Exit Interview Form

Exit interviews are to be conducted by an HR Representative on any day in the last four days of
employment with Goldstone.

After the employee has left the organisation, the HR Lead / Head will discuss and verify the
information gathered during the interview with the former employee’s line manager. Copies of the
completed interview will be forwarded for data entry (in Goldstone - HRMS).

Exit Interview Details

Name : EMP No : ……………

Designation : Grade : ……………

DOJ : Date of Resignation : ……………

Project : Reporting Manager : ……………

Period of Employment
in Years :

Interviewer
Name (HR) : Date of Interview : ……………

REASONS FOR LEAVING

Please nominate your reasons for leaving Goldstone by ticking the appropriate boxes

Company and Top Leadership:

Lack of career development/opportunities
Dissatisfied with Goldstone company policies
Inadequate or poor training

Compensation:
Dissatisfied with compensation package
Unmet/unfulfilled promises regarding compensation package
Financial rewards did not match my contribution/value to Goldstone

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Manager & Work:
Dissatisfied with leadership of manager
Dissatisfied with the quality/quantity of feedback from my manager
Objectives not realistic/achievable
Unhappy with the team (I was last working with)
Objectives not set
Dissatisfied with work environment
Job content changed
Job content varied from description given at recruitment interview
Inadequate tools to complete job tasks
Excessive workload/hours
Seek more challenging role
Seek less demanding role
Seek career change

Family Reasons:
Child care
Elder care
Marriage

Other:
International transfer/migration
Health reasons
Continuing education
Self employment

In Voluntary:
Death
Retirement
End of Contract Company Termination
Poor Performance Abandoned Services

WHERE ARE YOU MOVING TO?

Self employment within the I.T. industry

To a Competitor in the I.T. industry (Specify Company): …………………………

Compensation Package offered (Annual): …………………………

To a position (I.T. related or other) in another industry (specify company): …………………………

To a customer (Please specify): …………………………

No new role at present

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 Other (please specify): …………………………

HOW DID YOU FIND YOUR NEW JOB?

Newspaper/industry publications
Internet
Friend/Relative
Approached directly by new employer
Headhunter
Other (please specify): ………………………………………………………………………………

What is it about your new role that made it appealing?

How would you describe/contrast your new role in comparison with the role you are leaving
at Goldstone?

Are you aware of the Provident Fund Withdrawal / Transfer Process?

IN SUMMARY

Detail back to the employee their reasons for leaving to ensure you have understood their reasons. Ask

whether the employee has any concerns or issues that have not been discussed.

Further Comments

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Signature of the Interviewer Signature of the Employee

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