D. E. Shaw India Private Limited APPLICATION FOR EMPLOYMENT First Name: _________________________________ Last Name: ______________________________ Date of Birth_________________________________ Father’s Name: ____________________________ Email ID____________________________________ Mobile Number: ___________________________ Current Address: Permanent Address: When will you be available for internship: _____________________________________________________ Do you have a valid Indian Passport: ___________________________________________________________ EDUCATION: Degree Year of Graduation Institution Specialization GPA Rank/Place in Class Tenth Twelfth Bachelors Masters WORK/INTERNSHIP EXPERIENCE: Employer From To Position Gross Compensation D. E. Shaw India Private Limited SCORES [Competitive Examinations]: Examination JEE Main JEE Advanced GATE GRE State Entrance Exams (Please Specify) Other Entrance Exams (Please Specify) Year Score/Rank Year Rank CODING CONTEST [Participation Details]: Contest ACADEMIC SUBJECTS OF INTEREST: Please mention your top 3 Subjects of Interest: 1. 2. 3. AWARDS/ACHIEVEMENTS/HONORS: Declaration : I declare that the information provided in this form is true to the best of my knowledge. In the event that any information provided is found to be a misrepresentation, I would be liable to any action deemed appropriate by the firm. Date:__________________ Applicant’s signature _________________ • Please attach any additional information which you feel would add to your candidature.