webdynpro info

7/30/2019 webdynpro info

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1. PERSONAL DETAILS

Full Name (First, Middle, Last)

Former Name/Maiden Name

(if applicable)

Original color passport size

photographs

Fathers Name Gender:

Male Female

Date of Birth (dd/mm/yy) Social Security Number

(if applicable)

Contact Number Email

Nationality Marital Status

2. Have you ever worked for CA or any of its divisions before: Yes [ ] No: [ ]

3. DETAILS OF ADDRESSES

Complete Address

Period of Stay

From (mm/yy)

To (mm/yy)

Landline Telephone

Number/Mobile No.

Current Residential

Address

(with Prominent

Landmark)

Permanent Address

(if different from current

residential address)

(with Prominent

Landmark)

AN EQUAL OPPORTUNITY

EMPLOYER

EMPLOYEE BACKGROUND CHECK DETAILSIndia

In order that your application may be properly evaluated, it is essential

that ALL of the following questions be answered carefully and completely


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4. EMPLOYMENT SECTION

Please give details of all Current/Previous employers covering last (5) years

Ensure that you are descriptive wherever necessary e.g. If Co. is closed, do mention it. Employee Code/

ID/ Number are mandatory . If your last employer did not provide one, please mention and state reasons for

the same.

Details of Current Employer

Company Name (1) : Position Held & Department

Address (main office and branch where worked): Telephone:

Employment Period: (date, month, year)

From To

Employee Code/

Personnel No:

Name of Reporting

Manager:

Designation & Department of Reporting Manager: Contact No: Email ID:

SSN No. (mandatory if worked in USA or Canada):

Whether employment is of permanent or temporary nature - Permanent Temporary

Agency Details (if temporary or contractual)

Remunerations Reason(s) for Leaving

Can a reference be taken now? Yes / No.

If no, when can it be taken?


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Details of Previous Employers

Please attach a copy of your relieving letter/service certificate for this




From To

Employee Code: Name of Reporting Manager

Designation & Department of Reporting Manager Contact No: Email ID:




Details of Previous Employers

Please attach a copy of your relieving letter/service certificate for this




From To

Employee Code: Name of Reporting Manager

Designation & Department of Reporting Manager Contact No: Email ID:




Note: Please add more boxes if required


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5. EDUCATION QUALIFICATION (Please Attach A Copy Of Educational Certificates for

this )

Details Graduation Post Graduation Professional

Qualification

Name of Course

College Name andAddress

University Name and

Address

Duration of Course

Year of Completion

Mode of Study (Full

Time/Part Time)

Roll No/ EnrollmentNo.

SSN No. (if Studied in

USA or Canada)

6. PASSPORT RELATED DETAILS (Please ensure a copy of the passport or any other

identity document (Ration Card or PAN Card is attached)

Passport No. Place of Issue Date of Issue Expiry Date

7. PLEASE ACCOUNT FOR ANY AND ALL GAPS IN EDUCATION OR EMPLOYMENT DURING

YOUR TENURE

From To Reason: Complete Address and Location

From To Reason: Complete Address and Location


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8. JOINING DETAILS

Minimum Joining Period

Notice Period of Current Employment:

Location Preference, if any

Location constrains, if any

9. REFERENCES

Individuals who have known you well in professional capacity, for example, previous or present colleagues,

employers, customers.

1. Name and Designation:

Company

Phone


Company

Phone


Company

Phone


Company

Phone

1. Are you currently engaged in any other business either as a proprietor, partner, officer, director, trustee,

employee, agent or otherwise? No Yes

If yes, please give details.

_______________________________________________________________________

2. Have you ever been arrested for or convicted of a criminal offence? No Yes


_____________________________________________________________________

3. Have you ever been declared bankrupt? No Yes


_____________________________________________________________________

4. Have you ever had any civil judgments made against you ? No Yes


______________________________________________________________________

8. Do you know or are you related to anyone who works for the CA?

If yes, please give name and relationship

______________________________________________________________________


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12. CURRENT SALARY DRAWN (Please ensure this is filled in detail)

Component (monthly) Value (Monthly) Value (Annual)

Take Home Salary:

Annual Gross Salary:

Expected Take Home Salary

Expected Annual Salary:

( Please do not discuss your compensation with anybody else in the organization except HR, as you will appreciate thatcompensation is a confidential matter)

Signature of Candidate Date Location


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NOTICE REGARDING APPLICANT BACKGROUND INVESTIGATION

IMPORTANT - PLEASE READ CAREFULLY BEFORE SIGNING

ATTACHED ACKNOWLEDGEMENT

You have applied for employment with Computer Associates ("CA"). It is normal policy for CA to

investigate the information contained in each application, and other relevant background

information to determine whether the applicant is suitable for a position with CA. We only do this

if the applicant consents. If the applicant does not consent, we will not be able to consider his or

her application any further.

The checks we conduct are limited to publicly available or recorded information and other

information that is only available with the applicants written consent please see below for more

information. We do not make any other checks. All checks are conducted by a third party and a

report is provided to CA.

As part of this process you will be given an Employment Application Form to be completed. Upon

the receipt of completed Application Form and signed consent letter we will initiate Background

Investigation.

Please confirm below that you agree to CA carrying out the below mentioned checks. If we do not

receive your consent within 7 days, we will not be able to consider your application any further. It

is normal practice for your current employer to be contacted during the screening process. It is

fully understood that in certain circumstances this may be an area of sensitivity and If you would

rather this approach happen at a later stage of the process, then please indicate a date on which

we can initiate such contact.

DATA PROTECTION NOTICE:

If you consent to the checks, you have the following rights:

The name of the third party agency which completes these reports for CA is First

Advantage Quest Research (FAQR).

The information obtained by the third party agency will be passed onto to CA in the form of

a report.

CA will only retain the information to the extent that it is relevant. If your application is

not successful, CA will destroy the information after a reasonable period and not retain

copies.

The purpose of obtaining the information is to allow CA to verify the details you have

provided as part of your application and to understand if there is any other information that

would be relevant to a decision to hire you (e.g. if you have a criminal conviction).

The information will be kept strictly confidential within CA and only disclosed to the HR,

Legal and Security departments as necessary.

The following table sets out the information that will be searched:


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Tier 1

Executive Level

Band 5

Tier 2

Exempt/Hourly Positions

Bands 1/2/3/4

Tier 3

Child Development Centre

& Similar Sensitive

Positions

Residency (last 6 years)

Credit Report

Past Employment

Verification

(10 years/previous 3

employers)

Criminal History Report

*(10 years)

Education Verification

Asset (property ownership)

Search

Civil Records Search

Company Directorship

Check

News Media Search


Past Employment

Verification

(5 years/previous 2

employers)

Criminal History Report

(best available search for

region)

Database checks

Residency (last 6 years)

Credit Report

Past Employment Verification

(10 years/ previous 3

employers)

Advanced Criminal Records

Bureau Search


Personal References

APPLICANT ACKNOWLEDGEMENT AND AUTHORISATION

(To Be Completed By Applicant)

I acknowledge receipt of the NOTICE REGARDING APPLICANT BACKGROUND INVESTIGATION and

I confirm that I have read and understand the above information.

I hereby authorise Computer Associates and the named third party to obtain the background

information mentioned above for the purposes outlined above. I also hereby release from liability

all persons and entities requesting and/or supplying such information in relation to the disclosure

of that information, however this release does not extend to the originator of such information for

the fairness and accuracy of the information disclosed.

________________________________ ______________________________________

Name (First, Middle, Last) Signature

________________________________________

Date

CA has a policy not to discriminate in employment on the basis of age, race, color,

religion, sex, ancestry, national origin, citizenship status, marital status or disability.

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