Candidate Information Form (CIF) –

Instructions: Please provide all the information requested in this form. Incomplete Candidate Information
Forms will be returned for completion. All supporting documents must accompany this form. Legible
photocopies are requested please.

PART A - PERSONAL DETAILS:

Date of birth (DD/MM/YY):

/You’re Phone Number (Land Line and/or Mobile):

Social Security Number (If worked/studied in the US/Any other Country):

Change of Name if Applicable

Former Name/Maiden Name: ____________________________

Date of Name Change: _____________________

Current Address (Complete details like Door Number, street, locality, etc.,)

ER SPRING LAYOUT, MUNNEKOLALA, BENGALURU, 560037

Permanent Address (Complete information like Door Number, street, locality, etc.,)

______________________________________________________________________________________________

______________________________________________________________________________________________

: (Landline Period of Stay: FROM 1995-2021

Note: Please attach a legible photo copy of any one of following documents:
1. Driving License 2. Passport 3. Ration Card 4. PAN Card 5.Others

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Others
Address 1 (Complete details like Door Number, street, locality, etc.,)

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

: (Landline) Period of Stay: _____________________________

Address 2 (Complete details like Door Number, street, locality, etc.,)

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

: (Landline) Period of Stay: _____________________________

Address 3 (Complete details like Door Number, street, locality, etc.,)

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

: (Landline) Period of Stay: _____________________________

Address 4 (Complete details like Door Number, street, locality, etc.,)

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

: (Landline) Period of Stay: _____________________________

Supervisor’s Name & Designation: Supervisor’s Direct Number & Mail Id:

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Can the employer be contacted now? [ ] Yes [ ] No

If not, then provide an alternate date:

Reason for Leaving:

Note: Please attach legible photo copies of the following documents relevant to the entries above.
1) Appointment Letter 2) Salary Slip 3) Relieving Letter

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Employment 5
Name of Company:
Building No & Street:
Company Address
City: State:
(Where you were employed )
Pin:  (Landline):
Period of employment: Employee ID:
Designation & Department: Last Drawn Salary (CTC):

Type of Employment: Permanent [ ] Contractual [ ] Part time [ ] Full Time [ ]

Supervisor’s Name & Designation: Supervisor’s Direct Number & Mail Id:

Can the employer be contacted now? [ ] Yes [ ] No

If not, then provide an alternate date:

Reason for Leaving:

Note: Please a
Certification by Candidate
I certify that the information provided in this form is true and correct to the best of my knowledge.

I further certify that I have furnished the answers in Part ‘E’ on my own accord, free of any duress.
ts agency to verify my credentials.

I understand that if any information furnished by me is found to be false, I could be denied employment/be terminated.

I will cooperate and facilitate the process of verification of my credentials.

Signature of the Candidate

Place: BENGALURU

Date: 14/ 03/2024

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