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Pre - Screening Form

This pre-screening form collects personal and professional details from a job applicant. It requests information such as name, address, family details, qualifications, experience including past employers and roles, compensation, and availability. The applicant must certify that the information provided is true and complete, and understands any false statements could void an appointment. The form is used to evaluate candidates prior to hiring.

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simran
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© © All Rights Reserved
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48 views4 pages

Pre - Screening Form

This pre-screening form collects personal and professional details from a job applicant. It requests information such as name, address, family details, qualifications, experience including past employers and roles, compensation, and availability. The applicant must certify that the information provided is true and complete, and understands any false statements could void an appointment. The form is used to evaluate candidates prior to hiring.

Uploaded by

simran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Pre-Screening Form

First Name (As it appears in your passport/official Documents) Middle Name Last Name

A. Personal Details

1. Details of Birth
Date (dd/mm/yyyy) Current Location Age

2. Personal Email-ID
4. Permanent Address (if different from the current address)
3. Current Address

City Pin Code City Pin Code

Telephone (Land Line) Telephone (Land Line)

Mobile 1 Mobile 2

B. Family Details (father, mother, spouse, children, brothers / sisters)

S. No Relationship Name Occupation Location


1 Father

2 Mother

3 Spouse (if any)

4 Siblings (1)

(2)

5 Father in Law

6 Mother in Law

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7 Other (Kids)

C. QUALIFICATION DETAILS

1. Academic

Board Name
(for school
Full Time/Part Year
Educational exam) Course/ Marks Obtained
School/College/University Time/Distanc
History Degree/ Specialization (Percentage/CGPA)
e Learning
Discipline
From To (post-school)

10th

12th

Graduation

Post-Graduation

Other
Education/Special
Training

D. EXPERIENCE

1. Professional Employment Details

S. No Name of the Employer From To No. of months Designation KRA Reason for Change
worked

2. Joining Availability

Joining Availability (Fill whichever applicable)


Immediate (Y \ N)
Minimum Days Required

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3. Experience Details

Mention in detail, the name of client or Industry and positions you have handled
Client/Industry Name Positions Handled

Payable at target Amount received

Q1
Variable Pay
(If applicable) Q2
Q3
Q4
4. CTC Details*:
Current CTC
Fixed
Take Home
Expected CTC

5. Please provide references (from your current & previous employment)

Name Company & Designation Contact Number Email ID

*Supporting documents must be submitted as and when required.

Why you want to change your current job? _____________________________________________________


_____________________________________________________
_____________________________________________________
_________________________________________________

I certify that all the foregoing statements are true and complete. I understand and agree that in case anything contained in this
application is, at any time, found contrary; my appointment may be treated as null and void at the discretion of the Management.

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DATE: SIGNATURE:

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