TCS EMPLOYMENT APPLICATION FORM

Basic Details :

EP Reference # : EP2011RA632161

Personal Details :
Name : Mr. Antony Xavier

Father's Name : Mr. ANTONY XAVIER

Date of Birth : 11/08/1982

Gender : Male

Nationality : India

Country of Residence : India

PAN # : AKXPA0786C

Languages Known: (Mother Tongue appearing first)

Language Speak Read Write

Tamil Yes Yes Yes

English Yes Yes Yes

ADDRESS DETAILS :

Present Address : 44/1, NUTHAN LEATHERS BUILDING,

THAMBIYAH REDDY ROAD, WEST MAMBALAM

City : CHENNAI State : Tamil Nadu

Country : India Pin Code : 600033

Telephone # : 914352466211

Is the permanent and present No

address same?

Permanent Address : SOUTH STREET, KOVANOOR, KOTHANGUDI (PO)

NACHIYARKOIL (VI), KUMBAKONAM (TK)

City : KUMBAKONAM State : Tamil Nadu

Country : India Pin Code : 612602

Telephone # : 914352466211

Mobile # : 914352466211 E-mail ID : antony_ax@yahoo.com

ACADEMIC DETAILS :

Qualification : Starting from the latest qualification earned till class X or equivalent

Degree/Diploma Passing Specialisation/Major University/Institute Course Duration % of Awards and Scholarships

Year Subject Type From To Marks(Agg.
of all
semester/g
rade
obtained

Bachelor Degree BACHELOR OF 2004 INFORMATION ANNAMALAI UNIVERSITY, Full time Jul-2000 Apr-2004 65
ENGINEERING TECHNOLOGY CHIDAMBARAM

12th/Pre.Univ/Diploma HIGHER SECONDARY 2000 PHYSICS & MATHS LFH SEC SCHOOL Full time Jul-1998 Jul-2000 71
EDUCATION

10th/SSC SSC 1998 Maths science LFH SEC SCHOOL Full time Jul-1997 Jul-1998 58

Break in Studies

Break in Study (Reason and Duration) : Nil

EMPLOYMENT DETAILS : *Past Employment Needs To be supported by relieving/release letter at the time of joining

Name of Company Address of Company Duration Designation Nature of Duties Annual Gross
Salary
Start Date End Date

MINDTREE LTD GLOBAL VILLAGE, BANGALORE 24/05/2010 21/01/2011 ASSOCIATE CONSULTANT CODING AND
` 650000
CUSTOMIZING
THE APP

WIPRO TECHNOLOGIES ANNA SALAI,CHENNAI 26/02/2007 30/04/2009 SENIOR SOFTWARE ENGIN CODING AND
` 350000
CUSTOMIZING

SIEMENS INFORMATION ASCENDAS INTERNATIONAL TECH PARK, 9TH 11/09/2006 23/02/2007 SOFTWARE DEVELOPER CODING
` 110400
SYSTEMS FLOOR, CHENNAI

ZONIAC SOFTWARE PVT # 935 , G.K.S.TOWERS,II FLOOR, POONAMALEE 28/06/2004 28/08/2006 SOFTWARE ENGINEER CODING
` 72000
LTD HIGH ROAD CHENNAI : 600 084

Break in Employments
 Duration From Duration To Reason

May-2009 Mar-2010 MET AN ACCIDENT AND FRACTURED IN THE LEFT

FEMUR BONE

Break between Study & Employment (Reason and Duration) : Nil

Total IT Experience 69 Months

Total Non IT Experience 0 Months

Are you currently Employed No

Service Bond Details No

TCS RELATED DETAILS :

TCS Test/Interview :

Position Date Place Final Result

Joining Details :

Expected Cost to Company(CTC) :

` 780000

REFERENCE DETAILS :

Reference 1

Name RAGHAVENDRA

Designation PROJECT MANAGER

Organisation Name MINDTREE LTD

Address MINDTREE LTD, GLOBAL VILLAGE, BANGALORE

Contact No 919742278195

Nature of Acquaintance SUPERVISOR

Period of Acquaintance 0 Years , 9 Months

Reference 2

Name MITHILA

Designation SR SOFTWARE ENGG

Organisation Name MINDTREE LTD

Address Name MINDTREE LTD, GLOBAL VILLAGE, BANGALORE

Contact No 919916727837

Nature of Acquaintance SUPERVISOR

Period of Acquaintance 0 Years , 9 Months

DECLARATION :

Declaration and General Consent to Background Investigation:

In 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 employment is factually correct and subject to verification by
TCS including Reference Check and Background Verification.

I accept that an appointment given to me on this basis can be revoked and/ or terminated without any notice at any time in future if any information has been found to be false,
misleading, deliberately omitted/ suppressed.

As a condition of Company's consideration of my application for employment with the Company, I hereby give my consent to the Company to investigate or cause to be investigated
through any third parties my personal, educational and pre or post employment history. I understand that the background investigation will include, but not be limited to, verification
of all information given by me to the Company. I confirm that the Company is entitled to share such investigation report with its clients to the extent necessary in connection with
the Services, which I may be required to provide to such clients. I confirm and undertake that the Company shall incur no liability or obligation of any nature whatsoever resulting
from such investigation or sharing of the investigation results as above.
I certify that I am at present in sound mental and physical condition to undertake employment with TCS. I also declare that there is no criminal case filed against me or pending
against me in any Court of law in India or abroad and no restrictions are placed on my traveling anywhere in India or abroad for the purpose of business of the company.

I Agree : Yes

Date: 02/02/2011

Place : chennai

TCS 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 and nationality, that may be provided by you during
the course of application or selection process will be used for administrative records and all qualified applicants will receive consideration for
employment without regard to this information.