INFOSYS LIMITEDElectronics City, Hosur Road, Bangalore - 560 100, India.

Tel.: (080) 28520261-270. Fax: (080) 28520362.

Please in the wherever applicable.Please answer each column fully and neatly in your own handwriting.

APPLICATION FOR EMPLOYMENT

NAME IN FULL ...............................................................................................................................................................................

FIRST MIDDLE LAST

ADDRESS FOR COMMUNICATION

...................................................................................................

...................................................................................................

...................................................................................................

...................................................................................................

City. ................................ PIN / POSTAL CODE. .............................

State. ......................................... Country. ................................

Day Time Contact No. ...............................................(Optional)

PER

SON

AL

DET

AIL

S

Languages Known (Please highlight foreign languages only)

Please Affix Your Latest Passport Photograph Here

Mobile No. ...............................................................................

E-mail. ......................................................................................

CITIZENSHIP(S)

..................................................................................................

DO YOU HAVE A PASSPORT ?

DATE OF BIRTH :(dd/mm/yyyy)

...................................................................................................

LAN

GU

AG

ES

GENDER:

1 of 4VER 08.00 HRD/REC/F/013

(in block letters)(As it appears on passport / legal document)

(Personal E-Mail ID only)

NOYES

FEMALEMALE

Read Write Speak Understand

Interview Location

...............................................

Candidate Id

...............................................

SIGNATURE OF THE APPLICANT

LEVEL

NAME OF THE QUALIFICATION AWARDED

STATE BOARD / UNIVERSITY

NAME OF THE SCHOOL / COLLEGE

STATE

BRANCH / STREAM / AREA OF SPECIALIZATION

* TOTAL AGGREGATEMARKS SCORED FOR ALL SUBJECTS / SEMESTERS / YEARS

* MAXIMUM MARKS FOR ALL SUBJECTS / SEMESTERS / YEARS

* SIMPLE AVERAGE PERCENTAGE / CGPA /GRADE FOR ALL SEMESTERS / YEARS

YEAR & MONTH OF FINAL EXAMINATION

POST GRADUATIONX STD

XII STD/DIP./EQUIV. GRADUATION OTHERS

GAPS IN EDUCATION (If any) ................................years. Reason. .................................................................................................

EDU

CAT

ION

*ALL PERCENTAGES / CGPA SHOULD BE SIMPLE AVERAGE FOR ALL YOUR SUBJECTS / SEMESTERS / YEARS, INCLUDING ELECTIVES, OPTIONAL SUBJECTS, ADDITIONAL SUBJECTS, PRACTICALS AND LANGUAGES

WO

RK

EXP

ERIE

NC

E

PLEASE WRITE NA IF NOT APPLICABLE.Specify clearly in case of part time/contract work experience. Notice period required...........................................

ORGANIZATIONPERIOD (MM/YYYY)

FROM TO DURATION (in months)

DESIGNATION REASON FOR SEPARATION

EXPERIENCE/RELIEVING LETTER

AVAILABLE (Y/N)

WO

RK

EXP

ERIE

NC

E

Are you under any legal obligation to your current employer:

IF YES, Please Specify: ....................................................................................................................................................................

NOYES

2 of 4VER 08.00 HRD/REC/F/013

SIGNATURE OF THE APPLICANT

ARE YOU EMPLOYED AS : 1. A DIRECTOR / PARTNER IN ANY OTHER COMPANY?

IF YES, PLEASE PROVIDE DETAILS: ..............................................................................................................................................

HAVE YOU UNDERGONE ANY SELECTION PROCESS WITH INFOSYS OR INFOSYS GROUP COMPANIES (LIKE INFOSYS BPO, ETC.) PREVIOUSLY ?

IF YES, HAVE YOU INFOSYS OTHER GROUP COMPANIES

- TAKEN ANY TEST ?

- SELECTED FOR INTERVIEW ?

- MADE AN OFFER ?

- JOINED & QUIT ?

REF

EREN

CES

MIS

CEL

LAN

EOU

SC

OM

PEN

SATI

ON

AN

D B

ENEF

ITS

Fixed Salary

Variable Pay

OtherBenefits

ANNUAL GROSS COMPENSATION

LIST PROFESSIONAL REFERENCES (PREVIOUS / CURRENT REPORTING MANAGER OR CLIENT AND NOT RELATED)

ANNUAL CURRENT

NAME DESIGNATION AND COMPANY EMAIL AND CONTACT NUMBER

YOUR EXPECTATION AT INFOSYS

NEXT REVISION EXPECTED

DATE: ....................................

1) ................................................

2) ................................................

3) ................................................

1) ................................................

2) ................................................

3) ................................................

1) ................................................

2) ................................................

3) ................................................

YES NO

YES NO

YES NO

YES NO

YES

YES

YES

YES

NO

NO

NO

NO

YES

YES

YES

YES

NO

NO

NO

NO

RELEVANT DATES RELEVANT DATES

.........................

.........................

.........................

.........................

.........................

.........................

.........................

.........................

ARE YOU CURRENTLY EMPLOYED WITH ANY OF THE INFOSYS GROUP COMPANIES ?

IF YES, INFOSYS BPO OTHERS Please Specify ...............................................................................

Have you at any time been convicted by a court of India for any criminal offence and sentenced to imprisonment, or any criminal proceedings are pending against you before a court in India, or has an order prohibiting your departure from India, been issued by a court,

If yes, please give details of the same ......................................................................................................................................................

.............................................................................................................................................................................................................

.............................................................................................................................................................................................................

3 of 4VER 08.00 HRD/REC/F/013

SIGNATURE OF THE APPLICANT

Was your candidature referred to us through Infosys Employee Referral Scheme

If yes, please provide following details:

NAME EMPLOYEE NO.

INFOSYS ANCHOR:

MO

DE

OF

A

PPLI

CAT

ION

DEC

LAR

ATIO

NNOYES

Reason for Selection / Hold / Rejection : ....................................................................................................................................................

............................................................................................................................................................................................................

................................................................................................................................................................................................................

...............................................................................................................................................................................................................

...............................................................................................................................................................................................................

...............................................................................................................................................................................................................

...............................................................................................................................................................................................................

...............................................................................................................................................................................................................

...............................................................................................................................................................................................................

...............................................................................................................................................................................................................

...............................................................................................................................................................................................................

...............................................................................................................................................................................................................

...............................................................................................................................................................................................................

FOR

OFF

ICE

USE

ON

LY

Date of Test : ......................... Score : .................. Ref. No. : ...................... Date of Interview : .......................................

RejectedResult : Selected Hold (Please )

I authorize Infosys to conduct investigation to verify facts of all statements made in this application and my supporting documents. I authorize Infosys to secure information about my experience from former employers, educational institutions, government establishments/agenciesoranyreferencesIhaveprovided,andforthosepartiestoprovideinformationconcerningmyqualificationsfor employment and I hereby release all parties from any liability arising from such investigation.

I certify that the academic marks / CGPA are simple average for all subjects / semesters / years including electives, optional subjects, additional subjects, practicals and languages.

I understand that if I am employed with the company, any false statement, misrepresentation, or omission of facts on this application or on any supporting documents, regardless of when discovered if found to be false, may result in my immediate dismissal. The company will have the right to withdraw my letter of appointment or to terminate my training/subsequent appointment at any time without notice or compensation.

MysignaturebelowcertifiesthatIhaveread,understand,andagreetotheforegoingandtothebestofmyknowledgeandbelief;the information on the application form is true and correct.

Date: ..................................... Place: ......................................... Signature: ..................................................................

Role : ............................................................................ Job/Personal Level : .............................................................

Likely Joining Date : ..................................................... (MM/YYYYY)

Location Preference : 1. .................................................. 2. ................................................... 3. ...................................................

Name : ....................................................................................... Employee No. : .....................................................

Role : ......................................................................................... Signature: .............................................................

4 of 4VER 08.00 HRD/REC/F/013