This document is an employment application form for IBM. It contains instructions for applicants to fill out personal and professional details in capital letters. Applicants must provide identification documents at interview, as well as employment and education history. The form requests contact information, compensation details, references, and a declaration authorizing IBM to verify application information.

1. Employment Application Form
Please affix your
passport size photo here
Please read the below instructions carefully before you start filling in the requested information:
1) Please read all instructions for each section and fill in as instructed. All fields are to be filled
legibly, completely and accurately in CAPITAL letters to reduce delay in processing your
candidature with IBM.
2) Please bring the following documents with you to the personal interview at IBM:
i) Completed IBM Employment Application Form
ii) Proof of Salary Documents
Offer letter with compensation break up
OR
Latest increment letter from present organization with compensation break-up
iii) Updated Resume
iv) Valid Photo ID (Passport, PAN Card, Voter’s ID card, Driver’s License)
Past IBM Interview Details (Fill in CAPITAL Letters)
Have you attended any IBM Interview in the last 3 Months Yes No
If Yes, please provide the below details:
D D M M M Y Y Y Y
Date of Interview
Position Applied ###
Work in Progress Received Offer Rejected/Declined
Location Of Interview ###
IBM subsidiary Name IBM India Pvt Ltd IBM Daksh IBM NetSol
Page 1 of 6, Employment Application form, version 1.7, wef - 21th July 2010 1

2. SOURCE INFORMATION (Fill in CAPITAL Letters)
How did you know about this vacancy in IBM? (Select any one of the below) Direct - IBM Website
Y
ALP
CONSULTING
Agency LTD IBM Employee Referral Accepted Not Joined Candidate
Agency name A L P Name of the Employee
C O N S U L T I N G
L T D
Employee Number (If Applicable)
Jobsites
Job Site Name E- Mail ID
IBM Application ID * C 8
* If you have already registered on our IBM Job Portal please provide the IBM Candidate Applicant ID also called GOM Candidate Applicant
ID. If you are referred by an Agency, please ask your agency for the Applicant ID
PERSONAL INFORMATION (Fill in CAPITAL Letters)
* Enter your name as per your Passport, Driver's Licence OR PAN Card (For Indian Nationals)
Title
Mr. Ms.
First Name
Middle Name
Last Name
D D M M M Y Y Y Y
Date of Birth
**e.g. 01 - JAN - 1900
Mobile Number
**Country code - Mobile Number
Telephone -
Per
so **Country code - City Code - Telephone Number
nal
Em
ail
ID
Pan Card (If you are an Indian National)
Driver's Licence #
Passport Number D D M M M Y Y Y Y
Passport Expiry
Page 2 of 6, Employment Application form, version 1.7, wef - 21th July 10 2

3. PERSONAL INFORMATION…… CONTINUED (Fill in CAPITAL Letters)
Nationality
If you are not an Indian National, do you have a valid work permit to be employed in India?
Yes No
Current Address
City PIN Code
State
Country
Permanent Address (If different from the above)
City PIN Code
State
Country
PROFESSIONAL REFERENCES (Fill in CAPITAL Letters)
Please provide details of three professional references, with whom you have had a business/Working relationship.
Please exclude Friends, Colleagues, Juniors and Relatives at work
Nature of professional
Name Contact Number Current occupation Comments*
Relationship
*Please use the comments column to indicate if you do not wish IBM to contact one or any of the above for pre-reference checks.
Page 3 of 6, Employment Application form, version 1.7, wef - 21th July 10 3

4. EDUCATION DETAILS (Fill in CAPITAL Letters)
COMPLETED degree programs only.
Please complete all fields, even if you have already provided a resume. Provide details on
Highest Qualification (Completed)** e.g.: M.Sc, B.Com
PLEASE MENTION COMPLETE DETAILS OF SCHOOL / COLLEGE / INSTITUTION AND UNIVERSITY NAME ALONG WITH COMPLETE ADDRESS WITH CITY & POSTAL CODE IN CAPITAL LETTERS
Name of the
Class/ Degree
Qualification Course Tenure Complete Name & Address of School / College / Institution and Division/ Awarded
Name of the University Percentage/ (e.g.. B.com /
*University name is mandatory where applicable(DO NOT ABBREVIATE) Grade Points BA/ Mtech)
M M M Y Y
Start Date
SSLC
End Date
* E.g. JAN09
M M M Y Y
Start Date
HSLC
End Date
* E.g. JAN09
M M M Y Y
Start Date
Graduation
End Date
* E.g. JAN09 University Name
M M M Y Y
Start Date
Post Graduation
End Date
* E.g. JAN09 University Name
M M M Y Y
Others - PhD, Start Date
Additional Degrees
End Date
* E.g. JAN09 University Name
M M M Y Y
Professional
Qualification (Other Start Date
than already
mentioned above) like End Date
CA, CFA etc
* E.g. JAN09
State reasons for GAP in education, if any :
Professional Training (includes in progress degrees) - please mention the details
______________________________________________________________________________________________________________________________________________
Page 4 of 6, Employment Application form, version 1.7, wef - 21th July 10 ###
4

5. EMPLOYMENT HISTORY (Fill in CAPITAL Letters)
Provide your job history for a minimum of the last five (5) years (if applicable). Additionally, include your last three 3 employers (if applicable) even if your total service exceeds 5 years in the last 1 or 2
companies. Please include information on Self employment within the same period.
Do you have prior employment experience? Yes No
PLEASE MENTION COMPLETE DETAILS OF ORGANISATION NAME, COMPLETE ADDRESS WITH STREET NAME, AREA, CITY & POSTAL CODE IN CAPITAL LETTERS
Employment Type Full
Serial Employee
Organisation Name and address (Permanent Tenure Time /
No Number
/Contractual) Part Time
Organisation Name
D D M M M Y Y
Address Start Date
1
End Date
Pin Code * E.g. 01-JAN-1900
Organisation Name
D D M M M Y Y
Address Start Date
2
End Date
Pin Code * E.g. 01-JAN-1900
Organisation Name
D D M M M Y Y
Address Start Date
3
End Date
Pin Code * E.g. 01-JAN-1900
Below is continuation of the above table. E.g. Continue to fill in details of "Serial No 1" (Above) in "Serial No 1-Continue" row below.
Serial Reporting Manager's Name and
Designation Reasons for Leaving If Employment Type is Contractual, Please Provide Agency Name, COMPLETE Address and Contact Number
No contact number)*
Organisation Name
Complete Address
1-
Continue
Pin Code Contact Number
Organisation Name
Complete Address
2-
Continue
Pin Code Contact Number
Organisation Name
Complete Address
3-
Continue
Pin Code Contact Number
*Current Reporting Manager will be contacted ONLY AFTER the candidate joins IBM
Total years of experience - (please do not include any training or internship experience) Years Months
State GAP in Employment if any:
Page 5 of 6, Employment Application form, version 1.7, wef - 21th July 10 5

6. Present Employment Compensation Details** (Fill in CAPITAL Letters)
** The information stated here must be supported with documentary evidence (Offer letter from present organization including Compensation break up details or most recent increment
letter)
Please mention below your annual compensation details
(A). Fixed Pay
(B).Variable Pay (C). Other allowances
including statutory
(Rs.) (Rs.)
benefits (Rs.)
Annual Current CTC
= Total of A + B + C Comments
(Rs.)
OTHER DETAILS (Fill in CAPITAL Letters)
Have you worked for IBM earlier? Yes No
If "YES", please provide following details:
Tenure (DD-MMM-YYYY)
Status Employee No. /
Business Unit Location Date of Joining Last working day Manager's Name (Regular/FTH/Contractor) Contractor Code
Are you willing to relocate as part of your employment with IBM? Yes No
If "YES", please indicate your preference _______________________________________________________________________
If you are related to IBM India Private Limited employees and/or Directors (sibling / spouse/ children/in law relationships), please provide names and relationship.
Name Designation Business Unit Relationship
Consistent with IBM's policy on workforce diversity and in order to accommodate employee's special needs in the work environment,
please indicate if you are physically challenged ** Yes No
If yes, please provide description of disability and accommodation required:
** IBM Corporation is an Equal Employment Opportunity Employer
Do you have any non-compete obligations or conflict situations or other restrictive clauses with any party including any of your
previous employers that prevent you from working for IBM India Private Limited? Yes No
Have you worked for the Government, whether as a civilian employee or member of the military? Yes No
All Candidates must indicate if they have worked for the Government, whether as a civilian employee or member of the military. If so, you must also indicate whether you had any
responsibilities or were involved in activities relating to IBM or an affiliated Company. You must also state whether you are aware of any legal restrictions on what work you may do for
IBM or an affiliated Company, and if so, what those restrictions are.
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Declaration
• I confirm that the information provided by me in this application form is complete and accurate.
• I understand that if any information provided by me with respect to my application for employment is found to be untrue, inaccurate or
misleading, IBM INDIA Private Limited may withdraw any offer of employment made to me or terminate my employment (If I have already joined
IBM India) without notice.
• I understand that all the details provided in this application are subject to verification.
• I hereby authorize IBM India Private Limited and its representatives (including reference check agencies/third party vendors) to verify
information provided in my application for employment and to conduct enquiries as deemed necessary by the company.
• I authorize all persons who have information regarding my education, employment, and all other details provided in this form, to disclose it to
IBM or its representative.
Signature:
Place: Date:
Page 6 of 6, Employment Application form, version 1.7, wef - 21th July 10 6