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Genpact Background Verification Form

Version Control
Review / Expiry
Version No. Version Date Changes Owner / Author Date
1 12-Jan-10 Created Rangarajan Until Superseded

Notice: The information contained in this document is not to be used for any purpose
other than the purposes for which this document is furnished by Genpact, nor is this
document (in whole or in part) to be reproduced or disclosed to other Genpact
employees without a need to know, or to any third party or made public without the
prior express written permission of Genpact.

Classification:Genpact Confidential
 Please provide complete and correct Information. All Field are mandatory
Your BGC form would not be accepted without all relevant supporting documents mentioned below.

Personal Details
First Name Middle Name Last Name
1 Name Y AMARNATHA REDDY

2 Father/Spouse Name(for Married Women) Y.LAKSHMINARAYANA REDDY

3 Date of Birth ( D/M/Y) 16/02/1986 ( Pls scan and attach one
colour passport size
4 Gender MALE photograph in this space)
5 Marital Status Single
Nationality INDIAN
Direct Contact No. 8056250527
6 Email ID: amarnatha.apps@gmail.com

Contact Details(Details of address of longest stay in last 7 yrs)

Landlord name Nearest Police Contact D
Attach scanned copy of Passport(or)Electricity Bill(or) Property Tax Bill if any Station details
Period of stay
Complete
Address with
From to Mobile
Pincode
1 Complete Permanent Address S/o Y.Lakshminarayana
Birth Reddy , Dadithota
Till Date(vil) , Thadimarri
Near by BusstopThadimarri
(man) ,Anantapur (Dis)
police
, 9618061602
A.P.
Station
, 515631
2 Complete Current Address No: 28, Strling Sindhuri Building
Jun-09, Till
Lake Date
view Road ,Westmambalam , Chennai ,600033.
8056250527 ,
3 Inter Mediate Address 1 C/o B Ramesh Reddy , D.No:2001
9/201 , 2nd floor2006
, Gulzarpeta
Near by Towrclock
,Anantapur
II-Town
,515001
Police
, Station
8985337622

Education Qualifications (Pls furnish details of Highest Qualification only)

University Month & year of SSN (If studied
(Attach scanned copy of Provisional degree certificate and Details passing in USA)
Consolidated marksheet)
College Details Register No
College Address S.V Degree College
S.K ,University
Anantapur Apr-06
Contact numbers 4831116

Employment Verifications(Pls furnish employment details for the last 7yrs)

Employment
canned copies of relieving letters for all employments and Current employment offer letter,last 2months payslip1 Employment 2 Employment 3 Employment 4 Employment 5
Company Name Gracious SoftwareNestor
Deputed
Infotech
to Accenture
Deputed
. to Wipro Ifotech
Address with Pin Code H No: 1-982/1/3, Mona
# 273,Plaza,
3rd Cross,
2nd .Floor
17th &
Main
3rd Jayanagar
Floor, Hitech
3rdCity
Block,
Main
Bangalore-
Road, Madh
56
Remuneration 2.2 LPA 4.8 LPA
Designation Associate Consultant
Technical Consultant
Employee code GS_0164 N-441
Reasons for leaving Better prospects Better prospects,. looking for permanent position.
Period of Employment (In years & month i.e 2 years & 1 month) 2 years & 2 months
1 year & 7 months
From Date 2-Apr-07 8-Jun-09
To Date 30-May-09 Till Date
Name Kiran kumar
Contact 080-32550579
H R details E-Mail kiran.kumar@nestorinfotech.com
Name Ravindranath.k

Supervisor details Classification:Genpact Confidential

 Contact 9985524268
Supervisor details E-Mail ravindranathk@nestorinfotech.com

Identity verification details

(Furnish details of either passport or Driving license & Attach scanned copy of the same)

Passport / Driving License No. H6569618

Date Of Issue 30-Nov-09
Date Of Expiry 29-Nov-19
Place Of Issue Hyderabad

Classification:Genpact Confidential
Details

Landline

Classification:Genpact Confidential
Classification:Genpact Confidential
EMPLOYEE VERIFICATION FORM

Filling Instructions:

Please do not use short forms/Abbreviations.

Your BGC form would not be accepted without all relevant supporting documents mentioned below.

Verification Category Mandatory supporting docs to be attached

Criminal & Address Verification Passport / Electricity bill / BSNL Telephone bill / Bank Statement
Identity Verification PAN Card / Passport / Voter ID Card
Employment Verification Relieving Letters for all employements for the last 7yrs
Education Verification Degree / Provisional Degree certificate of Highest Education only

Your Filled in BGC from will not be accepted without

Note
Mandatory Supporting documents

Classification:Genpact Confidential
cuments mentioned below.

ank Statement

7yrs
Education only

ed without

Classification:Genpact Confidential