APPLICATION FOR EMPLOYMENT

Thank you for your interest in Wipro.

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.

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PERSONAL INFORMATION
Kindly affix a
First Name Middle Name Last Name Passport size
Photograph
Mr/Ms here

( Expand all names)

Date of Birth
e-mail :
d d m m y y y Y
Current Address :

City State PIN Phone (with Office

STD code) Res.
Permanent Address :

City State PIN Phone(with STD code)

Mobile

EDUCATION (Begin with the most recent qualification and end with Std. X)

Course/Degree Specialization Name of Institute /University Address Graduation Aggregate

(Month/Yr.) Marks

(% or CGPA)

TRAINING

Training/Development Programmes attended / IT Skills Institute / Organization Location Dates attended

acquired From To

WORK EXPERIENCE
Number of Companies Worked for (Coun t should include the Present Employer)

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CURRENT EMPLOYMENT

Name of the Employer Address :

Number of Employees Sales Turnover

Phone :
Date Employed From To Notice Period :
Your Designation & Department Employee Responsibilities
Code

Reason For Leaving

Supervisor’s Name & Designation, EMAIL ID & Contact Number

Can we take reference from your supervisor? Yes • •No

Deputation Details :( Mention name of organization to whom you were

deputed through current employe. Please mention NA if not applocation)
Deputation Details :( Mention name of organization to
whom you were deputed through current employe. Please
mention NA if not application)

MONTHLY EMOLUMENTS

Fixed Salary Variable / Perks Deferred benefits

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

Bonus/Incentives Company car

Allowances Furnishings Monthly Gross (A+B+C)

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

Total (A) Total (B) Expected Annual Gross

If yes, Nett gain at current value :

Do you have employee stock options? Yes •No
{(Current Market Price – Issue price) x No. of stocks}

PREVIOUS EMPLOYMENT

Name of the Employer Address :

Dates Employed FROM TO

Phone :
Your Designation & Department Employee Responsibilities
Code
Reason For Leaving Monthly Gross: -

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Deputation Details :( Mention name of organization to whom you were deputed
through current employe. Please mention NA if not applocation) Deputation Details :( Mention name of organization to whom
you were deputed through current employe. Please mention NA
if not application)

ALL OTHER PREVIOUS EMPLOYMENT DETAILS

Name of the organization Location Designation Employee Duration Monthly Salary Reason for
Code From To Starting Final Leaving

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/Wipro?

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SIGNIFICANT ACHIEVEMENTS: Distinctions, Honours, Awards ( Academic/extra curricular ) received

OTHER INTERESTS: Cultural, sports, community work and hobbies from school onwards & details of memberships of association

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 Home Office

Association
Off:

Per:
Off:

Per:
Off:

Per:

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, Details

Have you been denied VISA to any country? Yes No

If yes, provide details on countries visited and type of Visas held

Have you worked on overseas assignments? Yes No

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 If Yes, Division : Location :

Have you attended any selection process at Yes No

Wipro before? Month/Year: Status :

If Yes, his/her name :

Do you have any relative / friend employed

Division/Location :
with Wipro? Yes No

Have you suffered from any major illness If Yes, Details

/surgery /accident in the last five years? 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
In the last ten years, have you been convicted of or plead guilty to any Yes ( ) NO ( )
offence?
In the last ten years have you been released from prison on a Yes ( ) NO ( )
viction?

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

Any other information you would like us to know which may have significant bearing on our hiring decision :

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

DECLARATION S

1. I hereby declare that my statements on this form and on my resume or documents provided by me to Wipro are true and correct to the best of
my knowledge.
2. I understand that Wipro, at its discretion, may institute and conduct a background check to verify the information furnished by me in this form.
Wipro assures me that background check on my current employment will be taken up only post my joining Wipro and this is acceptable to me.
3. I authorize all persons who may have information relevant to the verification to make disclosures to Wipro or its representatives/ agents.
4. 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.
5. I understand that Wipro may notify and publish any information provided by me that is found false. In addition, I understand and agree that
Wipro has rights to seek any legal remedies including indemnification and damages from me for any loss caused to Wipro as a result of any
such false information.

Date: Place: Name: Signature:

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