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Profile:____________________________________________________

Name of Candidate: ______________________________ Date of Interview: ______________________________


Current Area of Residence: ________________________ Travel to Baner: YES / NO Nationality: ___________
Date of Birth: ___________________________________ Place of Birth: _________________________________
ID Cards (Tick): Passport: Aadhar Card: Pan: Driving License:
Answer to all questions is mandatory. Please mention NA (Not Applicable) where required.

Professional Experience Details: (Please provide details for each company worked with including current & past)
Expected Total Notice
Why
CTC Exp Period
Exceptionaire:
(LPA): Mnths: Mnths:
Joining Exit Exp. Last
Total
Emp. in Appra
SN Company Name Job Title Appra Reason to Switch
Count Date CTC Date CTC Mont isal
isals
hs Date
1

Please make sure all the above information is verifiable & referable.

Gaps, if any, in the career / education:


SN Start Date End Date Reasons

Ratings: 1 – Lowest 10 – Highest (Use wherever necessary)


Skill Set Details: Interviewer 1 Interviewer 2
Ratings Ratings
1) Exp: 1) 1)
2) Exp: 2) 2)
Primary Skill-Set 3) Exp: 3) 3)
4) Exp: 4) 4)
5) Exp: 5) 5)
1) Exp: 1) 1)
Secondary Skill-Set 2) Exp: 2) 2)
3) Exp: 3) 3)
Any Skill-Set 1) Inst:
Certifications 2) Inst:
Professional References for cross verification (Min 3):
SN Name Title Phone Details of Engagement

Candidate referral (Any profile):


SN Name Relation Title Phone Email

Have you ever been convicted for any crime for any reason: YES / NO. If yes, please explain:
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Do you have any professional experience / degree for which you do not have the original certificates: YES / NO
If yes, please explain why you don’t have them:
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Any medical ailments that could potentially affect your working abilities in direct or indirect ways:
1) _____________________________________________ 2) ___________________________________________

Any particular reasons that could potentially delay your joining or require time away from work once you join.
______________________________________________________________________________________________

Any pre-planned leaves / holidays coming up in the next 6 months


______________________________________________________________________________________________

I,________________________________, hereby declare that all the above mentioned information is 100% accurate
as of today,__________________. Sign: