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PED Ver 5.1

This document contains a prospective employee's personal and employment details. The applicant declares that all information provided is true and accurate. Any misrepresentations could lead to disqualification or termination without notice. The applicant also authorizes Concentrix to send job-related notifications to the contact information provided. The form requests information such as the applicant's name, education history, work experience, source of application, relocation details, and previous employment with Concentrix or related companies. The applicant agrees to background and reference checks and authorizes the sharing of this information for verification purposes.

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Lucifer
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0% found this document useful (0 votes)
8K views1 page

PED Ver 5.1

This document contains a prospective employee's personal and employment details. The applicant declares that all information provided is true and accurate. Any misrepresentations could lead to disqualification or termination without notice. The applicant also authorizes Concentrix to send job-related notifications to the contact information provided. The form requests information such as the applicant's name, education history, work experience, source of application, relocation details, and previous employment with Concentrix or related companies. The applicant agrees to background and reference checks and authorizes the sharing of this information for verification purposes.

Uploaded by

Lucifer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Prospective Employee Details

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

From To Name of Degree/ Diploma / Name of the


Board/University
(YYYY) (YYYY) Certificate Institution/School/College

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

Name, Designation &


From To Name of Organisation Designation at the Annual Salary
Emp Id Contact Number of
(DD/MM/YYYY) (DD/MM/YYYY) (Branch/Location) time of Leaving (CTC)
Reporting Manager

SOURCE OF APPLICATION (Please tick mark the appropriate box)

Agency Employee Referral Job Portal Advertisement Campus SocialNetwork CNX Website Others

Agency/Referee/Portal/Social
Network Name

Emp Id/Candidate ID

Relocation (if applicable) FROM TO

Have you ever worked with Concentrix / IBM Daksh / Daksh / Minacs / If yes, please share
YES NO
Convergys? Employee ID :

Physically Challenged YES NO

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.

Applicant's Signature Date (DD/MM/YY) :

CNX/REC/ART/AGHR/PED/5.1

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