HCL TECHNOLOGIES LTD.

APPLICATION FORM
Please fill in the details with utmost attention, as these shall be verified by HCL Technology Limited
and/ or by its authorized representatives.

All details are compulsory.

PERSONAL DETAILS
Full Name of Applicant: Vishwa Subramaniyan

HCL SAP Code: 52304781

HCL Official Email id: Vishwa.subramaniyan@hcltech.com

HCL Office Address:HCL Tech ,Madurai-SEZ campus

Date of Birth (dd/mm/yy):20/02/2002 Place of Birth: Nerkuppai

Sex: Male Nationality:India

Father’s Name: Subramaniyan Passport No.:

Home Phone: Office Phone: Mobile:9566572609

RESIDENTIAL ADDRESSES
PERMANENT ADDRESS:4/A,VADUGAPATTI,NERKUPPAI. POST ,THIRUPATTUR TALUKA,SIVAGANGA DIST,630 405

City:SIVAGANGA State:TAMILNADU Pin Code:630405 Phone No.:9566572609

Duration of Stay: From (mm/yy) To (mm/yy)

Nature of location: Rented Own Other (Specify)

LANDMARK:

All details are compulsory Strictly Private & Confidential

 HCL TECHNOLOGIES LTD.
CURRENT ADDRESS: PERMANENT ADDRESS:4/A,VADUGAPATTI,NERKUPPAI. POST ,THIRUPATTUR
TALUKA,SIVAGANGA DIST,630 405

City:SIVAGANGA State:TAMILNADU Pin Code:630405 Phone No.:9566572609

Duration of Stay: From (mm/yy) To (mm/yy)
Nature of location: Rented Own Other (Specify)

LANDMARK:

Address History:

Period Of Stay Address Landmark Pincode State Country Contact

number

From MM/YY To MM/YY

EDUCATION DETAILS

All details are compulsory Strictly Private & Confidential

 HCL TECHNOLOGIES LTD.
NAME & ADDRESS DATES ATTENDED
NAME & OF
COURSE MARKS (%) ROLL NUMBER/
ADDRESS OF BOARD / UNIVERSITY YEAR
ATTENDED CGPA REGISTRATION
QUALIFICATION SCHOOL / TO WHICH THE OF YEAR
(MORNING/ EVENING/ & NUMBER/ EXAM
COLLEGE/ SCHOOL / COLLEGE / CORRESPONDENCE) ENROL PASSED
CLASS SEAT NUMBER
INSTITUTE INSTITUTE MENT (MM/YY)
IS AFFILIATED TO (MM/YY)

GRADUATION Morning

DEGREE:

DISCIPLINE: Alagappa
APSA college,B.Voc
university,AP 78% 2020 2023 0520165028
Full Time BFSs
SA college
Part time
Distance
learning
course
POST
GRADUATION

DEGREE:

DISCIPLINE:

Full Time
Part time
Distance
learning course

ANY OTHER

EMPLOYMENT RECORD: Starting with your present or most recent employer, please list last 5 employments. When listing consulting or
temporary assignments, under “Employer”, state the name of the consulting or temporary agency that placed you at the client site. Complete and

All details are compulsory Strictly Private & Confidential

 HCL TECHNOLOGIES LTD.
accurate dates (month/year) must be provided. 14 Aug 2023-11 Nov 2024
EMPLOYER 1:Vishwa Employee Id: From (08/2023): To (11/2024):
NATO-1109
Street Address: #1206, 12th Floor, D-South Block, Tidel Park, Rajiv Gandhi Employer’s Fax No.:
Salai, Taramani, Chennai 600 113Natobotics Technologies Pvt Ltd Phone No.:
City:Chennai State:Tamilnadu Country:India Postal Code:600 113

Job Title:Software Developer Reason for leaving:It is carrier move

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name: Anjellin
Full Time
Contract /Through Outsourcing Agency Title: HR
Phone No.: 9585500416
Outsourcing Agency Details: E-mail id:
Name: (Preferably official) anjelin@n-cons.co.uk
Address: HR Manager’s Details:
Tel No.: Name: chandru
Description of Duties: Phone No.: 9841296679
E-mail id:
(Preferably official) chandru@natobotics.com

EMPLOYER 2: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for leaving:

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name:
Full Time
Contract /Through Outsourcing Agency Title:
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably official)

All details are compulsory Strictly Private & Confidential

 HCL TECHNOLOGIES LTD.
EMPLOYER 3: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for leaving:

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name:
Full Time
Contract /Through Outsourcing Agency Title:
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably official)

EMPLOYER 4: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for leaving:

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name:
Full Time
Contract /Through Outsourcing Agency Title:
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably official)

All details are compulsory Strictly Private & Confidential

 HCL TECHNOLOGIES LTD.
EMPLOYER 5: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for leaving:

Employment Status: (Please check the relevant box) Supervisor’s Details:

Name:
Full Time
Contract /Through Outsourcing Agency Title:
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably official)

Professional References:

Reference Name Reference Mobile Number Company name Reference official number
Vigneshvaren 9080542285 infozis

Santhosh 8309224579 Amazon

All details are compulsory Strictly Private & Confidential

 HCL TECHNOLOGIES LTD.
INFORMATION RELEASE AUTHORIZATION
o I certify that the statements made in this application are valid and complete to the best of my knowledge. I
understand that false or misleading information may result in termination of employment.

o If upon investigations, any of this information is found to be incomplete or inaccurate, I understand that I will be
subject to dismissal at any time during my employment.

o I hereby authorize HCL Technologies and/or any of its subsidiaries or affiliates and any persons or organizations
acting on its behalf (TP --------------------------.), to verify the information presented on this application form and to
procure an investigative report or consumer report for that purpose.

o I hereby grant authority for the bearer of this letter to access or be provided with full details of my previous records.
In addition, please provide any other pertinent information requested by the individual presenting this authority.

o I hereby release from liability all persons or entities requesting or supplying such information.

o I authorize HCL Technology Ltd. to contact my previous employer. Yes No

o I have read, understand, and by my signature consent to these statements.

SIGNATURE:VISHWA
DATE: 29/01/2025
NAME (IN BLOCK LETTERS): VISHWA

All details are compulsory Strictly Private & Confidential

 HCL TECHNOLOGIES LTD.
Documents checklist
Application Form:
• Duly signed application form

Education Verification:

• Photocopy of degree certificate and all years / semesters marks sheets

• Photocopy of provisional degree certificate required for courses completed in the last 6 months from the current date

Employment Verification:

• Photocopy of relieving certificate, service certificate, latest salary slips & offer letter
• Resignation acceptance letter is required in case full & final settlement is pending with employer

Address Verification:
• Address proof would be required (Copy of passport, driving license, utility bills, rental agreement or lease agreement)

Criminal verification:
• One photo id proof (Copy of passport, PAN card or voters ID)
• Address proof would be required (Copy of passport, driving license, utility bills, rental agreement or lease agreement)
• CID form (Demand draft of INR 100 mentioned in the form is not required)

Identity verification:
• Copy of valid passport and PAN card required

All details are compulsory Strictly Private & Confidential