Sheet1APPLICATION FORMHCL Employee IDHCL Email IDCurrent LocationBusiness UnitSECTION I: Personal Details (all fields are mandatory)SalutationDate of Birth (dd/mm/yyyy)First NameGenderMiddle NameNationalityLast NameMarital StatusDetails of any one ParentRelationshipo Father o Mother o GuardianName Academic QualificationOccupationSECTION II: Contact Details (Fields marked as * are mandatory)II (A): Correspondence AddressAddress Line 1 *Address Line 2Address Line 3City *State *Pin Code *II (B): Permanent Address Same as Address of Correspondence * [ Y/ N ]Address Line 1 *Address Line 2Address Line 3City *State *Pin Code *II (C): Other DetailsMobile No*Alternate Contact NoCountry CodeNumberCountry Code / Std CodeNumberPrimary Email ID* (non HCL)Alternate Email IDSECTION III: Loan Requirement (Please mark as 'T' the most appropriate option)I would need to take loan for doing this programNilRs.1,00,000/-Rs.2,00,000/-Rs.2,50,000/-SECTION IV: Education Details (All Fields are mandatory)S NoParticularsRoll NoYear of PassingBoard% age / CGPAName of SchoolAddress of School with City & Pin code1Senior Secondary (10th)2Higher Secondary (12th)Roll NoYear of PassingDegreeSpecialization% age / CGPACollege / Institute Name, University (with City & Pin code)3Bachelor Degree4SECTION V: Experience Details (All Fields are mandatory, list from latest to oldest)S NoOrganizationFromToDesignationReporting To(Name & Contact No)LocationComp (Annual in Rs)Nature of Work1HCL234SECTION VI: Declaration< 3.5 x 4.5 cm>

I certify that I have furnished correct and complete information in this form. I understand that instances of provision of incorrect information detected at any stage of the selection process or subsequently will automatically disqualify me from the selection process or from date of detection retrospectively. I will not approach Shiv Nadar University to change/include any data after the last date of registration.

I declare that the information entered by me is correct.

NameDatePlaceSignature ^Passport Size Picture( ^The incumbent will sign the hard copy of this form and paste the photograph at the time of personal interview)

SECTION VIII: For Office Use

Date of ReceiptProcessed DateRemarks

&"Arial,Regular"&8SHMP_2014&"Arial,Regular"&8School of Management and Entrepreneurship

&"Arial,Regular"&8&G

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