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city: State : Pincode Country : Telephone Mobile : Email FAMILY DETAILS AGE ADDRESS OCCUPATION Fathers Name: Mother's Name = Spouse's Name Name of Children : lAgeiSex| Date of Birth | School Attendending / Occupation| Number of Dependents Number of Brothers = Number of Sisters Languages you can speak, read and write Languages you can speak only Tan You Drive a Car or Motor Cycle ? YES_[_NO If Yes, State Driving Licence No, ;—__ Class Do Vou Suffer From any Physical impairment Chronic liness ? soSitekind | A A Have you Ever Boon Convicted For Griminal Offence ? If So State the Offence Date: 10 State Amount >| Do You Prefer To Work at Job Site? ‘hve You Prepared to workin overseas Projecis ? So State the Period Available ‘Any Friends / Relatives in EDAC Group Companies ? | EMP. No. : Designation Relationship It¥es Give Detais serine 4. NAME 2 NAME: EMP No? Relationship 11) EDUCATION Name of the | Subject] School / College / University | etlum Dates Year of | |Class/% of| Full time Course ‘Address ad aa om we | Passing | Marks. | Pare time PG DEGREE UG DEGREE DIPLOMA HSC/SSLC PRESENT STUDIES, IE ANY ‘OTHER QUALIFICATIONS Name of the Course ‘Commerc / Vocational Professional of Cerenes Date ane ‘Nome fo the Instat with Aree From | te] Year of Completion (Copy ofthe above mentioned shouldbe attached) Other Spacial Training / Qualification any MM yyy y Breakin Study (Any) years /months Give Reasons... Break between Sticy & Employment Yes/No [_] ives Give Reasons Ill) EMPLOYMENT DETAILS (Needs to be supported by relieving letter at the time of joining) Name of Employer ex Address [| Dates Last Position [2c] Nature of Duties | "aaron Fer Total Industry Experience (in months) : Expected Annual Salary (INR) sn a J. Total non industry Experience (in months) : Tentative Joining Date (f selected) Are You currently under any Service Bond? If YES mention the details. IV) HOBBIES ex INTERESTS/ SPORTS AND GAMES What Social and Cultural activities or Sports and games do you participate from time to time? ‘State your extra-curricular activities in School / College / University ? CHARACTER REFEREES (Referene must be above 21 years old and should not be relatives of applicant) OCCUPATION] | PERIOD OF DESIGNATION _|RELATIONSHIP NAME FULL ADDRESS CONTACT NO. DECLARATION I, here by declare that the information i have given is true and correct to the best of my knowledge and belief further declare that having been given to understand that since the Information as given by me herein forms and in a ‘material part of the Contract of Employment. | am liable to instant dismissal should it be discovered that the Information is not correct or true in any particular point not withstanding any provision to the contrasty in the said contract of employment. Date sAllscin Signature of Applicant FOR OFFICE USE ONLY INTERVIEW RATING SHEET DATE : TECHNICAL EVALUATION Excellent | Good | Average | Poor S.No. RATING CRITERIA ae | Gad a) e Total +_| sob Knowledge & Relevant Experience 2_| Technical, Analyical & Computer Skis 3._| Decision Making & Problem Solving 4 | Potentiat/ Flextilty 5 | Logical Thinking / Industy / Awareness: TOTAL MARKS SCORED Recommended for Wait ised for Nol Recommended for [O]_Exsorment Otte Rare Crs: State reasons for Selecting / Waitlisting / Rejecting the candidate : General Comments : 1 [[fsetected, whien should the candidate repor to work? 2 [Locaton (Please mention site name) INTERVIEWER = 1 NAME DESIGNATION: SIGNATURE: | DESIGNATION SIGNATURE» HR CLEARANCE No. RATING CRITER Excellent | Good | Average | Poor S.No. ERIA one | ae i ia Total 1 | Educational Background 2 | Appearance & Grooming 3 | Communication skits 4 | Leadership Quality 5_| Team Player TOTAL MARKS SCORED [CO] recommended for Enployrent Not Recommended for Employment HR Interviewer Comment Designation Grade. Salary INTERVIEWER ~ HR DEPT. APPROVED BY NAME NAME : DESIGNATION : ‘SIGNATURE = DESIGNATION : SIGNATURE :

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