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Employment Application Form

Please read the below instructions carefully before you start filling in the requested information:

2) Please bring the following documents with you to the personal interview at IBM:i) Completed IBM Employment Application Formii) Proof of Salary Documents

iii) Updated Resumeiv) Valid Photo ID (Passport, PAN Card, Voter’s ID card, Driver’s License)

Past IBM Interview Details (Fill in CAPITAL Letters)

Have you attended any IBM Interview in the last 3 Months Yes NoIf Yes, please provide the below details:

D D M M M Y Y Y Y

Date of Interview

Position Applied ###

Work in Progress Received Offer Rejected/Declined

Location Of Interview ###

IBM subsidiary Name IBM India Pvt Ltd IBM Daksh IBM NetSol

of 6, Employment Application form, version 1.7, wef - 21th July 2010 1

Please affix your passport size photo here

1) Please read all instructions for each section and fill in as instructed. All fields are to be filled legibly, completely and accurately in CAPITAL letters to reduce delay in processing your candidature with IBM.

Offer letter with compensation break up ORLatest increment letter from present organization with compensation break-up

SOURCE INFORMATION (Fill in CAPITAL Letters)

How did you know about this vacancy in IBM? (Select any one of the below) Direct - IBM Website

Agency IBM Employee Referral Accepted Not Joined Candidate

Agency name A L P Name of the Employee

C O N S U L T I N G

L T DEmployee Number (If Applicable)

Jobsites

Job Site Name E- Mail ID

IBM Application ID * C 8

PERSONAL INFORMATION (Fill in CAPITAL Letters)* Enter your name as per your Passport, Driver's Licence OR PAN Card (For Indian Nationals)

TitleMr. Ms.

First Name

Middle Name

Last Name

D D M M M Y Y Y Y

Date of Birth

**e.g. 01 - JAN - 1900

Mobile Number

**Country code - Mobile Number

Telephone -

**Country code - City Code - Telephone Number

Pan Card (If you are an Indian National)

Driver's Licence #

Passport Number D D M M M Y Y Y Y

Passport Expiry


* If you have already registered on our IBM Job Portal please provide the IBM Candidate Applicant ID also called GOM Candidate Applicant ID. If you are referred by an Agency, please ask your agency for the Applicant ID

Personal Email ID

Y

ALP CONSULTING LTD

C6

Y

F7

ALP CONSULTING LTD

PERSONAL INFORMATION…… CONTINUED (Fill in CAPITAL Letters)

Nationality

If you are not an Indian National, do you have a valid work permit to be employed in India?

Yes No

Current Address

City PIN Code

State

Country

Permanent Address (If different from the above)

City PIN Code

State

Country

PROFESSIONAL REFERENCES (Fill in CAPITAL Letters)

Please provide details of three professional references, with whom you have had a business/Working relationship.

Please exclude Friends, Colleagues, Juniors and Relatives at work

Name Contact Number Current occupation


Nature of professional Relationship

Comments*

*Please use the comments column to indicate if you do not wish IBM to contact one or any of the above for pre-reference checks.

EDUCATION DETAILS (Fill in CAPITAL Letters)

PLEASE MENTION COMPLETE DETAILS OF SCHOOL / COLLEGE / INSTITUTION AND UNIVERSITY NAME ALONG WITH COMPLETE ADDRESS WITH CITY & POSTAL CODE IN CAPITAL LETTERS

Qualification Course Tenure

SSLC

M M M Y YStart DateEnd Date

* E.g. JAN09

HSLC


* E.g. JAN09

Graduation


* E.g. JAN09 University Name

Post Graduation






* E.g. JAN09State reasons for GAP in education, if any :Professional Training (includes in progress degrees) - please mention the details

______________________________________________________________________________________________________________________________________________ of 6, Employment Application form, version 1.7, wef - 21th July 10 4###

Please complete all fields, even if you have already provided a resume. Provide details on COMPLETED degree programs only.

Highest Qualification (Completed)** e.g.: M.Sc, B.Com

Complete Name & Address of School / College / Institution andName of the University

*University name is mandatory where applicable(DO NOT ABBREVIATE)

Class/ Division/

Percentage/ Grade Points

Name of the Degree

Awarded(e.g.. B.com / BA/ Mtech)

Others - PhD, Additional Degrees

Professional Qualification (Other

than already mentioned above) like

CA, CFA etc

EMPLOYMENT HISTORY (Fill in CAPITAL Letters)

Do you have prior employment experience? Yes No

PLEASE MENTION COMPLETE DETAILS OF ORGANISATION NAME, COMPLETE ADDRESS WITH STREET NAME, AREA, CITY & POSTAL CODE IN CAPITAL LETTERS

Organisation Name and address Tenure

1

Organisation Name D D M M M Y YAddress Start Date

End Date

Pin Code * E.g. 01-JAN-1900

2


End Date


3


End Date


Below is continuation of the above table. E.g. Continue to fill in details of "Serial No 1" (Above) in "Serial No 1-Continue" row below.

Designation Reasons for Leaving If Employment Type is Contractual, Please Provide Agency Name, COMPLETE Address and Contact Number

Organisation Name

Complete Address

Pin Code Contact Number

Organisation Name

Complete Address


Organisation Name

Complete Address


*Current Reporting Manager will be contacted ONLY AFTER the candidate joins IBM

Total years of experience - (please do not include any training or internship experience) Years MonthsState GAP in Employment if any:


Provide your job history for a minimum of the last five (5) years (if applicable). Additionally, include your last three 3 employers (if applicable) even if your total service exceeds 5 years in the last 1 or 2 companies. Please include information on Self employment within the same period.

Serial No

Employment Type (Permanent

/Contractual)Employee Number

Full Time /

Part Time

Serial No

Reporting Manager's Name and contact number)*

1 - Continue

2 - Continue

3 - Continue

Present Employment Compensation Details** (Fill in CAPITAL Letters)

Please mention below your annual compensation details

Comments

OTHER DETAILS (Fill in CAPITAL Letters)

Have you worked for IBM earlier? Yes No

If "YES", please provide following details:

Business Unit Location

Tenure (DD-MMM-YYYY)

Manager's NameDate of Joining Last working day

Are you willing to relocate as part of your employment with IBM? Yes No

If "YES", please indicate your preference _______________________________________________________________________

If you are related to IBM India Private Limited employees and/or Directors (sibling / spouse/ children/in law relationships), please provide names and relationship.

Name Designation Business Unit Relationship

Consistent with IBM's policy on workforce diversity and in order to accommodate employee's special needs in the work environment,

please indicate if you are physically challenged ** Yes No If yes, please provide description of disability and accommodation required:

** IBM Corporation is an Equal Employment Opportunity Employer

Do you have any non-compete obligations or conflict situations or other restrictive clauses with any party including any of your

previous employers that prevent you from working for IBM India Private Limited? Yes No

Have you worked for the Government, whether as a civilian employee or member of the military? Yes No

_________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________

Declaration

Signature:

Place: Date:


** The information stated here must be supported with documentary evidence (Offer letter from present organization including Compensation break up details or most recent increment letter)

(A). Fixed Pay including statutory

benefits (Rs.)

(B).Variable Pay(Rs.)

(C). Other allowances (Rs.)

Annual Current CTC = Total of A + B + C

(Rs.)

Status (Regular/FTH/Contractor)

Employee No. / Contractor Code

All Candidates must indicate if they have worked for the Government, whether as a civilian employee or member of the military. If so, you must also indicate whether you had any responsibilities or were involved in activities relating to IBM or an affiliated Company. You must also state whether you are aware of any legal restrictions on what work you may do for IBM or an affiliated Company, and if so, what those restrictions are.

• 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 with respect to my application for employment is found to be untrue, inaccurate or misleading, IBM INDIA Private Limited may withdraw any offer of employment made to me or terminate my employment (If I have already joined IBM India) without notice.

• I understand that all the details provided in this application are subject to verification.

• I hereby authorize IBM India Private Limited and its representatives (including reference check agencies/third party vendors) to verify information provided in my application for employment and to conduct enquiries as deemed necessary by the company.

• I authorize all persons who have information regarding my education, employment, and all other details provided in this form, to disclose it to IBM or its representative.