Exit Interview Form: Euro American

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EURO AMERICAN

EXIT INTERVIEW FORM


Date: _____________
Employee Name: __________________________ Code No.:________ Level: ____________
Designation: ______________________________ Dept.: ______________________________
Experience in Polyplastics: __________________ Previous Experience: __________________
Qualification: ________________________________________________________________________
Career Growth:
At the time of joining At the time of leaving
Designation: Designation:
Level: Level:
Job Assigned to him: __________________________________________________________________
Reporting to: ________________________________________________________________________
No. of persons reporting to him: _________________________________________________________
Exit Interview:
Mark (√) if point is relevant & contributed in quitting.

S.No. Factors contributed to leave the job App. Comments

I PERSONAL
a) Shifting to home location
b) Health problems
c) Ownbusiness
d) Higher studies
e) Career Growth
II PROFESSIONALGROWTHRELATED
a) Inadequate training and development activities.
b) Lack of challenge in the work.
c) Job allotted not matching with job as pirations.
d) Insecurity and uncertainty in day-to-day working
e) Unfair treatment by management
IV PROFESSIONAL COMPENSATION RELATED
a) Inadequate pay & Increments in relation to the industry
b) Non Fulfillment of commitments by the company
V PROFESSIONAL
a) Rolls & Responsibility not defined properly
b) No clarity in reporting relations
VI OTHERS
a) Job involves too much of travel
b) Job is too stressful
HRD-F-R32/00/011114/12
EURO AMERICAN
EXIT INTERVIEW FORM
What was the trigger point which encouraged for searching a new job?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
His views regarding job assigned to him?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

His views regarding career growth?


__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

What are the attributes that you most dislike about Polyplastics?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

What are the attributes that you most appreciate about Polyplastics?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Are there any changes or improvements, which would have made this company and your position more
attractive?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

/ / / / / /
Employee Signature: Name: Name:
Designation: Designation:
Employee Interviewing Panel
Summing up by (HRD)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

/ /
Name: __________________________________
Designation: ______________________________

HRD-F-R32/00/011114/22

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