TCS EMPLOYMENT APPLICATION FORMBASIC DETAILSReference #xxxxxxxxxxPERSONAL DETAILSCollege/Institute Jawaharlal Nehru Technical University'S CollOf Engg, Kukatpally, Jnt UnivName Mr. Saibhargav Mother's Maiden Name Lanka Rajya LakshmiFather's Name Mr. Srirama Murthy Mother's Name Ms. Rajya Lakshmi Date of Birth 21/09/1991Nationality IndiaGender MaleSSC Roll Number CONTACT DETAILSPERMANENT ADDRESSHouse No./Apartment Name/Block No Road/Street/Lane Area Near Cineplanet,KompallyCity HyderabadState Andhra PradeshPIN Code 500014Country IndiaACADEMIC DETAILS :Degree Course Name Duration From Duration To Course type University/InstituteMajor Subject CGPA/MarksObtainedTotalMarks/CGPAPercentageGraduate Bachelor OfTechnology06/10/2009 10/05/2013 FULL TIME Jawaharlal NehruTechnicalUniversity'S CollOf Engg,Kukatpally, JntUnivElectronics &Communication2883.0 3950.0 72.99XII/ EquivalentDiplomaIntermediate Iiyr 04/06/2008 01/05/2009 FULL TIME Narayana JuniorCollegeMpc 456.0 530.0 86.03XI Intermediate Iyr 04/06/2007 01/05/2008 FULL TIME Narayana JuniorCollegeMpc 407.0 470.0 86.59X Ssc 02/06/2006 25/04/2007 FULL TIME Shiva RamaPublic School384.0 600.0 64.0The "CGPA/Marks Obtained" entered by me for each of the above mentioned academic qualifications has been secured in the first attempt:YesI have completed each of the above mentioned academic courses in the stipulated time as specified by my University/Institute guidelines and do not have any extended education:YesAre there any breaks in studies?NoRewards or Scholarships:NAAcademic Projects Undertaken: NAHave you done any other course? Yes, CORE JAVADo you have any pending backlogs currently? NoCONTACTE-mail ID Telephone(R)Alternate E-mail ID Telephone(M) LANGUAGE DETAILS:Language Mother Tongue Read Speak WriteEnglish No Yes Yes YesHindi No Yes Yes YesTelugu Yes Yes Yes YesPASSPORT DETAILS:Passport Number Place Of Issue Date Of Issue Valid Upto ECNR CheckK1816422 HYDERABAD 13/01/2012 12/01/2022 YTCS RELATED DETAILS:Have you appeared for TCS Test / Interviews earlier? NoREFERENCES:Reference 1Name: NarenderDesignation: LecturerContact Number: 9030726516Email ID: jonna.narendarreddy@gmail.comReference 2Name: VenugopalDesignation: Sr.Accounts Officer,Isro,HydContact Number: 8121558883Email ID: venugopal_a@nrsc.gov.in-TCS TERMS AND CONDITIONSIn connection with my application to render services to Tata Consultancy Services Ltd (the "Company"), I hereby agree as follows:I certify that the information furnished in this form as well as in all other forms filled-in by me in conjunction with my traineeship isfactually correct and subject to verification by TCS including Reference Check and Background Verification. I accept that anappointment given to me on this basis can be revoked and/ or terminated without any notice at any time in future if any informationhas been found to be false, misleading, deliberately omitted/ suppressed. As a condition of Company's consideration of myapplication for traineeship with the Company, I hereby give my consent to the Company to investigate or cause to be investigatedthrough any third parties my personal, educational and pre or post joining history. I understand that the background investigationwill include, but not be limited to, verification of all information given by me to the Company. I confirm that the Company is entitledto share such investigation report with its clients to the extent necessary in connection with the Services, which I may be required toprovide to such clients. I confirm and undertake that the Company shall incur no liability or obligation of any nature whatsoeverresulting from such investigation or sharing of the investigation results as above. I certify that I am at present in sound mental andphysical condition to undertake employment with TCS. I also declare that there is no criminal case filed against me or pendingagainst me in any Court of law in India or abroad and no restrictions are placed on my travelling anywhere in India or abroad for thepurpose of business of the company.Your Electronic Signature is:Name: Mr. Saibhargav Date: 01/07/2012Place: HyderabadTCS is an equal opportunity employer that aims to integrate global diversity and inclusion at each level within our organization.Hiring decisions are solely made on the capability of an individual to perform a role. Any personal details like gender, age andnationality that may be provided by you during the course of application or selection process will be used for administrative recordsand all qualified applicants will receive consideration for employment without regard to this information.