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Interview Data

The document appears to be an interview data sheet that collects personal and professional information from candidates, including their name, contact details, demographic information, education history, language skills, professional qualifications, past employment, and a declaration signed by the candidate affirming the truth of the information provided. The sheet requests information such as the candidate's address, date of birth, caste or disability status if applicable, degrees and certifications earned, current studies if any, work experience, and a record of academic honors.

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Archana Menon
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
83 views

Interview Data

The document appears to be an interview data sheet that collects personal and professional information from candidates, including their name, contact details, demographic information, education history, language skills, professional qualifications, past employment, and a declaration signed by the candidate affirming the truth of the information provided. The sheet requests information such as the candidate's address, date of birth, caste or disability status if applicable, degrees and certifications earned, current studies if any, work experience, and a record of academic honors.

Uploaded by

Archana Menon
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Interview Venue : Mumbai

INTERVIEW DATA SHEET


Roll No._____________

Please

Category : GEN/SC/ST/OBC/PH

Name in Full (In BLOCK CAPITALS)


SHRI /SMT. / KUMARI
Present address in full
for correspondence

(Surname)

(Name)

(Father/Husbands Name)

___________________________________________________________________
___________________________________________________________________
______________________________________________(Pincode)_____________
__________________________________________________________________
__________________________________________________________________
_______________________________________________(Pincode)___________

Permanent Home Address

Nearest Railway Station _________________ Mobile No. ______________________ E-mail I.D.. ____________________________
Date of Birth _______________ Age as on 31.5.2009___________

Place of Birth ________________________

STATE in which it is situated : ____________________

State of Domicile ______________________

Nationality : _______________ Marital Status :_____________ No. of Children ________________


Father / Husbands Occupation ___________________________________________________________________
If SC/ST/OBC, please indicate the community:
Caste Certificate in the prescribed format enclosed

____________________________________
YES / NO

If Physically Handicapped, nature of handicap and percentage of disability :


Nature of Handicap
Hearing Handicapped (HH)
Orthopaedically Handicapped (OH)

Percentage of Disability

Languages Known (1) Regional


Language ______________

(2) Mother Tongue :


_______________

(3) Other
Language ______________

ACADEMIC QUALIFICATIONS (Commencing from Graduation examination)


Examination passed

Year of Passing

PROFESSIONAL QUALIFICATIONS
Examination passed
Year of Passing

Are you prosecuting further studies : YES / NO


Academic distinctions, prizes, scholarships, etc.

Name of College/ University


Attended

Class or Div.

Subjects offered

Name of Institution /University


Attended

Class or Div.

Subjects offered

FULL / PART TIME : SEMESTER ________________________


_____________________________________________________

INSURANCE QUALIFICATIONS
Examination passed

Year of passing

Name of Institution

PAST AND PRESENT EMPLOYMENT :


Name and full address of
employer/s

Designation / Post
held

Period

From

Scales
and
Pay drawn

Reason for leaving

To

DECLARATION : I hereby declare that all the above information is true and correct to the best of my knowledge and belief. I understand that
in the event of any information being found false or untrue, my candidature for the applied post is liable to be cancelled /
rejected at any stage of recruitment.

Signature of Candidate

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