held / Total compensation / stipend & reason for leaving

Total years of work experience :...... Years of work experience post qualification......

Notice period with current employer :...... Current CTC (Excluding Bonus)......

Expected CTC :...... Earliest you can join......

1. Describe a time when you worked as part of a team. What was your contribution to the team environment?

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2. What do you recognize as your strengths and weaknesses?

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3. Please give a description of your involvement in extra-curricular/leadership/community service activities while at school and/or college.

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4. Briefly outline your reasons to apply to Ernst & Young and for your choice of career.

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Previous Association with Ernst & Young or its Associates

Are any of your relatives working for Ernst & Young or its affiliate firm anywhere in India ?

Yes No If yes then please state :

Entity / City / Relationship with you

Have you been previously interviewed by Ernst & Young or its affiliate firm anywhere in India ?

Yes No If yes then please state :

When (mm/yy) / Location / Practice / Function / For which position

Have you been offered employment by Ernst & Young or its affiliate firm in the past ?

Yes No If yes then please state :

When (mm/yy) / Location / Practice / Function / For which position

Have you worked previously with Ernst & Young or its affiliate firm ?

Yes No If yes then please state :

From (mm/yy) / To (mm/yy) / Position held while leaving / Reason for leaving

Hobbies / Interests :

Health:

Blood Group :......

Have you suffered from any major illness / surgery / accident since birth :

Yes No If yes, please provide details

Physical Disabilities if any: ...... ……………………………………………………………………

Reference :

S. No. / Name / Organisation & Current Title / Address & Telephone Number / Your professional / personal relationship with him / her

Others :

Have you ever been the subject of any investigation, civil or criminal or been prosecuted by any court of law ? Yes No

If yes, please state Date & Facts (and also provide details separately)

Date / Facts

Have you ever been listed negative on credit rating by any financial institution ?

Yes No If yes, please state (and also provide details separately):

Date / Name of financial institution / Reason

Do you have any legal obligation (Retention bonds, loans etc.) with your current employer ?

Yes No If yes, please state (and also provide details separately):

Nature & Limits of the Obligation / Amount

Additional Information for Qualified or Semi-qualified Chartered Accountants Only

Name & Location of the Firm / Period of Articleship
From (mm/yy) To (mm/yy) / Nature of Assignments
Month & Year of Passing / Percentage / At which attempt did you clear the examination ? / Merit Rank
Foundation / CPT
Intermediate / PE-II / PCE
Group – I
Group – II
Final
Group – I
Group – II

CA Membership Number :......

CA Membership Enrolment Year :......

Do you hold a Certificate of Practice : Yes / No......

If yes, please state Certificate of Practice Date :......

ACA Status effective from :......

FCA Status effective from :......

I acknowledge and declare that by submitting all of the data contained in this Pre-interview Information form, my Resume, and other documents furnished by me (hereinafter collectively and severally, “Candidate Data”), I confirm and agree that EYPL may process the Candidate Data according to the recruitment purposes set out herein below;

  1. EYPL and its associated entities (hereinafter, “EYPL entities”) process Candidate Data for legitimate HR purposes. Such processing will be conducted within such purpose limitations and in accordance with applicable law. These principal purposes include:

Identifying and/or evaluating candidates for EYPL positions; making a decision about whether the individual should be hired; maintaining appropriate record-keeping related to hiring practices; analyzing the hiring process and outcomes; and conducting background investigations, where permitted by law.

  1. EYPL entities may be required to transfer Candidate Data to selected external third parties that they have hired to perform certain recruitment or employment-related services on their behalf. These third parties may process the data in accordance with the EYPL entity’s instructions or make decisions regarding the data as part of the delivery of their services.
  2. EYPL entities may be required to disclose certain Candidate Data to other third parties (1) as a matter of law (e.g., to tax and social security authorities); (2) to protect EYPL entity’s legal rights (e.g., to defend a litigation suit); or (3) in an emergency where the health or security of a Candidate is endangered.

I hereby declare that my statements on this application and on my resume or documents provided by me are true 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.

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Signature

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