VISITING CARD REQUEST FORM

CAPGEMINI INDIA Effective from April 2011

PLEASE USE BLOCK LETTERSRequestor’s Name

Last Name : KESRI First Name : ANKIT

Employee ID: 43050 Project : CC INDIA NORTH

INFORMATION FOR THE CARD

Approved by (Manager and above)

Name: ASHISH SHARMA Signature _______________

Issued by:Name: _________________________

Signature: __________________________

Date: __________________________

Name: ANKIT KESRI

Job Description:

Address: Capgemini India Pvt. Ltd.11th floor, Tower D,DLF Cyber Greens, Phase III, Gurgaon 122002

Telephone: +91 124 3984100 , Fax:

Mobile No +91 9910054926

E-mail Address: ankit.kesri@capgemini.com