TCS APPLICATION FORM

PERSONAL DETAILS

CT Reference # College/Institute Name Mother's Maiden Name Father's Name Mother's Name Date of Birth Nationality Gender Area Of Interest PAN Card No.

CT20110391230 Gandhi Inst Of Tech & Mgmt-Visakhapatnam Mr. Lavan Kumar Surisetty Dadi Mr. Appa Rao Surisetty Mrs. Krishna Veni Surisetty 06/07/1990 India Male Both CDQPS7115F

ACADEMIC DETAILS :

Is your PG a 5 year Integrated Course? No

Degree

Course Name

Duration From

Duration To

Course Type

University/ Institute

Major Subject

CGPA /Marks Obtained

Total CGPA/ Marks 10.0

Percentage

Graduate Bachelor Of 07/07/2008 30/04/2012 FULL TIME Gandhi Inst Mechanical

Technology Of Tech & MgmtVisakhapatn am XII/ Board Of 01/06/2006 31/03/2008 FULL TIME Narayana Junior College 01/06/2005 31/03/2006 FULL TIME Tiny Tots Public School M.P.C.

7.58

75.8

894.0

1000.0

89.4

Equivalent Intermediate Diploma X Edu.Ap Board Of Secondary Ed.Ap

476.0

600.0

79.33

Are there any break in studies?

No

Rewards or Scholarships: NA

Academic Projects Undertaken : NA

Have you done any other course?

No

Do you have any pending backlogs currently?

No

OTHER DETAILS

Passport Details:

Passport Number

Date Of Issue

Valid Upto

Place Of Issue

Country of Residence

ECNR Check

J7366486

22/08/2011

21/08/2021

Visakhapatnam

India

LANGUAGE DETAILS

Language
English Hindi Telugu

Mother Tongue
No No Yes

Read
Yes Yes Yes

Speak
Yes Yes Yes

Write
Yes Yes Yes

Have you appeared for TCS Tests/Interviews earlier? No

REFERENCES

Reference1 Name Designation Contact No. E-mail ID V Sai Srikanth Associate Professor 9848418725 varanasi_sai@rediffmail.com

Reference2 Rajesh Ghosh Assistant Professor 9885238938 rajesh_ghosh@yahoo.com

CONTACT DETAILS
PERMANENT ADDRESS
House No./ Apartment Name/ Block No Road/Street/Lane Area City State PIN Code Country 44-34-67 Nandagirinagar Akkayyapalem Visakhapatnam Andhra Pradesh 530016 India

PRESENT ADDRESS
House No./ Apartment Name/ Block No. Road/Street/Lane Area City State PIN Code Country 44-34-67 Nandagirinagar Akkayyapalem Visakhapatnam Andhra Pradesh 530016 India

CONTACT
E-mail ID Telephone(R) Alternate E-mail ID Telephone(M) lavanskumar@gmail.com 91-9393265719 lavankumar.mech08@gitam.in 91-9989999343

TCS TERMS AND CONDITIONS

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 traineeship 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 traineeship 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 joining history. I understand that the background investigation willinclude, 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 travelling anywhere in India or abroad for the purpose of business of the company.

Date: 28/08/2011

Place: Visakhapatnam

Signature ________________

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.