SOP-DOC#008/EMP BGV/V1.

Candidate Declaration Form – W3GLOBAL INDIA PVT. LTD.

Instructions: Please provide all the information requested in this form. Incomplete Candidate
Declaration Forms (CDFs) will be returned. All supporting documents must accompany this
form. Photocopies must be legible. We have included a checklist to assist you to complete your
application comprehensively.

PERSONAL DETAILS

Full Name (First/Middle/Last): ______________________________________________

Fathers Name: __________________________________________________________________________


Date of birth (DD/MM/YY):_______________ Personal Number: ____________________Nationality: _____________
Passport Number: __________________Date of issue: _____________________Date of expiry: _________________

PAN Number / Social Security Number (If worked/studied in the US/Any other Country) __________________________

Change of Name if Applicable

Former Name/Maiden Name _____________________________ ________________________________

Date of Name Change ___________________________

Current Address Permanent Address

Door No/Street:__________________________ Door No/Street:____________________________

City:_____________________________________ City:________________________________________
State:____________________________________ State:______________________________________
Pin:_____________________________________ Pin:________________________________________
Period Of Stay ____________________________ Period Of Stay ____________________________
Landmark:________________________________ Landmark:___________________________________
 
: (Landline)_____________________________ :(Landline)____________________________
Is your residence your own or a rented place? _______ Is your residence your own or not? __________
If rented, please provide details of the Landlord If Not, please provide details of the Landlord
Name: ___________________________________ Name: ___________________________________
Address: _________________________________ Address: _________________________________
City: _____________________________________ City: _____________________________________
State: ___________________________________ State: ___________________________________
Pin: __________________________ Pin: __________________________
 
: (Landline)______________________________ : (Landline)_____________________________

Note - Please attach 1 address proof each for your current & permanent address.

Office # 303, New Mark House, Plot No:56, Patrika Nagar, Hitech City
Hyderabad – 500081, Telangana, India Tel: +91 4048511422
www.w3global.com
V1.0/01.01.2018
SOP-DOC#008/EMP BGV/V1.0

EDUCATION DETAILS

Education 1 (Course Completed) – Highest Education

Name of the Institute
Name of University
Affiliated with
Duration of Course (Yrs.)
Student ID No./ From……………………
Enrolment No./ (Month and the Year)
Seat No./ To……………………….
(Month and the Year)

Division Class Degree Obtained

Subject Major Course Type

(Full Time / Correspondence)
Address of Institution
(Only fill in the details asked for to City
the right)
State Pin Code

 
(Landline) 1 (Landline) 2

Note: Please attach legible copies of the following documents relevant to your entries in the form. (Xerox only)

1. Educational Mark Sheets / Certificates – Attach the documents relevant to your entry above.
a. All year mark sheets / Consolidated Certificate and provisional certificate.

Office # 303, New Mark House, Plot No:56, Patrika Nagar, Hitech City
Hyderabad – 500081, Telangana, India Tel: +91 4048511422
www.w3global.com
V1.0/01.01.2018
SOP-DOC#008/EMP BGV/V1.0

EMPLOYMENT DETAILS – Last 03 Companies

(EMP-1) Current Employment 1

PERMANENT / CONTRACT EMPLOYMENT
Name of Company
 
Where were you employed? Registered Corporate Branch Office
Office
Company Address Door No/Street
(Where you were employed ) City State

Pin (Landline)
Period of employment from / to Employee Code/ID
(DD/MM/YYYY)
Offered CTC
Designation (Annual)
Nature of Employment If Contract Please
(Permanent / Contract) provide company
name

(Email Id)
Supervisor’s Name and (Contact Number)
Designation

State your reason for

leaving

Note: Please attach legible photocopies of the following documents relevant to the entries above
1) Appointment Letter 2) Salary Slip 3) Release Letter (Optional)

Office # 303, New Mark House, Plot No:56, Patrika Nagar, Hitech City
Hyderabad – 500081, Telangana, India Tel: +91 4048511422
www.w3global.com
V1.0/01.01.2018
SOP-DOC#008/EMP BGV/V1.0

(EMP-2) Previous Employment

PERMANENT / CONTRACT EMPLOYMENT
Name of Company
 
Where were you employed? Registered Corporate Branch Office
Office
Company Address Door No/Street
(Where you were employed ) City State

Pin (Landline)
Period of employment from / to Employee Code/ID
(DD/MM/YYYY)
Offered CTC
Designation (Monthly)
Nature of Employment If Contract Please
(Permanent / Contract) provide company
name

(Email Id)
Supervisor’s Name and (Contact Number)
Designation

State your reason for

leaving

Note: Please attach legible photocopies of the following documents relevant to the entries above
1) Appointment Letter 2) Salary Slip 3) Release Letter

Office # 303, New Mark House, Plot No:56, Patrika Nagar, Hitech City
Hyderabad – 500081, Telangana, India Tel: +91 4048511422
www.w3global.com
V1.0/01.01.2018
SOP-DOC#008/EMP BGV/V1.0

(EMP-3) Previous Employment

PERMANENT / CONTRACT EMPLOYMENT
Name of Company
 
Where were you employed? Registered Corporate Branch Office
Office
Company Address Door No/Street
(Where you were employed ) City State

Pin (Landline)
Period of employment from / to Employee Code
(DD/MM/YYYY)
Offered CTC
Designation (Monthly)
Nature of Employment If Contract Please
(Permanent / Contract) provide company
name

(Email Id)
Supervisor’s Name and (Contact Number)
Designation

State your reason for

leaving

Note: Please attach legible photocopies of the following documents relevant to the entries above
1) Appointment Letter 2) Salary Slip 3) Release Letter

Office # 303, New Mark House, Plot No:56, Patrika Nagar, Hitech City
Hyderabad – 500081, Telangana, India Tel: +91 4048511422
www.w3global.com
V1.0/01.01.2018
SOP-DOC#008/EMP BGV/V1.0

TWO Professional Reference Check

Reference Full Candidate’s Reference Reference Reference Contact Reference Official

Name Relationship with Company Designation Numbers – Office Email Id
the Reference Name and Mobile

Authorization/ Declaration and Undertaking

If Employed with W3GLOBAL INDIA PVT. LTD., I agree to provide copies of all relevant certificates. I understand
that employment with W3GLOBAL INDIA PVT. LTD., is governed by their employment policies as applicable,
including satisfactory information from background checks.

I hereby authorize W3GLOBAL INDIA PVT. LTD., to contact any previous former employers as indicated above and will
contact current employer only after joining.

I confirm that the above information is correct to the best of my knowledge and I understand that any misrepresentation of
information on this candidate declaration form may, in the event of my obtaining employment, result in action based on
company policy.

I also declare that the information provided by me in my resume and application for employment to W3GLOBAL INDIA
PVT. LTD., and its representative is authentic and I am liable for all inaccuracies and omissions.

I promise to extend total co-operation and provide relevant documents required.

Full Name of the Candidate: Signature of the Candidate

Place:

Date:

Office # 303, New Mark House, Plot No:56, Patrika Nagar, Hitech City
Hyderabad – 500081, Telangana, India Tel: +91 4048511422
www.w3global.com
V1.0/01.01.2018