employment application form v4.0 wef 05mar2012

8/2/2019 Employment Application Form V4.0 Wef 05MAR2012

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Employment Application Form

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 4.0, wef - 05th Mar 2012 1

Please affix your

passport size photo here

Past IBM Interview Details (Fill in CAPITAL Letters)

iii) Updated Resume

iv) Valid Photo ID (Passport, PAN Card, Voter’s ID card, Driver’s License)

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

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

2) Please bring the following documents with you to the personal interview at IBM:

i) Completed IBM Employment Application Formii) Proof of Salary Documents

Offer letter with compensation break upOR

Latest increment letter from present organization with compensation break-up



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

Agency IBM Employee Referral

Agency name Name of the Employee

Employee Number (If Applicable)

Jobsites

Job Site Name E- Mail ID

IBM Application ID * C

* 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

Personal Email ID

Pan Card (If you are an Indian National)

Driver's Licence #

Passport Number D D M M M Y Y Y Y

Expiry

Place of Issue

Refer to the passport for this information

SOURCE INFORMATION (Fill in CAPITAL Letters)

PERSONAL INFORMATION (Fill in CAPITAL Letters)

Accepted Not Joined Candidate

* 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

It is important that you mention the

employee ID or Email ID accurately, please

confirm with the referrer if you are not sure

of the information

By submitting the IBM Employee Referral name you confirm that the referrer is known to

you personally or professionally. This relationship may be a result on account of

participation in various social networks which are either formal (examples of formal

networks are Linkedin, Facebook, Twitter, industry and competency associations) or

informal (examples of informal networks are former employment with the same company,

friends circle, alumni from same educational institution or study circles) .

You also confirm that the referrer has made you aware that by referring your candidature

to IBM for an opportunity of employment, he/she may be eligible to receive a referral

bonus.



Nationality

City of Birth

Country of Birth

Current Address

City

State

Country

Permanent Address (If different from the above)

City

State

Country

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

of which one reference has to be mandatorily your previous Manager's details

Please exclude Friends, Colleagues, Juniors, Relatives at work and Clients

*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.


PERSONAL INFORMATION…… CONTINUED (Fill in CAPITAL Letters)

PROFESSIONAL REFERENCES (Fill in CAPITAL Letters)

Name Contact Number Current occupation

Nature of

professional

Relationship

PIN Code

PIN Code

Comments*



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

M M M Y Y

Start Date

End Date

M M M Y Y

Start Date

End Date

M M M Y Y

Start Date

End Date

M M M Y Y

Start Date

End Date

M M M Y Y

Start Date

End Date

M M M Y Y

Start Date

End Date

State reasons for GAP in education, if any :

Professional Training (includes in progress degrees) - please mention the details

of 6, Employment Application form, version 4.0, wef - 05th Mar 2012

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

Course Tenure

* E.g. JAN09

SSLC ( 10th)

HSLC (12th)

Complete Name & Address of School / College / Institution and

Name of the University

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

D

Pe

Gra

* E.g. JAN09

* E.g. JAN09

Graduation

Post Graduation

University Name

EDUCATION DETAILS (Fill in CAPITAL Letters)

Qualification

_____________________________________________________________________________________________________________________________________

* E.g. JAN09

University Name

University Name

Professional

Qualification (Other

than already

mentioned above) like

CA, CFA etc

Others - PhD,

Additional Degrees

* E.g. JAN09

* E.g. JAN09



Do you have prior employment experience?

Start Da

End Dat

Start Da

End Dat

Start Da

End Dat

Total years of experience - (please do not include any training or internship experience) Years Months

State GAP in Employment if any:

of 6, Employment Application form, version 4.0, wef - 05th Mar 2012

No

Organisation Name

Address

Organisation Name

Address

Organisation Name

Address

1 -

Continue

2 -

Continue

Pin Code

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

Pin Code

1

2

3

EMPLOYMENT HISTORY (Fill in CAPITAL Letters)

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

Please include information on Self employment within the same period.

PLEASE MENTION COMPLETE DETAILS OF ORGANISATION NAME, COMPLETE ADDRESS WITH STREET NAME, AREA, CITY &

Serial

NoOrganisation Name and address

Employment Type

(Permanent/Contractual) and

Band / Grade

details

Yes

Pin Code

Organisation Name

Complete Address

Pin Code

Serial

NoDesignation Reasons for Leaving

Reporting Manager's Name and

contact number)*

Pin Code

If Employment Type is Contractual,

Organisation Name

Complete Address

Complete Address

Pin Code

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

Organisation Name

3 -

Continue



Have you worked for IBM earlier? Yes No

If "YES", please provide following details:

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

If "YES", please indicate your preference

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

Name of Government Organization and Department

Tenure

Job Responsibilities

Restictions ( if any)

Signature:

Place: Date:


Tenure (DD-MMM-YYYY)

Last working day

Annual Current CTC

= Total of A + B + C(Rs.)

Status

(Regular/FTH/Contractor)

Employee No. /

Contractor CodeManager's Name

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

Please mention below your annual compensation details

Comments

OTHER DETAILS (Fill in CAPITAL Letters)

(B).Variable Pay

(Rs.)

(C). Other allowances

(Rs.)

Relationship

** 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.)

Business Unit Date of JoiningLocation

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

_______________________________________________________________________

Business UnitName Designation

Declaration

• If applicable, I hereby confirm that in my duties as a government employee, I have (or have had) no matters involving IBM (in any capacity

whatsoever), or if I do, that I have officially withdrawn from participating in those matters while I am discussing potential employment with

IBM. All details of any such matters that I have been involved with, where IBM or any of its affiliates have been involved, are listed above.

• 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.

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 anyresponsibilit ies 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.