Employment Application Form

For internal use only: To be filled by

Employee ID Number:
Please attach recent passport
size photo
Date of Joining:
D D M M Y Y Y Y

 Please provide complete and correct information

 All fields are mandatory
 Please do not use short forms / abbreviations.

Personal Details
Please expand initials in your name -- As the same would be used in our Employment records

Title (Mr./Mrs./Ms.) First Name (Mandatory) Middle Name Last Name (Mandatory)

Primary Skill / Competency

Nationality: …………………. (Mandatory)

Citizenship: …………………. (Mandatory)

Do you hold a foreign passport other than an Indian passport? YES NO

If ‘Yes’:

• Which country? ______________________

• Please provide a copy of the foreign passport while submitting other mandatory documents.

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If you are not an Indian National, do you have a valid work permit to work in India? YES NO

If yes, work permit valid up-to If no, pls provide reason …………………………………………

Do you hold a valid PIO / OCI Card issued by Government of India? YES NO

If yes, Card is valid up-to If no, pls provide reason …………………………………………

Gender MALE FEMALE

Date of Birth (DD/MM/YYYY)

Place of Birth

Maiden Name (applicable for married ladies)

Father’s Name (As per PAN Card)

Mother’s Name

Marital Status SINGLE MARRIED DIVORCED WIDOW

Guardian Name (If applicable)

Spouse Name

Permanent Phone Number (Mandatory) :

Alternate Phone Number :

Contact Information
Email ID (Mandatory) :

Alternate email ID :

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 Current Address: Permanent Address:

PINCODE PINCODE

Period Current Address Permanent Address

of
Stay From (month/year) To (month/year) From (month/year) To (month/year)

M M Y Y Y Y M MTILL
Y NOW
Y Y Y M M Y Y Y Y M M Y Y Y Y

Preferred Work Location: Bangalore Hyderabad Mumbai Chennai Kolkata Pune NCR (Delhi/ Gurgaon/ Noida)
At any of the above mentioned Locations
If you do not have a Passport, it is recommended that you Do you have an Aadhaar card? NO YES Applied For
apply for the same before joining.
***If ‘No’ kindly apply for Aadhaar immediately & submit Enrolment number with us.
If ‘Yes’ provide your Aadhaar Number & Name & share a copy of your Aadhaar card with us:
Passport Number:

Passport Expiry Date: D D M M Y Y Y Y Aadhaar Number:

Has your visa ever been rejected? YES NO Name as on Aadhaar Card:

(If yes, please provide the following details) – If ‘Applied For’ provide your Enrolment Number (below) & Name (above):
→
Enrolment Number: (e.g. 1111/12345/12345 05/09/2012 23:11:59 1111123451234505092012231159)
Date of rejection: D D M M Y Y Y Y d d m m m y y y y h h m m s s
For which country:
*** Please note that in view of a notification by the Employees Provident Fund Organization (“EPFO”) dated June 5, 2017,
Reason: furnishing of Aadhaar number is compulsory for all new members who join Employees’ Pension Scheme, 1995 with effect from
July 1, 2017. In the event, you fail to furnish Aadhaar number within stipulated timeline (by your date of joining/at least 7 days
prior to your first salary processing) and if you are eligible to be covered under the Employees’ Pension Scheme, 1995
(“EPS”), please note that Accenture as employer will not be able to generate your Universal Account Number in which case,
contributions made to your Provident Fund and Pension Fund accounts will not stand reflected and you will also lose out on
the Government’s contribution of 1.16% towards your pension scheme. Please note furnishing of Aadhaar number for feeding
in the ESIC database is also required by the Employees’ State Insurance Corporation for eligible employees. In case the
Aadhaar number is not fed, the e- Pehchan Card will only be temporary and the you and your family will not be entitled for
treatment beyond 30 days of registration. Similar to the above requirements there could be asks/requirement by other
regulators which may require furnishing of Aadhaar details. As an employer Accenture is hence requesting you to submit
Aadhaar details to comply with the requirement of the regulatory authority. Accenture is requesting you to provide Aadhaar
details only to achieve the above purpose

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Permanent Account Number - PAN (Mandatory):

NASSCOM – NSR (National Skills Registry) – IT PIN Number:

Driving License valid up to:
Driving License Number:
Provide References from 2 Individuals (Professional or Educational Contacts)

Name :

Designation :

Organization/ Institute :

Relationship :

Telephone No. :

Email ID :

Address :
Details of prior Employment with Accenture

**Candidates who have worked with Accenture as outsourced contract staff by Agencies are requested to select ‘No’

Have you worked with Accenture before? Yes No

If yes, please mention the period : From To

*Entity that you worked for ____________________________________ Old Employee ID: _________________

Entity - Operations (BPO) | Technology | Strategy/Digital (Consulting) | Enterprise

Details on prior interviewing Process with Accenture

Have you applied to Accenture in last 6 months? YES NO

If yes, please mention the period :

Previous CID:

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Education Details (Please mention all education details starting from highest full time degree obtained)

Qualification with Program (Part

Institution Name & City University Name & City Period (From–To) % Marks/
Specialization (Starting from Time / Full
(School/College) /Board Affiliated To (DD/MM/YYYY) CGPA
most recent) Time)

Post-Graduation TO

Graduation (Mandatory) TO

HSC/ 12th (Mandatory) TO

SSC/ 10th (Mandatory) TO

Others TO

State reasons for gap in education (if any) :

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  Begin with the details of your latest employer followed by previous employers as you go below and add page for additional employers as required.
 Ensure that you are descriptive wherever necessary – e.g. If your previous company is closed down, please do mention it.
 Telephone Number with specific location code, Employee Code/ ID/ Number is mandatory. If your previous employer did not provide the Employee ID, please mention and state reasons for the same. If
you do not have some necessary details like PF A/C no. and/or others, please mention as NA and provide the relevant reasons.

Employment details should be of the company you are on payrolls of, not of a company you are deputed to on an assignment with. In case you are showing employments experience in a skill
enabling or professional Training institute the same should only be shown if you were on the payrolls of such an institute.
Employment Details - Please mention all the employments starting from the latest employment
[Note: Verification of your Current Employment would be obtained on or after joining Accenture.]
Address Last
Emp Code/
(Main office drawn
Employmen Personnel No.
& branch monthl Mode of separation
t Type & Reported to (Name, Employment Period (Mandatory) / Reason
Si Company where y gross from the organization
Designation Position & direct From - To (dd/mm/ Social Security s for
No. Name worked) Salary (Pls select the below
/ Position contact number) yyyy) No.(Mandator leaving
withCompan (INR) & option)
held y if worked in
y Telephone– PF A/C
USA)
Board Line No.
Monthly
Permanent Salary : Resignation Termination

Absconded Closed
1 Contract TO PF Operations
Account:
Others(Specify)………………
Designation
.
Monthly
Permanent Salary : Resignation Termination

Absconded Closed
2 Contract TO PF
Operations
Account:
Others(Specify)………………
Designation
.
Monthly
Permanent Salary : Resignation Termination

Absconded Closed
3 Contract TO PF Operations
Account:
Others(Specify)………………
Designation
.
Monthly
Permanent Salary : Resignation Termination

Absconded Closed
4 Contract TO PF Operations
Account:
Others(Specify)………………
Designation
.
Additional Information:

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 Letter of Authorization
(For use of Personal Information and Sensitive Personal Data or Information)

To whom it may concern

I understand that my employment with 2COMS

---------, which expression shall unless repugnant to the context or meaning thereof mean and include its successors, nominees
assigns and administrators), is governed by Employment Policies as applicable, and that this employment is subject to satisfactory background checks [including
educational qualifications, past employment records, work experience, work authorization (if applicable) identity check, police clearance check, criminal records check,
court record checks etc.] and professional reference checks.
2COMS
I hereby certify all of the statements made on the ---------- Employee Application Form are true and complete, and I understand that any omission or
misrepresentation of any fact may result in revocation of the offer of employment or refusal of employment or immediate dismissal.

"I hereby declare and affirm that:

➢
I am not an undischarged insolvent and that I have never applied to any court of law to be adjudicated as an insolvent.
➢
No criminal charges have ever been framed against me by any court of law.
➢
I have not been convicted by any court for any offence involving moral turpitude.
➢
I have not been involved or been party to any financial or economic crimes in any manner whatsoever.
➢
I have never been involved or been party to any terrorist activities.

I agree and understand that, if at any time hereinafter, any or all of the above statements are found to be false
2COMS
/ untrue, --------------- shall, without prejudice to its other rights, shall have the right to forthwith revoke the offer of employment or terminate my services and
also initiate appropriate legal proceedings against me. I further agree and understand in the event of such revocation or termination, I shall not be entitled to
any compensation or benefits whatsoever.
2COMS
I hereby authorize ------------------ and its representative to collect, store, process, transfer and share my personal information and sensitive personal
information like bank accounts, PAN, biometric information, medical record, e-mail addresses etc.) provided in my resume and application of employment,
and to conduct enquiries as may be necessary, at the company's discretion.
2COMS
I authorize --------------- and its representative to initiate the necessary enquiries/checks with immediate effect; barring my current employment.
2COMS
Verification of my current employment can be initiated on or after the date of joining. I also authorize --------------- and its representative to initiate reference
checks with the references provided by me with immediate effect.
2COMS
Further, I also acknowledge and provide my consent to --------------- to transfer and share (within India or outside of India) such information with:
2COMS
a. Affiliates of --------------- for administrative purposes and/or audit;
b. Clients/prospects in relation to any staff augmentation assignments.

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I hereby declare that the execution of this authorization has been done of my own free will and consent and without any undue force or coercion in any
manner whatsoever.
2COMS
2COMS
I am aware that --------------- has adopted security practices and procedure to ensure that the information collected in secure and they are available on ----------
----- ’s website and in public domain.
2COMS
I authorize all persons who may have information relevant to this enquiry to disclose it to --------------- or its representative. I hereby release all persons from
liability on account of such disclosure.

Signature :

Full Name in Capitals :

Date :

Note instruction:

Kindly do not paste Digital Signatures. Please print this page and sign it. Mention your Name & Date, scan the form and upload OR share it
with the recruitment Point of Contact.