CANDIDATE INFORMATION FORM

Paste
Date: _________________ Position Applying For ________________________
Photograph
Experience:________Years/ Fresher
Name: (in CAPITAL Letters) ___________________________________________
Mobile No.: (R) Age : ____
Address : _________________________________________________________________________________________________

Last Drawn Salary _________ Expected Salary: __________ When can you join (If you get selected): ______________________

Willingness to work in shifts (Y/N) _____________ Gender : Male / Female Date of Birth: __/ __/ _____ (ddmmyyyy)

Blood Group: _____ Marital Status : __ Languages Known : _______________________________

Total Work Experience: yrs __ months Relevant Work Experience: _ yrs _ months

Educational/Technical/Professional Qualification

Course Regular/ Month & Institute/ Place/ Percentage

PartTime/ Year of College/ (Aggregate)
Location
University
Distance Passing
10th Std.

12th Std.

Graduation/ Diploma
(BCOM/BA/BSC, BMS, BBA, etc.)

PG Diploma

Technical / Professional

Mention your plans of Further Education

_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Mention your Medical History (If any)
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

What are 5 most important principles in your life?

1. _____________________ 3. ______________________ 5. ______________________

2. _____________________ 4. ______________________
 Family Details:

Name DOB
Relation Current Location Qualification Occupation
(in CAPITAL Letters)

Father

Mother

Siblings
(Brothers/ Sisters)
Spouse
Children

Work Experience (Start with CURRENT EMPLOYER)

Period of Gross
Employment Monthly
Company Name & Position held & Job
Designation (MM/YYYY) Duration Salary
Content
Location
From To

If not the job profile that you applied for then which other career options you would want to go for?

1. _____________________________________
2. _____________________________________

Prioritize the below mentioned

Family, Friends, Money, Career, Appreciation, Hobbies, Health, Social Service, Self-Motivation, Activeness on
Social Media

1. _______________ 4. _______________ 7. _______________ 10. _______________

2. _______________ 5. ______________ 8. ________________
3. _______________ 6. _______________ 9. ________________

Rate yourself on the scale of 1 to 10

Conscience ___ , Embrace Change ___, Client Service ___.

Empathy ___, Passion ___, Team work ___,
Disciplined & Organised Behaviour ____, Selflessness ___, Integrity ___,
Value & Principles ___, Judgment of a situation___,
Innovation & creativity___ Curiosity___,

I declare that, I have no criminal / legal proceedings pending against me. I certify that the information furnished above
is true to the best of my knowledge and any misrepresentation made by me in this form will render me liable to be
terminated from service, if appointed.

Date: Place: Signature: ______________________