Interview Record Form

Ref No: _________________

Skill : _________________ Photograph

Name: Date:

Present Address: Permanent Address:

Mobile: E-Mail ID:

Alternate Contact: Alternate E-Mail ID:

Direct Applicant
PAN Card:

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

Referral (Name & SAPID):

Date of Birth (DD/MM/YY):

Any Backlogs in the Education Yes/No : Have you Worked in HCL before : 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)

Full Time FT/ Start Have Mark

Area of Passed Out Grade
Qualification Part Time PT/ College / Institute / University Date Sheet and
Specialization MM/YY /%
MM/YY
Distance Certificate
edu(DE) 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)/ Relieving
Sl. Position Held From To letter (RL)/ Experience
Reasons for
Company Name (While Certificate (EC)
No. (DD/MM/YYYY) (DD/MM/YYYY) leaving
leaving)
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:

Professional References: (Please give references of people, who worked / working as your Lead / Reporting Manager/supervisor)

Relation with HCL

Name Occupation Contact & email ID
Employee

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.

Date: Signature:
Place:

To be filled by the Panellist:

Evaluate for
TP1 Score : Select Reject TP2 Status Select Reject other Skill

Level of Selection L1 L1+ L2 L2+/MLC3 L3 L3+ L4

I have verified the candidates photo ID proof at the time of Interview: Yes / No.

SAP ID: Name: Band/Sub-Band: Sign: