Interview Declaration Form

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Declaration by the candidate at the time of interview

Position Applied for ____________________________________________________

1. Full Name in Block Letters:

Mr/Mrs/Miss ______Sudarsanan______ _______H______ ___


_________
First Name Middle Name Last Name

2. Personal Details

Date of Birth Age (in Sex Marital Children


Nationality
yrs) Status (Name & age in yrs)
22/05/1989
27 MALE NO
YEARS INDIAN

3. Family Details
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Name Occupation Organization


Your Spouse
Your Father P HARIDASS
FARMER
Your Mother HOUSE WIFE
H REVATHI

4. Contact Details
Address to which we should Permanent Address
write
4/40 40th Street sitco nagar 1/131 East street Kazhumaram (Re) &(po)
villivakam chennai villupuram (dis)

Tel Tel
Mobile 9543074319 9962974319 Mobile 9543074319 9962974319
Fax Fax
Email:sudarsananfarmer@gmail.com Email: sudarsananfarmer@gmail.com

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5. Education/Professional Qualification details (Class XII onwards)
Year of Grade /
Degree Institute
passing % marks
obtained
2011 BBA THIRUVALLUVAR UNIVERSITY 60%
2008 12th 60%
STATE BOARD
2005 10th STATE BOARD 47%

6. Work Experience details (Starting from the current job)


Duration
Employer Position Salary (INR) p.
From To m
16000
SMUTHUSAMY 2011 2016 COLLACATION

7. If you have any relatives/friends in our company, please give details


Relatives Friends

8. If in the past you had applied for a post in any of our group companies, then
please give details as post applied for, year and outcome

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

9. Please, indicate your locational preferences (in order of preference)


1. _______________________________________________________________________
2. _______________________________________________________________________
3. _______________________________________________________________________

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10. Languages Spoken

Indicate Languages Speak Read Write

TAMIL Speak Read Write


ENGLISH Speak Read Write

11. Mention your major achievements in life


To be honest, I didnt achieve anything big so far in my career, but I have so many plans & idea's to
achieve in banking industry. so i would definitely focus to implement those idea's to succeed.______
____________________________________________________________________________
_____________
____________________________________________________________________________
___________________________________________________________________________

12. Mention your extra-curricular activities and hobbies


____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
___________________________________________________________________________

Declaration by candidate

The above-mentioned information is correct to my best knowledge and belief.

Name of Applicant:

Signature of Applicant:

Date :
Place:

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