Interview Record Form
Name: Date:
Present Address: Permanent Address:
East guru angad nagar, Laxmi Nagar, Delhi 92 House 26a. Deoria, UP, 274001
Mobile:9990469783 E-Mail ID: : jksatya001@gmail.com
Alternate Contact: Alternate E-Mail ID:
PAN Card: BRAPT5056P Direct Applicant
Gender : Male Female Source aVendor/Agency (Vendor Name): Jumbo Consultants
a
Date of Birth (DD/MM/YY): / Referral (Name & SAP-ID):
/
Any Backlogs in the Education Yes/No : Have you Worked in HCL before : Yes / No
If yes, how many If Yes mention your SAP Code :
Skill:
24x7 Work shift - Yes / No :
Total IT Exp. (in Yrs.):
Relevant Skill Exp. (in Yrs.):
Nationality:
Category of Position Applied For (To be filled by Recruiter)
Educational Background – Standard recognized full time degree or diploma’s only.
Full Time FT/ Have Mark
Start
Part Time PT/ Area of Passed Out Grade Sheet and
Qualification College / Institute / University Date
Distance Specialization MM/YY /% Certificate
MM/YY
education DE) YES/NO
X
XII / Diploma
Graduation
Post-Grad
Employment Details: (Starting with your present or most recent employer, please list of all your past employments)
Have Offer letter
(OL)/ Relieving
Sl. Position From To letter (RL)/
Reasons for
Company Name Held (While Experience
No. (DD/MM/YYYY) (DD/MM/YYYY) leaving
leaving) Certificate (EC)
Please Tick
OL / RL / EC
OL / RL / EC
OL / RL / EC
Additional Relevant Diploma / Certificate / Training (Part time, full time or through correspondence)
Certificate / Course Institute Subject Area Duration (Months) Year of Completion
Fixed Comp: Variable Comp: Additional Allowance Total Annual
CTC Details CTC
Expected CTC: Notice Period:
PROFESSIONAL REFERENCES:
(Please give references of people, who worked / working as your Lead / Reporting Manager/supervisor)
Name Occupation Contact & email ID Relation with HCL Employee
Declaration:
I, _______________________________ declare that the information provided by me above is true to the best of my knowledge and belief. Any
misinterpretation or omission in above details renders be liable and I will abide the action taken by the company.
Date: Signature: