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    Accenture Services Private Ltd.

    AccessListTemplate

    Details of Templates

    S.no ClassificationName of theDocument

    User or GroupName Retention Media

    1 Confidential EAF IDCRecruitment

    Oneyear

    SoftCopy

    Emploment Application !orm (v.4.7)

    Effective from Jan , 2014 EAF Version 4.7

    "repared #$Shweta Paralikar

    Re%ie&ed #$Rahul Narayan

    Appro%ed #$Saurav Bose

    Name$EAF

    Date$13thJan, 14

    Document No$AHF!"""#

    'ersion No$$er 4.7

    Status$

    Approved

    Version Contro

    !em"ate

    Form #o$ Version Contro %.e.f Se"t 01, 2004$er%ion &o 'ate repared y evie*ed y

    $er 1.1 "+ !arh -""4 Sita /0ar ne%h a*ar

    $er 1.- "- !ay -""4 Ait elan ne%h a*ar

    $er 1.3 J0ly 1, -""4 Ait elan ne%h a*ar

    $er 1.4 A020%t +, -""4 Ait elan ne%h a*ar

    $er 1.+ Septeer 3, -""4 Ait elan ne%h a*ar $er 1. Ot 1,-""4 Ait elan ne%h a*ar

    $er -." 3" !arh -""+ Shiha !0her5ee ne%h a*ar

    $er -.1 "# !ay -""+ Shiha !0her5ee ne%h a*ar

    $er -.- "+ Septeer -""+ Shiha !0her5ee ne%h a*ar

    $er 3." "1 &oveer -""+ S0ndara Sriniva% ne%h a*ar

    $er 3.1 "7 A020%t -"" S0ndara Sriniva% ne%h a*ar

    $er 3.- 1 Septeer -""6 'ea%ita Sahooree%haa0thaan

    $er 3.3 1+ !ay -""# 'ea%ita Sahoo eor2e Araha

    $er 4." 11 &ov -""# Ai%h*arya S0ndar eor2e Araha

    $er 4.1 1%tJ0ly, -"1- Sh*eta araliar Anil Chada

    $er 4. 1%tJ0ly, -"13 Sh*eta araliar &eer5a &ath

    $er 4.7 13thJan, 13 Sh*eta araliar Sa0rav 8o%e

    lea%e attah reent

    pa%%port %i9e

    photo2raph

    For internal use only: To be filled by Accenture

    Emploee ID Num(er$

    Date of )oinin* $

    +or,force $

    Classification$ CF'(E#!'AL

    Do not for&ard or cop data in part or full &ith out e-plicit permission of

    Entit) *ecruitment Lead

    Use Stron* authentication

    Retention period is Default default as per "olic /012

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    Accenture Services Private Ltd.

    Pease "rovide com"ete and correct information

    A fieds are mandator)

    Pease do not use s+ort forms a--reviations.

    "ersonal Details

    Pease e"and initias in )our name // As t+e same oud -e used in our Em"o)ment records

    TitleMr.3Mrs.3Ms.2

    !irst Name Middle Name Last Name

    "rimar S,ill 3Competenc

    Source3Channel

    :f yo0r So0re to Aent0re i% thro02h a eferral, plea%e onfir yo0r referral i% thro02h Emploee CaAn other Source

    Eployee;Candidate &ae $ 4444444444 6es No:f ye%, *or perit;:O;OC: Card valid 0p?to 44444444.('';!!;

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    Accenture Services Private Ltd.

    "eriod of Sta

    !rommonth3ear2

    Tomonth3ear2

    !rommonth3ear2

    Tomonth3

    "referred +or, Location: 8an2alore Hyderaad !0ai Chennai /olata 0ne

    &C ('elhi; 0r2aon; &oida) Any of the aove entioned oation%

    'f )ou do not +ave a Pass"ort, it is recommended t+at )ou a"") for t+e same -efore oinin.

    "assport Num(er $ "assport E-pir Date $

    8as our %isa e%er (een re9ected 6es No If es: please pro%ide the follo&in* details2

    Reason $

    Date of re9ection $ !or &hich countr $

    "ermanent Account Num(er "AN2 $

    NASSC;M < NSR National S,ills Re*istr2 < IT "IN Num(er $

    Dri%in* License Num(er $

    Dri%in* License %alid up to mm3dd32 $

    *eference 3From )our current em"o)er on)

    Name and Desi*nation $

    ;r*ani5ation $

    Relationship $

    Address $

    Telephone and Email ID $

    (etais of "rior Em"o)ment it+ Accenture

    8a%e ou &or,ed &ith Accenture (efore= 6es No

    If es: please mention the period DD3MM366662$ !rom >>>>>>>>>> To>>>>>>>>>>

    Entit that ou &or,ed for #"; Technolo* Consultin* Enterprise$ ;ld Emploee ID$ >>>>>>

    Effective from Jan , 2014 EAF Version 4.7

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    Accenture Services Private Ltd.

    (etais on "rior interviein Process it+ Accenture

    8a%e ou applied to Accenture in last ? months= 6es No

    If es: please mention the period MM3662 $ >>>>>>>>>>>>>>>>>>>>

    "re%ious CID$ >>>>>>>>>>>>

    Effective from Jan , 2014 EAF Version 4.7

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    Accenture Services Private Ltd.

    Education Details Pease mention a education detais startin from +i+est fu time deree o-tained2

    @ualification &ithSpeciali5ation

    Startin* from most

    recent2

    Institution Name CitSchool3Colle*e2

    Uni%ersit Name Cit 3 #oard Affiliated

    To

    "eriod!rom < To2

    dd3mm32

    Student ID 3Re* No.

    "ro*ram"art Time 3 !ull

    Time2B Mar,s3 CG"A

    "G

    Graduation

    8SC3 /0th

    SSC3 /th

    ;thers

    State reasons for *ap in education if an2 $

    Effective from Jan , 2014 EAF Version 4.7

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    Accenture Services Private Ltd.

    Ensure t+at )ou are descri"tive +erever necessar) 5 e.. 'f )our "revious com"an) is cosed don, "ease do mention it. !ee"+one

    #um-er it+ s"ecific ocation code, Em"o)ee Code '( #um-er is mandator). 'f )our "revious em"o)er did not "rovide t+e Em"o)ee'(, "ease mention and state reasons for t+e same.

    Em"o)ment detais s+oud -e of t+e com"an) )ou are on "a)ros of, not of a com"an) )ou are de"uted to on an assinment it+. 'n case

    )ou are s+oin em"o)ments e"erience in a s6i ena-in or "rofessiona !rainin institute t+e same s+oud on) -e s+on if )ou ereon t+e "a)ros of suc+ an institute.

    Emploment Details3Pease mention a t+e em"o)ments startin from t+e atest em"o)ment

    Note: Verification of your current eployent would be obtained on or after !oinin" Accenture#

    Sl No CompanName

    AddressMain office (ranch &here&or,ed2 &ith

    CompanTelephone < #oard

    Line

    Emploment Tpe

    Desi*nation3"osition held

    Reported toName

    "osition direct contact

    num(er2

    Emploment"eriod

    !rom Todd3mm3 2

    Emp Code 3"ersonnel No. 3Social Securit

    No.Mandator if&or,ed in USA2

    "ro%ident!und A3CNum(erreferSalarslip2

    Last dra&nmonthl

    *rosssalar INR2

    Reasons forlea%in*

    Mode of the o

    "ls se

    Emploer/ Permanent

    Contract

    ResigTermAbscCloseOthe

    'e%i2nation

    4444444..

    Emploer0 Permanent

    Contract

    ResigTermAbscCloseOthe

    'e%i2nation

    4444444..

    Emploer1 Permanent

    Contract

    ResigTermAbscCloseOthe

    'e%i2nation

    4444444..

    Effective from Jan , 2014 EAF Version 4.7

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    Accenture Services Private Ltd.

    Emploer Permanent

    Contract

    ResigTermAbscCloseOthe

    'e%i2nation

    4444444..

    Effective from Jan , 2014 EAF Version 4.7

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    Accenture Services Private Ltd.

    Letter of Authori5ation

    Bo *ho it ay onern

    : a2ree to provide opie% of ar %heet% and relevant ertifiate%. : 0nder%tand that eployent *ithAent0re i% 2overned y Aent0re Eployent oliie% a% appliale, inl0din2 %ati%fatory inforationfro a a2ro0nd he.

    : herey ertify all of the %tateent% ade on the Aent0re Servie% rivate td Eployee AppliationFor are tr0e and oplete and : 0nder%tand that oi%%ion or i%repre%entation of any fat ay re%0lt inref0%al of eployent or iediate di%i%%al.

    : herey a0thori9e Aent0re Servie% rivate td and it% repre%entative to verify inforation provided in yre%0e and appliation of eployent, and to ond0t en0irie% a% ay e nee%%ary, at the opanyD%

    di%retion. I authori5e Accenture Ser%ices "ri%ate Ltd. and its representati%e to initiate the necessarenFuiries3chec,s &ith immediate effect (arrin* m current emploment. $erifiation of y 0rrenteployent an e initiated on or after the date of 5oinin2. : a0thori9e all per%on% *ho ay haveinforation relevant to thi% en0iry to di%lo%e it to Aent0re Servie% rivate td. or it% repre%entative. :relea%e all per%on% fro liaility on ao0nt of %0h di%lo%0re.

    Si*nature $

    Name in Capitals $

    Date $

    3Pease "rint t+is "ae, Sin, mention #ame (ate, scan and u"oad s+are it it+ t+e recruitmentP&C

    Effective from Jan , 2014 EAF Version 4.7