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HIMT- QSF-6220-04 Rev 3

INTERVIEW ASSESSMENT FORM

Name
Job Title
Qualification
D.O.B & Age
Contact Details Phone E mail
Sailing /Naval Exp, if applicable
Teaching /Industrial Exp, if any
Name of Previous employer &
Period of service, position held
Present Address

Date from which Available


Current Salary/Expected Salary
Min. Salary below which not
interested to join
Min. period will stay at HIMT
Languages known
Future Plans
Preferred Working Hrs
Submit original cerificate &
Photo
Family Name D.O.B Employment status
Spouse
Father
Children
References & Remarks:

Signature of the Applicant:

Interviewer’s Name & Sign with date: