PED Ver 5.1
PED Ver 5.1
I hereby declare that the information provided herein is true to the best of my knowledge. Any
misrepresentation by me will lead to disqualification of my candidature or termination of employment
without notice . I also authorize Concentrix to send job\recruitment related notifications & updates on my contact
number(s) and email updated with Concentrix.
To be filled by the candidate in CAPITAL LETTERS only. Please do not leave any field blank.
PERSONAL DETAILS
First Name
Middle Name
Last Name
Father's name
HIGHEST EDUCATION Under Graduate Graduate Post Graduate Diploma RESULT Pass Awaited
In case any FLP course done, please provide the details in the same format given above
WORK EXPERIENCE DETAILS (Start from most recent job) Fresher Experienced
Agency Employee Referral Job Portal Advertisement Campus SocialNetwork CNX Website Others
Agency/Referee/Portal/Social
Network Name
Emp Id/Candidate ID
Have you ever worked with Concentrix / IBM Daksh / Daksh / Minacs / If yes, please share
YES NO
Convergys? Employee ID :
I authorize, Concentrix or its 3rd party agency to use this for verification purpose with concerned authorities.
I understand and agree that Concentrix holds the right to conduct drug test & background check on my
professional, educational and financial background through independent sources. In case background
check is negative/ drug test is positive, Concentrix to withdraw the offer or terminate my employment with
immediate effect. On joining I will submit authentic copies of all certificates, testimonials to support the
details mentioned in the form.
CNX/REC/ART/AGHR/PED/5.1