PROCON INDIA

New Delhi
CANDIDATE INFORMATION
(This information is sought, received and maintained under strict confidentiality governed by our privacy policy. It is not used for a
Please Retain This Form With You. In Case of Any Changes, Mail an Updated Copy To

PERSONAL

First Name: Middle Name : Last Name:

Date of Birth: Place of Birth:

dd mm yyyy
Current Address:

House No. / Street / Locality City State Zip Code

Permanent Address:

House No. / Street / Locality City State Zip Code

Phone Number (Residence)

Country CodeArea Code Number
Phone Number (Work) Extension
(For discrete contact in emergency only) Country CodeArea Code Number
Mobile Number
Country Code Number
E-mail id.

Additional Telephone Number

Country CodeArea Code Number
Emergency Contact Tel No. / E-Mail id.

Passport Number

Date of Issue Valid up to

dd-mm-yy dd-mm-yy
Place Of Issue

Family Structure *

Name Relationship Dependant (Y/N) Age

* Optional
EDUCATIONAL QUALIFICATIONS

Diploma

Course Discipline Year Institute / University Grades / % Marks *

Graduation

Course Discipline Year Institute / University Grades / % Marks *

Post Graduation

Course Discipline Year Institute / University Grades / % Marks *

International Language Proficiency (Other than English) Language Read Write

Open to Short term Assignments on Single Status ? Y/N

Willing to relocate Overseas ? Y/N

Unwillingness for any specific country

Present Annual Salary including allowances paid (INR or USD Eq.) Currency

Approximate Annual Cost of Benefits not included in above (-do-) Currency

If outside India, is your compensation package Tax Free ? Y/N

Can Join New Position Immediately Y/N OR, Notice Period Required - Can Join Within

Additional Information That You Wish To Share

(Use this space for information not covered in your CV, but you wish us to
consider while promoting your candidature with prospective employers)

For Official Use Only

Candidate id
Last Revised

Remarks
y policy. It is not used for a purpose other than for promoting your placement prospects)
candidates@proconindia.com

Sex:

Country

Country
Remarks

Remarks

Remarks

Speak

Weeks