Candidate Name:

Position Interviewed For:

Department/ Function
Nature of Employment (Contract/ Regular)
Applied under (Quota) General SC ST
Please tick the relevant option
Present/ Last Organisation:
Educational Qualification:
Total Experience (in Years):
Current Salary:
Expected Salary:
Interviewers:
(Please write names as per selection committee)
HR Representative
SC/ST/OBC Representative
Minority Representative
Lady Representative
Psychologist
CMD
Date:
Interviewer: Please place the rating on a scale of 1-
5 (1 being the minimum and 5 being the
maximum)
CHARACTERISTICS Excellent Very Good Good
Assertive
Achievement-oriented
Cooperative
Outgoing
Openness to feedback
Dedicated
Ability to communicate
Maturity
Verbal/Persuasive
Ability to learn

GOALS/PERCEPTION OF SELF Excellent Very Good Good

Realistic appraisal of self
Reason for interest in field
Realistic career goals

QUALIFICATIONS Excellent Very Good Good

Education/Training
Accomplishments
Skills
Relevant Experience
Potential

DECISION MAKING/PROBLEM SOLVING Excellent Very Good Good

Creativity
Logic

REASONS FOR SELECTING PARTICULAR

Excellent Very Good Good
ORGANISATION
Commitment
Knowledge of Organisation
Knowledge of Industry

LONG TERM OBJECTIVES Excellent Very Good Good

Realistic
Potential to grow

ADDITIONAL COMMENTS:

Interview Result / Feedback:

Selected Rejected

IF Selected:

Designation / Position to be Offered: Department

Notice Period: Expected Date of Joining Joining Conditions, if any

If Rejected/ On Hold:

Signature of the Panel of Interviewers:

Date:
Selection Committee Member Name

HR Representative

SC/ST/OBC Representative

Minority Representative

Lady Representative

Psychologist

CMD
OBC Disabled

Average Below Average

Average Below Average

 Average Below Average

Average Below Average

Average Below Average

Average Below Average

On Hold

Grade / Level:

ning Conditions, if any

Signature
Candidate Name:
Position Interviewed For:
Department/ Function
Nature of Employment (Contract/ Regular)
Applied under (Quota) General SC ST
Please tick the relevant option
Present/ Last Organisation:
Educational Qualification:
Total Experience (in Years):
Current Salary:
Expected Salary:
Interviewers:
(Please write names as per selection committee)
HR Representative
SC/ST/OBC Representative
Minority Representative
Lady Representative
Psychologist
CMD
Date:
Interviewer: Please place the rating on a scale of 1-
5 (1 being the minimum and 5 being the
maximum)

CHARACTERISTICS Excellent Very Good Good

Assertive
Achievement-oriented
Cooperative
Outgoing
Openness to feedback
Dedicated
Ability to communicate
Maturity
Verbal/Persuasive
Ability to learn

GOALS/PERCEPTION OF SELF Excellent Very Good Good

Realistic appraisal of self
Reason for interest in field
Realistic career goals

QUALIFICATIONS Excellent Very Good Good

Education/Training
Accomplishments
Skills
Relevant Experience
Potential

DECISION MAKING/PROBLEM SOLVING Excellent Very Good Good

Creativity
Logic

REASONS FOR SELECTING PARTICULAR

Excellent Very Good Good
ORGANISATION
Commitment
Knowledge of Organisation
Knowledge of Industry

LONG TERM OBJECTIVES Excellent Very Good Good

Realistic
Potential to grow

ADDITIONAL COMMENTS:

Interview Result / Feedback:

Selected Rejected

IF Selected:

Designation / Position to be Offered: Department

Notice Period: Expected Date of Joining Joining Conditions, if any

If Rejected/ On Hold:

Signature of the Panel of Interviewers:

Date:
Selection Committee Member Name

HR Representative

SC/ST/OBC Representative

Minority Representative

Lady Representative

Psychologist

CMD
OBC Disabled

Average Below Average

Average Below Average

 Average Below Average

Average Below Average

Average Below Average

Average Below Average

On Hold

Grade / Level:

ning Conditions, if any

Signature
Candidate Name:
Position Interviewed For:
Department/ Function
Nature of Employment (Contract/ Regular)
Applied under (Quota) General SC ST
Please tick the relevant option
Present/ Last Organisation:
Educational Qualification:
Total Experience (in Years):
Current Salary:
Expected Salary:
Interviewers:
(Please write names as per selection committee)
HR Representative
SC/ST/OBC Representative
Minority Representative
Lady Representative
Psychologist
CMD
Date:

Interviewer: Please place the rating on a scale of 1-5 (1 being the minimum and 5 being the maximum)

CHARACTERISTICS Weight

Assertive 10%
Achievement-oriented 10%
Cooperative 10%
Outgoing 10%
Openness to feedback 10%
Dedicated 10%
Ability to communicate 10%
Maturity 10%
Verbal/Persuasive 10%
Ability to learn 10%
TOTAL 100%

GOALS/PERCEPTION OF SELF Weight

Realistic appraisal of self 40%

Reason for interest in field 30%
Realistic career goals 30%
TOTAL 100%

QUALIFICATIONS Weight

Education/Training 40%
Accomplishments 15%
Skills 15%
Relevant Experience 15%
Potential 15%
TOTAL 100%

DECISION MAKING/PROBLEM SOLVING Weight

Creativity 50%
Logic 50%
TOTAL 100%

REASONS FOR SELECTING PARTICULAR ORGANISATION Weight

Commitment 40%
Knowledge of Organisation 30%
Knowledge of Industry 30%
TOTAL 100%

LONG TERM OBJECTIVES Weight

Realistic 50%
Potential to grow 50%
TOTAL 100%

Weighted Average

Weighted Average
Selection Criteria <=2 >2 and <3 >=3 and <4

Selected with Selected with

Not Selected
major gaps minor gaps

ADDITIONAL COMMENTS:

Interview Result / Feedback:

 Selected Rejected

IF Selected:

Designation / Position to be Offered: Department

Notice Period: Expected Date of Joining Joining Conditions, if any

If Rejected/ On Hold:

Signature of the Panel of Interviewers:

Date:
Selection Committee Member Name

HR Representative

SC/ST/OBC Representative

Minority Representative

Lady Representative

Psychologist

CMD
 OBC Disabled

ing the maximum)

Weighted
Rating (1-5)
Score
5 0.5
4 0.4
3 0.3
2 0.2
3 0.3
4 0.4
5 0.5
4 0.4
3 0.3
2 0.2
3.5
Weighted
Rating (1-5)
Score
4 1.6
 3 0.9
2 0.6
3.1
Weighted
Rating (1-5)
Score
2 0.8
3 0.45
4 0.6
5 0.75
2 0.3
2.9
Weighted
Rating (1-5)
Score
2 1
4 2
3
Weighted
Rating (1-5)
Score
4 1.6
5 1.5
3 0.9
4
Weighted
Rating (1-5)
Score
3 1.5
3 1.5
3

Weighted Average 3.9

ted Average
>=4 and <=5 5

Selected with
Selected with
very minimal
no gaps
gaps
 On Hold

Grade / Level:

ning Conditions, if any

Signature