Candidate Benefit Form

Candidate Name: Current Salary:

Current Organization: Total Years of Experience:
Current designation: Position Applied For:
Qualification: Expected Salary:

Fringe Benefits
 Car Allowance (If any, details)
 Fuel Allowance (If any, details)
 Relocation (If any, details)
 Accommodation (If any, details)
 Medical-Life Insurance (If any, details)
 Medical (Includes, please specify)
 OPD (If any, details)
 IPD (If any, details)
 Leaves (If any, details)
 LFA (Leave Fair Assistance) (If any, details)
 Leave Encashment (If any, details)
 Site Allowance (If any, details)
 Bonus (If any, details)
 Increment (If any, details)
 PF % (If any, details)
 Gratuity (If any, details)
 Food Allowance (If any, details)
 Transport (If any, details)
 Any Other: (If any, details)
______________________________________________________________________
 Note: Please be specific in terms of amount associated with each benefit and its
entitlement.

Candidate Signature: _________________

Date: _____________________