PRE-INTERVIEW FORMAT

Dear Candidate,
We thank you for coming for Interview. Kindly fill the form in detail to help us know you better.

Post Applied for:

Please read the instructions carefully before filling the form. Please fill in BLOCK LETTERS: (CAUTION:
Please furnish correct information. Furnishing of incorrect information would disqualify you for the post)
1. Name of applicant (Initials not allowed)
First Name
Middle Name
Last Name

2. Sex: Male

Female

3. Date of Birth: DD

MM

YYYY

4. Place of Birth: Village / Town

District, State / Country

5. Father's Full Name/ Legal Guardian's Full Name (including surname, if any): (Initials not allowed)
6. If married, Full Name of Spouse (including surname, if any). (Initials not allowed)
7. Present Residential Address including Street / Gali, with PIN code

Telephone No. (If not availible P.P.No.)

Mobile No. (If not available friends/Relatives No.)

8 (a). Please give the date since residing at the above-mentioned address:

MM

YYYY

8 (b). Is the Residence Owned/Rented/P.G/Shared with others ..

8 (c). If not owned, amount spent per month on same ...
9. Permanent Address with PIN code (if the permanent address is same as the present address, write
Same only)

10. E-mail ID, if any:

11. Other Details:

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a) Educational Qualifications
Course (Ex:

Year (from & to)

School/College

Class & %age

SSLC/PUC/B.Com)

(Ex: 1965-68)

/University

Secured

Remarks (if any)

b) Work Experience
Company/Org

Year (from-to)

Nature of Work

Salary

Immediate Superiors

Name

(Ex: 1965-68)

done

Drawn

Reference with Contact Nos.

c) Computer Knowledge
Programme
MS-Word
MS-Excel
MS-Powerpoint
Frontpage
Naming,Organising

Basic

Shortcuts

Macros/Graph

Formulas

Read

Write

Speak

Teach

and Backing up files

Troubleshooting
Tally
Others(Specify)

d) Languages Known
Language
English
Kannada
Hindi
Specify
Specify

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e) Driving (Please mention the type of vehicle you know to drive and own at present)
Type of Vehicle
Two Wheeler Geared
Two Wheeler Non-Geared
Three Wheeler
Four Wheeler (LMV)
Four Wheeler (MMV/HMV)

Yes/No

Owned

License No.

Valid From & To

f) Extra Curricular Activities and Hobbies:

g) Salary Expected: (Please be candid, quoting salary

disproportionate to ones qualifications and experience will lead to outright rejection. We do not
generally make counter-offers so please be very clear)
h) Please justify why you expect this salary and how the organization will to benefit (Value for Money)
for the salary to be paid: (Kindly note that our organization is not interested in knowing about why
you need this salary, example: to take care of your dependents, loans, needs, etc. We only look at
the work you are capable of delivering)

i)

Tell us how you would expect to grow in next few years?

j) Rate the following in order of importance to you (1= Most Important and 5 = Least Important).

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Interest in reducing costs

Commitment to work
Positive attitude
Enjoy working 24/7 if work demands
Pay, Perks and Benefits

k) Caste Sub caste...

l)

Your diet habit? Tick one ( Vegan, Lacto-Vegetarian, Non-Vegetarian)

m) Do you smokeIf yes, how many cigarettes/bidis per day...

n) Do you drink.If yes, how many times a week..
o) Do you suffer from any diseaseIf so, for what disease & how long...

p) Have you been hospitalized in the past 10 years.If so, for what

12. Particulars of family, children and dependents:

Name

Sex

Relationship

Occupation

(1) .

Male

(Father)

(2) .

Female

(Mother)

(3) .

(4) .

(5) .

(6) .

(7) .

13. Are any criminal proceedings pending against you before a Court in India?

NOTE: If answer to above is YES, furnish details in a separate sheet.

14. We have branches in other parts of the state. Mysore, Hubli/Dharwad, Bijapur, Gulbarga, Udupi,
Hassan, etc. Are you willing to travel to those branches?

NOTE: if answer to above is NO please furnish detail in separate sheet

15. Self Declaration:

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i) The information given by me in this form is true and I am solely responsible for its accuracy. I am aware
that it is an offence to furnish false information or suppress information with a view to obtaining
appointment.
ii) I undertake to be entirely responsible for any losses that the organization may incur on account of my
appointment and indemnify the organization on account of any of my lapses.
Date.
Place

Name & Signature

Enclosures:

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