EMPLOYMENT APPLICATION FORM

POST APPLIED FOR:

FULL NAME IN BLOCK LETTERS
PARDHA SARADHI

NCHSRN

(LAST)

(FIRST)

PRESENT HOME MAILING ADDRESS:

PLEASE AFFIX
YOUR RECENT
PASSPORT SIZE
PHOTOGRAPH

(MIDDLE)

SECOND FLOOR

PLOT NO:878,SECRETARIAT COLONY, MANIKONDA

PIN CODE 500089
TELEPHONE (With Code)
E-MAIL :

CELL:

8447042299

PARDHUNANI143@GMAIL.COM

PERMANENT HOME MAILING ADDRESS:

BIRTH DATE [DD/MM/YYYY]

NCH GAYATRI DEVI,HOUSE NO:23-22,STATION ROAD,

8/8/1988

YELLAMANCHILI,VISHAKAPATNAM DISTRICT

AGE (YRS)
PIN CODE 531055

PERSONAL DATA

TELEPHONE (With Code)

GENDER

MARITAL STATUS

MALE

UNMARRIED

CASTE

SC

ST

CELL:
MARRIAGE DATE
(If Married)

DT

NT

SBC

LANGUAGES KNOWN (Including Foreign)

TELUGU
HINDU
ENGLISH

BIRTH PLACE

8447042299

YELLAMANCHILI

NATIVE STATE

RELIGION

NATIONALITY

AP

HINDU

INDIAN

GEN.CAT

[Other than GEN.CAT please arrange to produce Caste Certificate]

OBC

SPEAK

28

READ

WRITE

STATE OF DOMICILE

PASSPORT NO.

G8761321

PASSPORT ISSUE DATE

10/06/08

VALID UPTO DATE

09/06/18
INDIA

COUNTRY OF ISSUE
VALID VISA DETAILS

AJOPN4883H

PAN NUMBER
DETAILS OF FAMILY MEMBERS (parents, spouse, children, siblings & any other dependents excluding self)
NAME

RELATIONSHIP

DATE OF BIRTH

QUALIFICATION

OCCUPATION

ORGANIZATION AND POSITION

Father
NCHGAYATRIDEVI

Mother

HEALTH DATA

EMERGENCY CONTACT DETAILS

NAME

08/08/88

BABED GOVERMENT EMPLOYEE

NCH GAYATRI DEVI

ADDRESS

HOUSE NO:23-22,STATION ROAD,YELLAMANCHILI

RELATION

MOTHER

TELEPHONE NO.

HEIGHT (cms)

WEIGHT (kg)

BLOOD GROUP

94

A+

APSTATE

8447042299

EYESIGHT [SPECIFY POWER IF WEARING GLASSES/LENSES]

Right

-1

Left

-1

PHYSICAL DISABILITY (IF ANY)

HEALTH DAT

IDENTIFICATION MARKS

1. A MOLE ON LEFT PALM BELOW THE THUMB 2. A MOLE ON RIGHT SIDE OF THE
THROAT

EDUCATION
EXAMINATION PASSED

SSC OR Equivalent
School leaving Certificate

CORRES.

MONTH &
YEAR OF
PASSING

GRADE %
MARKS

FULLTIME

2003

82.67

AP
ADITYA JUNIOR COLLEGE INTERMEDIAT FULLTIME
E BOARD

2005

91

2009

71.56%

SCHOOL / COLLEGE /
INSTITUTION

UNIVERSITY/ FULLTIME /
PARTTIME/
BOARD

ADITYA PUBLIC SCHOOL

MPC

AP
STATEBOARD

DISTINCTIONS /
SCHOLARSHIPS / PRIZES
WON

DIPLOMA

Intermediate or
12th standard / HSC

WHETHER

DURATION OF
COURSE
(Yrs & Mths)

SPECIALISATI
ON

CSE

GMR INSTITUTE OF
TECHNOLOGY

JNTU

FULLTIME

DISTINCTION

POST. GRAD. DEGREE /

DIP. CERTIFICATE

DEGREE (S)

BTECH

MEMBERSHIP OF PROFESSIONAL INSTITUTE

NAME OF INSTITUTE

TYPE OF MEMBERSHIP AND POSITION HELD

PERIOD

DURATION OF MEMBERSHIP
FROM

TRAINING / CERTIFICATIONS
NAME OF THE TRAINING COURSE

DURATION

YEAR

WHETHER CERTIFICATE
AWARDED

INSTITUTE / ORGANISATION

REDHAT CERTIFIED SYSTEM ADMIN

IBM CERTIFIED MQ ADMIN
IBM CERTIFIED MESSAGE BROKER ADMIN

PAPERS PUBLISHED / PRESENTED

TITLE

NAME & DATE OF THE SEMINAR / JOURNAL IN WHICH PRESENTED / PUBLISHED

COMPARING BLOCKIP2 WITH CHANNEL AUTHENTICATION RECORDS

FOR WEBSPHERE MQ SECURITY

IBM DEVELOPER WORKS WEBSITE

EXTRA CURRICULAR ACTIVITY (E.G. Sports, Social & Literary activities etc.)
ACTIVITY

INSTITUTION/ASSOCIATION/SOCIETY/CLUB

YEAR

POSITION HELD

PRIZES WON

SKILLS SUMMARY
(Give brief details for the projects you have worked on)
PROJECT TITLE

ROLE

TEAM SIZE

DURATION

LANGUAGE / PLATFORM / OS

DEUTSCHE BANK

SYSTEM ADMIN

2.5 YEARS

UNIX,WEBLOGIC ,MQ

STATESTREET CORPORATION

MQ ADMIN

36

3.8 YEARS

MQ,MB

WORK EXPERIENCE
In unbroken chronological order starting from your present employment and ending with first employment
(Please account for all the periods of time not covered by education / training) [Please attach extra sheet if required]
EMPLOYER'S NAME
& ADDRESS

DURATION
PERIOD(Yrs.)
3 YEARS 7MONTHS
FROM
16-07-2012
TO

IBM INDIA PVT LTD

PRESENT
GROSS EMOLUMENTS Rs.
Per month

Details of Current
Emoluments
EMPLOYER'S NAME
& ADDRESS

DURATION
PERIOD(Yrs.)
2.5 YEARS
FROM
12/21/09

TCS BANGALORE

TO
07/06/12
GROSS EMOLUMENTS Rs.
Per month

EMPLOYER'S NAME
& ADDRESS

DURATION
PERIOD(Yrs.)

LAST POSITION HELD DESIGNATION

TECHNICAL SERVICE SPECIALIST

NATURE OF DUTIES
PROVIDING SME SUPPORT FOR MQ AND MB SERVERS

NAME & DESIGNATION OF IMMEDIATE SUPERIOR

KRISHNA DUBEY MANAGER
AT THE TIME OF JOINING

576844

LAST DRAWN

70653

BASIC (P.M.)

FIXED (P.A.)

VARIABLE (P.A.)

GROSS (P.A.)

29116

837339

125000

896517

LAST POSITION HELD DESIGNATION

NATURE OF DUTIES

SYSTEM ADMIN

PROVIDED SUPPORT FOR DUETSCHE BANK CORE

BANKING APPLICATION

NAME & DESIGNATION OF IMMEDIATE SUPERIOR

SRINIVAS MANAGER
26000

AT THE TIME OF JOINING

LAST POSITION HELD DESIGNATION

LAST DRAWN

NATURE OF DUTIES

FROM
NAME & DESIGNATION OF IMMEDIATE SUPERIOR
TO

GROSS EMOLUMENTS Rs.

Per month

EMPLOYER'S NAME
& ADDRESS

DURATION
PERIOD(Yrs.)

AT THE TIME OF JOINING

LAST DRAWN

LAST POSITION HELD DESIGNATION

NATURE OF DUTIES

FROM
NAME & DESIGNATION OF IMMEDIATE SUPERIOR
TO

GROSS EMOLUMENTS Rs.

Per month

EMPLOYER'S NAME
& ADDRESS

DURATION
PERIOD(Yrs.)

AT THE TIME OF JOINING

LAST DRAWN

LAST POSITION HELD DESIGNATION

NATURE OF DUTIES

FROM
NAME & DESIGNATION OF IMMEDIATE SUPERIOR
TO

GROSS EMOLUMENTS Rs.

Per month

EMPLOYER'S NAME
& ADDRESS

DURATION
PERIOD(Yrs.)

AT THE TIME OF JOINING

LAST DRAWN

LAST POSITION HELD DESIGNATION

NATURE OF DUTIES

41360

FROM
NAME & DESIGNATION OF IMMEDIATE SUPERIOR
TO

GROSS EMOLUMENTS Rs.

Per month

AT THE TIME OF JOINING

LAST DRAWN

DRAW IN BRIEF THE ORGANISATION STRUCTURE OF THE COMPANY WHERE YOU ARE PRESENTLY EMPLOYED INDICATING TWO
LEVELS ABOVE AND ONE LEVEL BELOW YOUR POSITION (PLEASE ALSO INDICATE THE TOTAL NUMBER OF PERSONS UNDER YOU)
MANAGER,TEAMLEAD,MYSELF,SHIFTLEAD,TEAM MEMBERS

WHAT ARE YOUR SIGNIFICANT ACHIEVEMENTS AND EXPLAIN WHY YOU CONSIDER YOURSELF SUITED FOR THE POSITION :
HAVE TECHINCAL EXPERTISE AND EXPERIENCE IN SUPPORTING IBM MQ AND MESSAGE BROKER. HARD WORKING,GOOD AT BUSINESS COMMUNICATION

HAVE YOU EVER BEEN INTERVIEWED BY ANY OF THE L&T GROUP OF COMPANIES?

YES

NO

DATE/YEAR

POSITION

COMPANY

If Yes, give
details

RELATIVES / ACQUAINTANCE IN L&T GROUP OF COMPANIES

GENERAL DATA

NAME

RELATIONSHIP

POSITION

HOW DID YOU COME TO KNOW OF THIS POSITION?

THROUGH FRIEND
if YES,
indicate nature of
business

ARE YOU ENGAGED IN ANY PERSONAL BUSINESS ?

YES

NO

DO YOU HAVE ANY CONTRACT / BOND

WITH YOUR PRESENT EMPLOYER?
YES

COMPANY & TELEPHONE NOS.

if YES,
Give Details

NO
IF SELECTED, WHEN CAN YOU JOIN?

CRIMINAL
RECORD

NAME, ADD., AND TEL Nos. OF TWO SUPERIORS FAMILIAR WITH YOUR WORK (NOT RELATIVES)
NAME

COMPANY & POSITION

TELEPHONE NOS.

E-MAIL ID

KRISHNA

IBM

75061819105

KRISHNADUBEY2408@GMAIL.COM

SRINVIAS

TCS

9980219219

RAO.SRINIVAS@DB.COM

HAVE YOU EVER BEEN INVOLVED IN ANY CRIMINAL PROCEEDINGS / CONVICTED OF ANY OFFENCE? IF YES, GIVE DETAILS

DECLARATION UNDER SECTION 314 OF COMPANIES ACT, AS AMENDED IN 1974 (Tick whichever is applicable)
I hereby declare that I am not connected with any of the Directors of the Company as his partner or his relative as defined under section 6 of
the Companies Act 1956

OR
I hereby declare that I am a partner or relative of

a Director of the Company

as

I declare that the information given above is true to the best of my knowledge. I am aware that any false or incorrect information by me may result in
termination of my service with the Company. I have no objection to your inquiring from any of my previous employers on any matters pertaining to me, if I join
your Company.
PLACE

HYDERABAD

DATE

03/03/16

Applicant's Signature

NCHSRN PARDHASARADHI

ORM

EASE AFFIX
UR RECENT
SSPORT SIZE
OTOGRAPH

ATE [DD/MM/YYYY]

8/8/1988
28

RTH PLACE

LAMANCHILI
STATE OF DOMICILE

duce Caste Certificate]

G8761321

10/06/08

09/06/18
INDIA

JOPN4883H

ATION AND POSITION

STATE

DISABILITY (IF ANY)

DISTINCTIONS /
CHOLARSHIPS / PRIZES
WON

DISTINCTION

MBERSHIP
TO

ER CERTIFICATE
AWARDED

D / PUBLISHED

PRIZES WON

E / PLATFORM / OS

IC ,MQ

UTIES

R MQ AND MB SERVERS

70653
GROSS (P.A.)

896517

UTIES

UETSCHE BANK CORE

CATION

41360

UTIES

UTIES

UTIES

UTIES

CATION

COMPANY

HONE NOS.

E-MAIL ID

BEY2408@GMAIL.COM

INIVAS@DB.COM

may result in
taining to me, if I join

CHSRN PARDHASARADHI

10