Va | redefining / standards 7 INTERVIEW EVALUATION FORM This form must be completed and signed by the responsible HR Representative, Chief of HR Officer and Line Managers / Head of Division. All interviewers should discuss their findings and fil up their unanimous conelusion at the comment section. Name of Candidate: Position Interviewed For : Name of Interviewer (s): _- HR Representative _ = Other interviewers __ Date of Interview : Rating Scale 1+ Unsuccessful 3+ Successful 5- Outstanding 2+ Partially Successful 4 Excellent Pour) ( i) rt Comments 1 | Traits Personally balanced; Empathetic; ‘Courageous, Entrepreneur; Optimistic; Laser-focused; Connect with others; Self- reflection 2 | Experience + Proven track record in own professional field of expertise and function; international exposure + Deliver resuits and value to organization and customers ‘+ Evident key achievements in field of expertise; proof of decision-making 3. | Leadership + Judgment; Engaging: AXA Leadership Behaviors - Strategic Vision; Focus on Customer; Change Leadership: Results Orientation; Building Capability; Team Leadership; Share to Succeed; Living Through AXA Values 4 | Potential + Does the candidate have potential for an expanded future role? ‘+ Assessment of Drive, Engagement & Ability Additional / Specific Skills (if any) 1 Interview Evaluation Form — Version 3.0 HR-16.08.2015aes redefining / standards 7 INTERVIEW EVALUATION FORM ead Strength(s) Limitation(s) Derailer(s) Specific Highlights / Comments from candidates Overall Recommendations & Comments ‘Comments by Human Resource Department Pore Tene et KV Rejected To hire To consider for other positions To arrange 2"¢ interview Signature of HR Representative FEL ca Hing Manager (1) Hiring Manager (2) =i apptcatle Name Name Name 2 Interviw Evaluation Form ~ Version 3,0 HR-16.08.2015