Interview record
HRDFS03
Interview Record Form
Date: 8/04/2015
Name: Ankun Krishna Das
(As per Passport)
Gender: Male
Date of Birth: 11/11/1989
Address for Communication:
Permanent
Present
Metuakuchi, Po&Dist-Barpeta,
Lane-Madhai Atoi Path- Pin-781301 StateAssam
Rvsrhostel, Patel Street Road-Padur, Near
Hindustan university-603103
Phone No: 8870583304
Email ID: dasankun@[Link]
Academic Performance [Begin from X STD onwards and end at Highest Qualification in
chronological order]
Sl.
No.
Qualification
Name of the Institute
% of Marks
Year of
Passing
10th
S.S.N.B-Assam
66%
2006
12th
[Link], Barpeta
53%
2008
[Link](IT)
Hindustan University, Chennai
6.47(CGPA)
2012
Version No: 1.0 Date: 20-May-2004
Confidential
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Interview record
HRDFS03
Employment Details:
(Starting with your present or most recent employer, please list of all your past employments)
Sl.
Company Name
No.
Position Held
(While leaving)
From
To
(DD/MM/YYY
Y)
(DD/MM/YYYY)
Reasons for leaving
Changepond
Technology,Chennai
Software
EngineerTesting
10/12/2014
Current-
Salary issue.
Gofrugal Technology,
Chennai.
Member Assure
Support
2/5/2014
11/11/2014
Environment and
Culture.
HCL-Technology
AssociateExecutive
27/05/2013
30/04/2014
Contractual job.
Salary Details in the present organization
Salary Components
Present Salary
Basic
HRA
Conveyance
Other allowances,
Version No: 1.0 Date: 20-May-2004
Confidential
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HRDFS03
Monthly total
LTA
Medical
PF
1607
Other
Hard furnishing
Performance bonus
Annual gross salary
1.8
Expected CTC
4.0
Notice Period
30
PROFESSIONAL REFERENCES:
(Please give references of people, who worked / working as your Lead / Reporting Manager/
supervisor)
Name
Venkat Narayan
Kesavram
Version No: 1.0 Date: 20-May-2004
Occupation
Address:
Tele no: 9677021182
Email id:
Venkatnarayan.k@[Link]
Address:
Tele no:
Email id:
Lead
Confidential
Address, Tele No & email ID
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HRDFS03
Source:
Pls select ( )
Source:
Name
Jobsite
News Paper
Scheduled by HR
Consultant
Employee Details (Name &
Emp Code)
Venkat Narayan Kesavram
Empcode-51336678
Yes
Background Verification Documents to be submitted post Offer acceptance:
CHECK
BOX
/
Particulars (To be submitted to the Recruiter)
Highest Qualification. Degree Certificate, All Mark sheets
Permanent/Current Address proof Passport, Ration Card, Voter ID. Driving License, UID
unique Identification card.
Previous Employer Relieving and Experience Letter with Employee ID Number
A duly filled and signed copy of the BG Form and CID form
Please check the above box if you possess the relevant documents else mention.
Declaration:
I, agree that I will furnish the above BGV documents post offer acceptance without fail to authorize
my joining in HCL Technologies Ltd.. I also declare that the information provided by me above is
true to the best of my knowledge and belief.
Place: Chennai
Date: 10/4/2015
Version No: 1.0 Date: 20-May-2004
Signature Ankun Krishna Das
Confidential
Page 4 of 4