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CANDIDATE INFORMATION FORM

Full Name:
Date of Birth:
Marital Status:
Technology/ Skillsets:
Source:
Job Portal
Advertisements/ Website
Referral Name/ Agency/ Vendor:
Current Employer:
Current Role/ Designation:
Total Experience in Years:
Current Location:
Mobile:
Notice Period:

Gender:
Place of Birth:
Date of Interview:
Interview Location:
Employee Referral Agency/ Vendor

Recruiter/ HR Name:
Mode of Interview:
Position/ Role Applying for:
Relevant Experience in Years:
Emergency Contact (Mandatory):
Email ID:
Tentative Joining Date:

Academic Qualification(s): Kindly start from 10th to highest qualification (ascending order)
Qualification

Stream

University/ Institute/ College

Passing
Year

Grade/
Percentage

Additional Professional Qualification(s)/ Training Sessions Attended/ Certifications:

Name of the Institute

Course
Duration

Course Name

Grade /
Percentage

Please provide information about your current and previous employer(s): Kindly start with
latest employment
Organization Name/ Location

Role

From
[mmdd-yy]

To
[mmdd-yy]

Reason for Leaving

Do you have any commitments/ bond with previous employer? Yes No

(If yes, please mention the duration and bond amount)
_______________________________________________________________________________________________________
Top three reasons to join Synechron:

1..............................................................................................................................................................
2..............................................................................................................................................................
3..............................................................................................................................................................
Do you have relocation constraints?
Yes
No
If YES, please provide your location preferences:
1st ______________________2nd_______________________3rd_______________________4th________________________

No __________Yes (Medical History/ Background):

Do you have any medical history?

Have you ever been interviewed at Synechron?

No Yes (If yes, provide details
below)
Role Interviewed
Interviewer/ HR/
Date
Location
for
Recruiters Name

Names of friends/ family/ ex-colleagues, if any in Synechron:

................................................................................................................................................................
................................................................................................................................................................

Yes No

Do you have a valid Passport?

Passport number and expiry date

Valid visa, if any (with expiry date)
Provide details of prior visa
refusals
pending
visa
Ready toor
travel
short/
long term

Yes No

Travelled onsite before? (Location/

Duration)
Present address:
City:
Permanent address:

State:

Pin Code:

City:

State:

Pin Code:

References (Professional Only):

Name of the person

Organization
Name

Designation /
Role

Relation

Contact details

Declaration:
I hereby declare that the above information provided by me is true and accurate to the best
of my knowledge. Any falsification of this information will hold me liable to any action taken
against me by the organization as per companys prevailing rules and regulations.
Place:_______________________________________Date: _________________________________________

Name:_______________________________________Signature: ___________________________________