Interview Record Form

Name: Date:

Present Address: Permanent Address:

Mobile: E-Mail ID:

Alternate Contact: Alternate E-Mail ID:

PAN Card: Direct Applicant

Gender : Male Female Vendor/Agency (Vendor Name):

Source
Referral (Name & SAPID):
Date of Birth (DD/MM/YY):
LinkedIN

Have you Worked in HCL before: Yes / No?

Any Backlogs in the Education Yes/ No:
If yes, how many
If Yes mention your SAP Code :
Skill:
24x7 Work shift - Yes / No :
Total IT Exp. (in Yrs.):
Relevant Skill Exp. (in Yrs.):

Nationality:

Category of Position Applied For (To be filled by Recruiter)

Ref No: _________________

Skill: _________________ Photograph

Start
Qualificatio Degree College / Institute & Area of Passed Out Grade Have Mark
Date
n (Full Time / University Specialization MM/YY /% Sheet and
MM/YY
Part Time / Certificate
Distance) YES/NO

XII

Diploma

Graduation

Post-Grad
Employment Details: (Starting with your present or most recent employer, please list of all your past employments)

Offer letter (OL)/

Sl. Position From To Relieving letter (RL)/
Reasons for Experience Certificate
N Company Name Held (While (DD/MM/ (DD/MM/ leaving (EC)
o. leaving) YYYY) YYYY)
Please Tick If you have

OL / RL / EC

OL / RL / EC

OL / RL / EC

OL / RL / EC

OL / RL / EC

Technical Certifications :

Fixed Comp: Variable Comp: Additional Allowance Total Annual CTC

CTC Details

Expected CTC: Notice Period:

Have you been interviewed by HCL interviewed in the last 7 Months (Yes/No):

Your performance Rating of last 3 years in your current organization

Recent year : A B C D

Last Year : A B C D

Second Last year : A B C D

Declaration:

I, _______________________________ declare that the information provided by me above is true to the best of my knowledge
and belief. Any misinterpretation or omission in above details renders me liable and I will abide the action taken by the company.

Cab consent:

I, _______________________________ hereby acknowledge and understood HCL’s cab policy that I can avail cab facility only if
the residence is within 35Kms radius and will re-locate within this distance if cab is required.

Date: Digital Signature:

Place: