Personal Profile Form

Document Version 1.00

Date 05-Jul-2017

TMG

Document Name : MSSIPL - fmrc02 - Personal Profile Form - Updated - Majesco (11).doc / Version No.: 1.1
Document Classification: Internal
Restricted when filled. / Page :1 of 5

PERSONAL PROFILE FORM – PPF

(Application of Employment)

(Please fill both sides of this form in block letters)

Date:DD / MM / YYYY

Name / Mr/Ms
Address
Tel Nos. / Cell / Residence
Preferred E-mail ID / Date of Birth / DD / MM / YYYY
Secondary E-mail IDs / Gender
Highest Degree / Stream
College Name / University

Please note that any KT (Dead/Alive) OR percentage less than 60% / 6.75 CGPA in any of the Certifications/Semester exam will automatically lead to Rejection.

Please mention ‘NA’ wherever Not Applicable.

Certification/Semester / Month and Year of Passing / Grade / Marks / CGPA / KT (Yes/No) / Any Remarks
8th Semester
7th Semester
6th Semester
5th Semester
4th Semester
3rd Semester
2nd Semester
1st Semester
HSC
Certification / Month and Year of Passing / Grade / Marks / CGPA / KT (Yes/No) / Any Remarks
Diploma 3rd Year
Diploma 2rd Year
Diploma 1rd Year
SSC

Additional Information (Please tick { } the appropriate box if submitting hard copy / strikethrough the inappropriate if submitting soft copy)

Are there Gaps in your Academic Record? Yes No / If Yes, Details
Do you have any relative / friend employed with Majesco? Yes No / If Yes, his/her name:
Have you suffered from any major illness /surgery/accident in the last five years?Yes No / If Yes, Details
Do you have any reservation to work at any location of Majesco? Yes No / If Yes, Details
Do you hold any offer from any other organization? Yes No / If Yes, Details
Any other information you would like us to know which may have significant bearing on our hiring decision

I confirm that the information provided by me in this application form is complete and accurate. I understand that if any information provided by me in this application of employment is found to be untrue, inaccurate or misleading, MSSIPL may withdraw any offer of employment made to me or terminate my employment (if I have already joined MSSIPL) without notice. I understand that all the details provided in this application are subject to verification. I also confirm that I have not violated any employment bond with my current or previous employers.

I hereby authorize MSSIPL and its representative to verify information provided in my resume, background verification form 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 MSSIPL or its representative. I release all persons from liability on account of such disclosure.

MSSIPL would use data provided in this form for various internal purposes. Signing this very letter is a legal ascent to use your data for any relevant and lawful usage.

Name and Signature of the CandidateDate:

Place:

AMENDMENT HISTORY

Date / Version / Amendment History / Remarks
1-Jul-2015 / 1.00 / Majesco Baseline Release
1-Mar-2016 / 1.10

QMS Document Control Information

Division: OPG / Doc No: FM/OPG/11 / Version: 2.00
Document Name : MSSIPL - fmrc02 - Personal Profile Form - Updated - Majesco (11).doc / Version No.: 1.1
Document Classification: Internal
Restricted when filled. / Page :1 of 5