FORM

EXIT INTERVIEW FORM-2

Employee Name Supervisor

Employee Code Location

Job Title Hire Date

Dept. Resignation Date

Division Relieving Date

1. Why are you leaving Stellar Value Chain Solutions Pvt Ltd ( A CEVA Company) & what circumstances prompted you to
start looking for another job?

2. What circumstances would have prevented your departure?

3. Under what circumstances, if any, would you consider returning to the company?

4. What did you like most & least about your job?

5. What does your new position offer that influenced your decision to leave?

6. What suggestions do you have to make Stellar Value Chain Solutions Pvt Ltd ( A CEVA Company) a better place to work
& for improving employee morale

Document Number:51.12.20IND Issue Date:01- Sept -2022 Revision: 001

Functional Owner or Doc Name: Exit Interview Form -2 Replaces Revision: NA
This document is the proprietary information of CEVA, for internal CEVA use only. Uncontrolled when printed.
Page 1 of 2
FORM

7. General YES NO
Would you recommend the company to a friend as a good organization to work for?
Was the work you were doing approximately what you expected it would be?
Did you feel like a valuable part of the company?
Were you provided with clear goals & objectives?
Did you feel your job description changed since you were hired?

8. What did you think of your supervisor on the following Strongly Agree Disagree Strongly None
points: Agree Disagree
Was consistently fair
Provided recognition
Resolved complaints
Was sensitive to employees' needs
Provided feedback on performance
Comfortable talking & Approachable
Was receptive to open communication

What things your Supervisor could have done better?

Was your workload usually: Too heavy ( ) About right ( ) Too light ( )

9. How would you rate the following: Excellent Good Fair Poor
Cooperation within your Team/Dept.
Cooperation with other divisions
Personal job training
Infra provided (materials, resources, facilities)
Company's performance review system
Company's new employee orientation program
Rate of pay for your job
Career development/Advancement opportunities
Physical working conditions

You are required to return the following Company belongings/assets:

• Office ID Card • Office Files/ Documents.

• Office Access Card • Office Sim Card
• Office/Desk Keys • Project /Assignment related information
• Laptop & Accessories, Dongle, SIM Card

Thank you for co –operation. We wish you all the best in your future endeavors.

HR Representative Name: Employee Name:

Signature : Signature :

Date: Date:

Document Number:51.12.20IND Issue Date:01- Sept -2022 Revision: 001

Functional Owner or Doc Name: Exit Interview Form -2 Replaces Revision: NA
This document is the proprietary information of CEVA, for internal CEVA use only. Uncontrolled when printed.
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