Personal Name and Form Mandatory Information

Submit Form

MANDATORY INFORMATION FORM
COLLEGE NAME: ____________________________________

DATE: __________________

PERSONAL INFORMATION (All the fields are Mandatory. Incomplete Forms may be Rejected. Please use block letters)

_________________________
Last Name: _________________________

Please paste your Passport
Size
Photograph here First Name:

Father/Husband Name:

______________

Date of Birth (DD/MM/YY): _______________________

Gender: Male

Female

Present Mobile Number: _______________________
Contact Number :

Permanent/Alternate Contact No: City STD Code: _______ Phone Number: ______________
Address: ____________________________________________________________________

Permanent Residential
Address :

Email (In case you have two ID’s kindly mention both) City: ______________________ State: ___________________ Pin Code: ______________

Email 1: _________________________________________
Email 2: _________________________________________
Education

Level
10th Std
12th Std
Graduation
Post-Graduation
Add. Qualification

Qualifi ti Stream/Branch

University/College

Year Of
Passing

% Or CGPA

Project Details

Project Title

From

Project Description

(DD/MM/YY)

To
(DD/MM/YY)

Project Domain (Please Tick)
Domain
Please
Tick
Domain
Please
Tick

Life
Sciences

Pharma

Banking

Health Care

Retail

Computers

Energy

Supply
Chain

Sales &
Marketing

IT
Services

Net working Operations
Research

Insurance

Telecom

Automotive

Note: Please attach your updated CV with this form. All information provided would be validated at the time of joining, if an offer is made. If any information provided by you is found incorrect GENPACT reserves the right to withdraw the offer of appointment.

Work Experience
Company

Date of
Joining

Position

Total Experience (Years, Months
& Days)
Are you open for relocation: Yes

Date of