SYNTEL, INC.

525 E. Big Beaver

Suite 300
Troy, Michigan 48083
Phone: (248)619-2800 Fax: (248)619-2894

Syntel, Inc. is an Equal Opportunity Employer. Today’s Date: Date Available for Work:
You will receive consideration for employment (MM/DD/YYYY) (MM/DD/YYYY)

without regard to race, age, color, religion, sex,

Position Title:
national origin, or disability.
How did you learn of this position opening?
Are you available to work:
Full-time Part-time Temporary
Hours/Days available:

Personal Data
Name (Last, First, Middle): Social Security # / PAN #:
Passport #:
Current Address (Number, Street, City, State, Zip/Pin):

Permanent Address (If different):

Home Phone: Work Phone:

Mobile Phone: Email:
Have you ever worked/attended school under a different name?

Have you ever been convicted for a violation of a law other than minor traffic fines?
If Yes, explain:

Have you ever been employed at Syntel, Inc. or one of its subsidiaries?
If Yes, when? From (MM/DD/YYYY): To (MM/DD/YYYY):

List Business Units / Functions:

List relatives who work for Syntel, Inc. or one of its subsidiaries (Name and Business Unit / Function):

Educational History

Type of School School Name and Major No. of Years Did you Degree or
Address Completed Graduate? Certificate
High School Yes / No

College or Yes / No
Technical
Graduate or Yes / No
Other School

Job Related Skills

Software:

Hardware:

Languages:

Other Job Related Skills (specify):

Professional Licenses or Certifications
Type(s): Exp. Date (MM/DD/YYYY):
Membership in Professional Organization(s):

Employment History – List in chronological order, current or last employer first. You must complete all
information.
1. Employer Name: Type of Business:

Address: Supervisor:
Phone:
Job Title: BU/Function: Hours/Week:
Start Date (MM/DD/YYYY): End Date (MM/DD/YYYY):
Salary Start: Salary End:
Reason for Leaving:

Role:

May we contact your present employer? Yes No, please call me first Not employed

2. Employer Name: Type of Business:

Address: Supervisor:
Phone:
Job Title: BU/Function: Hours/Week:
Start Date (MM/DD/YYYY): End Date (MM/DD/YYYY):
Salary Start: Salary End:
Reason for Leaving:

Role:

3. Employer Name: Type of Business:

Address: Supervisor:
Phone:
Job Title: BU/Function: Hours/Week:
Start Date (MM/DD/YYYY): End Date (MM/DD/YYYY):
Salary Start: Salary End:
Reason for Leaving:

Role:

Agreement
All material received through the application process becomes the property of Syntel, Inc. and will not be returned. I understand and agree that any
relevant and material misrepresentation made on this application (including my resume) will justify immediate dismissal if hired. I hereby authorize Syntel,
Inc. to contact any educational institution, former employer, law enforcement or credit agency, or reference concerning information included on this
application. I hereby release providers of information from all liability in responding to inquiries about me. I agree that any lawsuit, dispute, controversy,
or claim arising out of or related to this application for employment must be filed no more than six (6) months after the date of the employment action that
is the subject of the claim or lawsuit, and shall be determined and settled according to the Commercial Arbitration Rules of the American Arbitration
Association. The prevailing party shall be reimbursed by the non-prevailing party for all fees (including administrative and arbitrator fees) and all attorney
fees paid in connection with the arbitration, except that EMPLOYEE shall pay, and shall not be reimbursed for, the filing fee for all actions initiated by
EMPLOYEE. While I understand that the statute of limitations for claims arising out of an employment action may be longer than six (6) months, I agree to be
bound by the six (6) month period of limitations set forth herein, and I WAIVE ANY STATUTE OF LIMITATIONS TO THE CONTRARY. I understand that this
application is not a contract for employment. I agree that upon separation, I will return to Syntel, Inc. property issued and/or owned by Syntel, Inc., or will
allow the value of same to be deducted from my wages.

_________________________________________________________ _____________________________________________________________
Signature Date