Doc No.
: ANPL/HRD/CIF/03
Type : Restricted
Candidate Information Form (CIF) –AUJAS
Instructions: Please provide all the information requested in this form. Incomplete Candidate Information
Forms will be returned for completion. All supporting documents must accompany this form. Legible
scanned copies are requested please.
PART A - PERSONAL DETAILS:
Full Name (First/Middle/Last): RAMKUMAR
Father’s Name: NAINAR
Date of birth (DD/MM/YY):_10/04/82 Nationality: INDIAN
Marital Status: MARRIED
Phone Number (Land Line and Mobile): 9894106065
Email ID: n.ramkumar82@[Link]
Blood Group : O+ve
UAN No. : 101178990450
PAN [India] / SSN [USA] : ASSPR1971P
Driving License Number [India] : TN38 20000009136
Passport Number [India] : P8377942
Change of Name if Applicable
Former Name/Maiden Name: _______NA__________
Date of Name Change: ______NA_______________
Current Address
Door No/House name :Street: #13, Ashok kumar Nagar, BK Pudur, Kuniyamuthur Post
City: Coimbatore State: Tamilnadu PIN: _641008
Landmark: BK Pudur bus stop : (Landline) - NA
Period of Stay: Sep 2023 to till date
Permanent Address
Door No/House name:Street: #14, Indra Nagar, BK Pudur, Kuniyamuthur Post
City: COIMBATORE State: Tamilnadu PIN: 64101
Landmark: _ BK Pudur bus stop : (Landline)
Period of Stay: __NA______
Note: Please attach a legible photo copy of any one of following documents:
1. Driving License 2. Passport3. Ration Card 4. PAN Card [Link]
Alternative Contacts (in case of Emergence):
Contact Number 9677248461
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Name of the Person Anusha
Relationship Spouse
PART B - EDUCATION DETAILS
Highest Education Completed (Post Graduation / Graduation)
Name of the Institute/School/College : SNR SONS COLLEGE
Board/University : Bharathiyar University Division/Class/% : 75
Duration of Study (specify month & year): 06/2004 – 05/2007 Degree Obtained : MCA
Majored in : Computer Applications Course Type : Regular [ ] Distance [ ]
Student ID/Enrolment/Registration/Roll No :04PM044
Building No & Street: SNR SONS COLLEGE, SNR COLLEGE ROAD, NAVA INDIA
Address of Institute/School/College City: Coimbatore State: Tamilnadu
Pin: 641006 Landline : 0422 256 2788
(Graduation / Diploma) – If Any
Name of the Institute/School/College : SNR SONS COLLEGE
Board/University : Bharathiyar University Division/Class/% : 53
Duration of Study (specify month & year): 06/99 – 05/2003 Degree Obtained :
Majored in : Computer Science Course Type : Regular [ ] Distance [ ]
Student ID/Enrolment/Registration/Roll No : 0022K3131
Building No & Street: SNR SONS COLLEGE, SNR COLLEGE ROAD, NAVA INDIA
Address of Institute/School/College City: Coimbatore State: Tamilnadu
Pin: 641006 Landline : 0422 256 2788
12th (HSSC / PUC / Intermediate)
Name of the Institute/School/College : R.K. Sree rangammal Kalvi Nilayam
Board/University : State Division/Class/% : 52
Duration of Study (specify month & year):06/98 to 04/99 Degree Obtained : NA
Majored in : Computer Science Group Course Type : Regular [ ] Distance [ ]
Student ID/Enrolment/Registration/Roll No :610977
Building No & Street: 91, Avinashi Rd, Gopalapuram,
Address of Institute/School/College City: Coimbatore State: Tamilnadu
Pin: 641018 Landline : 0422 221 5085
10th (SSC)
Name of the Institute/School/College : R.K. Sree rangammal Kalvi Nilayam
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Board/University : State Division/Class/% : 72
Duration of Study (specify month & year): 06/96 – 04/97 Degree Obtained : NA
Majored in : NA Course Type : Regular [ ] Distance [ ]
Student ID/Enrolment/Registration/Roll No : 163558
Building No & Street: 91, Avinashi Rd, Gopalapuram,
Address of Institute/School/College City: Coimbatore State: Tamilnadu
Pin: 641018 Landline : 0422 221 5085
Note: Please attach legible photo copies of the following documents relevant to the entries above.
1) Mark sheets 2) Degree Certificate 3) Provisional Degree Certificate
Professional Certifications (if any)
PART C - PREVIOUS EMPLOYMENT DETAILS
[Please add additional table(s) if you have worked for more than 3 employers]
Employment – 1 (Current)
Name of Company: Xerox Technologies Services India Ltd
Building No & Street: 2957+6PR, Infopark Campus, Kakkanad
Company Address
City: Kochi State: Kerela
(Where you were employed)
Pin: 682030 (Landline):
Period of employment: 05-Oct-2020 to 24-Mar-2025 Employee ID: 50542614
Designation & Department: Risk & Compliance (Analyst II, IM Last Drawn Salary (CTC):24.3 Lakhs
Security).
Type of Employment: Permanent [ ] Contractual [ ] Part time [ ] Full Time [ ]
Supervisor’s Name & Designation: Saravanan Murugesan – Senior Supervisor’s Direct Number & Mail Id:
Manager
[Link]@[Link]
Texas, USA
Can the employer be contacted now? [ ] Yes [ ] No
If not, then provide an alternate date:
Reason for Leaving: Career Progress
Note: Please attach legible photo copies of the following documents relevant to the entries above.
1) Appointment Letter 2) Salary Slip 3) Relieving Letter
Employment – 2 (Previous)
Name of Company: Virtusa Technologies
Company Address Building No & Street: 34, IT Highway, Navalur,
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City: Chennai State: Tamilnadu
(Where you were employed )
Pin: 600130 (Landline): 044 6749 1600
Period of employment: 24-Jul-2018 to 19-Aug-2020 Employee ID: 8050657
Designation & Department: Lead Consultant , Security Assurance Last Drawn Salary (CTC): 18 Lakhs
Type of Employment: Permanent [ ] Contractual [ ] Part time [ ] Full Time [ ]
Supervisor’s Name & Designation: Saikumar Nagarajan Supervisor’s Direct Number & Mail Id:
saikumarna@[Link]
9500070833
Can the employer be contacted now? [ ] Yes [ ] No
If not, then provide an alternate date:
Reason for Leaving: Career Progress
Note: Please attach legible photo copies of the following documents relevant to the entries above.
1) Appointment Letter 2) Salary Slip 3) Relieving Letter
Employment – 3 (Previous)
Name of Company: BORN GROUP
Building No & Street: 2ND FLOOR, HARDY TOWERS, RAMACHANDRA IT CITY, TARAMANI
Company Address
City: Chennai State: Tamilnadu
(Where you were employed )
Pin:600113 (Landline): 044 – 33511200
Period of employment: 15-Sep-17 to 30-Mar-18 Employee ID: IN 970
Designation & Department: Lead Engineer – Information Security Last Drawn Salary (CTC):
Type of Employment: Permanent [ ] Contractual [ ] Part time [ ] Full Time [ ]
Supervisor’s Name & Designation: Chinmoy Rajpal, Practice Head – Supervisor’s Direct Number & Mail Id:
Information Security
9972921442
[Link]@[Link]
Can the employer be contacted now? [ ] Yes [ ] No
If not, then provide an alternate date:
Reason for Leaving: Career Progress
Employment – 4 (Previous)
Name of Company: Aquilatech
Company Address 14, Chakrapani Street, West Mambalam, Chennai.
(Where you were employed) City: Chennai State: Tamilnadu
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Pin: 600 033 (Landline): 73388 79700
Period of employment: 12 APR 2017 To 14 JULY 2017 Employee ID: Ramkumar
Designation & Department: Senior Consultant Last Drawn Salary (CTC): NA
Type of Employment: Permanent [ ] Contractual [ ] Part time [ ] Full Time [ ]
Supervisor’s Name & Designation: Meha Parikar - Manager Supervisor’s Direct Number & Mail Id:
70220 76034
meha.s@[Link]
Can the employer be contacted now? [ ] Yes [ ] No
If not, then provide an alternate date:
Reason for Leaving: Career Progress
Employment – 5 (Previous)
Name of Company: PARAMOUNT COMPUTER SYSYTEMS - LAKSHAYA LABS (INDIA)
LAKSHYA LABS, BLOCK NO 2, RATHINAM TECH ZONE, EACHNARI,
Company Address
City: Coimbatore State: Tamilnadu
(Where you were employed)
Pin: 641021 (Landline): 0422 6549990
Period of employment: 15 MAR 2016 To 03 MAR 2017 Employee ID: R03
Designation & Department: Senior Consultant Last Drawn Salary (CTC): NA
Type of Employment: Permanent [ ] Contractual [ ] Part time [ ] Full Time [ ]
Supervisor’s Name & Designation: PRADEEP MENON – Chief Officer Supervisor’s Direct Number & Mail Id:
9585535281
Pradeep@[Link]
Can the employer be contacted now? [ ] Yes [ ] No
If not, then provide an alternate date:
Reason for Leaving: Career Progress
Sl. Position Held (While Address From To Supporting Docs
Company Name
No. leaving) Date Date
Mahendra city, Oct Attached Offer and relieving letter
Infosys Technologies Manager – Mar
6 Chennai 2011
Information Security 2016
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IGATE Technologies Senior Software DLF IT park, Aug Sep Attached Offer and relieving letter
7 Chennai
Engineer 2010 2011
Astral Consulting Avinashi Road Jul Jul Attached Offer and relieving letter
8 Assistant Manager
Limited Coimbatore 2007 2010
PART D – PROFESSIONAL REFERENCES
S.n
Name Organization Email Address Phone
o
1 GR Balaji HCL Grbalaji1985@[Link] 8056289793
[Link]@[Link]
2 Archana Jothi MrCooper 8939701243
m
PART E - MISCELLANEOUS
Please tick the appropriate answers.
Have you ever been convicted for felony or any serious crime?
Yes
No
If the answer is ‘Yes’, please provide details on a separate sheet of paper.
Have you ever been “Laid off” or Terminated from employment?
Yes
No
If the answer is ‘Yes’ please provide details below:
Declaration by Candidate
I certify that the information provided in this form is true and correct to the best of my knowledge.
I further certify that I have furnished the answers in Part ‘D’ on my own accord, free of any duress.
I authorize ‘AUJAS’ or its agency to verify my credentials.
I understand that if any information furnished by me is found to be false, including information related to the following, I
could be denied employment/be terminated: (i) whether the previous employer/organization is shut down or not organized
properly as required by law or has not deducted taxes or not issued deducted taxes tax declaration forms: and (ii) the
respective SPOC/ HR from the previous organization of the candidate has not been responding, for whatever reasons.
I will cooperate and facilitate the process of verification of my credentials.
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Signature of the Candidate
Place:
Date:
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