Interview Record Form

Ref No: _________________

Skill: _________________

Name: Alniz Ladhani Date: 14/01/2017

Present Address: Permanent Address:

#83,1st Main 1st C/303, Bhoomi Tower,

Cross, Nr.Kabirdham Asharm,
Mico Layout, Vavdi Road ,
B.T.M. 2nd Stage, Morbi-363641
Bangalore-560076 Gujarat

Mobile: 09228188700 E-Mail ID: [email protected]

Alternate Contact: 09016222292 Alternate E-Mail ID: [email protected]

Direct Applicant
PAN Card: AHMPL5513C

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

Referral (Name&SAPID):
Date of Birth (DD/MM/YY): 02/01/1991

Any Backlogs in the Education Yes/No : Yes Have you Worked in HCL before : No
If Yes mention your SAP Code :
If yes, how many One

Skill: Networking
24x7 Work shift - Yes / No : Yes

Total IT Exp. (in Yrs.): 1 Year

Relevant Skill Exp. (in Yrs.): 1 Year

Nationality: Indian

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

Start
Full Time FT/ Area of Passed Out Grade Have Mark
Qualification Part Time PT/ College / Institute / University Date Sheet and
Specialization MM/YY /%
MM/YY
Distance Certificate
edu(DE) YES/NO

X FT GSHSEB April/2005 March/2006 63.43 YES

XII / Diploma FT GSHSEB April/2006 March/2008 53.60 YES

Graduation FT Saurashtra University Electronics April/2009 May/2012 60.25 YES

Post-Grad FT Saurashtra University Electronics June/2012 April/2014 64.20 YES

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

Network OL / RL / EC
1 Riya Electronic Products 5/May/2015 2/May/2016 Career Growth
Engineer

OL / RL / EC

OL / RL / EC

OL / RL / EC

OL / RL / EC

Technical Certifications : CCNP Routing And Switching ,CCNA Routing And Switching

Fixed Comp: Variable Comp: Additional Allowance Total Annual CTC

CTC Details 180000
15000

Expected CTC: 280000 Notice Period: Immediate

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: 14 /01/2017 Signature:

Place: Bangalore

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: