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Prospective Employee Details

The document is a prospective employee details form for Concentrix, filled out by an applicant named Samir Mohammed Zubair. It includes personal information, educational background, and a declaration of the truthfulness of the provided information. The applicant also authorizes Concentrix to conduct background checks and drug tests as part of the hiring process.

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samirzubair06
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5 views2 pages

Prospective Employee Details

The document is a prospective employee details form for Concentrix, filled out by an applicant named Samir Mohammed Zubair. It includes personal information, educational background, and a declaration of the truthfulness of the provided information. The applicant also authorizes Concentrix to conduct background checks and drug tests as part of the hiring process.

Uploaded by

samirzubair06
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

(Page 1 of 2)
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 S A M I R
Middle Name M O H A M M E D
Last Name Z U B A I R
Date of Birth 29 04 2000 Gender Male ☑ Female ☐ Others ☐
(DD MM YYYY)
Contact No. 9 6 4 5 3 7 0 3 5 4
Email ID [email protected]
Father's Name MOHAMMED ZUBAIR THECHERI
Present Address COMFORT LUXURYÂ PG, 6TH CROSS RD, 2ND MAIN RD, MARUTI NAGAR, 1ST STAGE, BTM LAYOUT,

City BENGALURU State : KARNATAKA Pin Code 5 6 0 0 2 9


HIGHEST
Under Graduate ☐ Graduate ☑ Diploma ☐ Post Graduate ☐ Result: Pass ☑ Awaited ☐
EDUCATION
From TO Degree/ Diploma / Name Degree/ Diploma / Certificate Name of the
(YYYY) (YYYY) Certificate Board/University Name Institution/School/College
REGIONAL COLLEGE OF
2020 2023 Graduate Bachelor of Business Administration UNIVERSITY OF CALICUT
SCIENCE AND HUMANITIES

Foreign Language Diploma /


Certificate Course

OTHER DETAILS
Marital Status SINGLE Aadhaar Number 6 9 1 9 6 4 7 5 7 7 5 3
Nationality INDIAN
SOURCE OF APPLICATION (Please tick mark the appropriate box)
Employee Job Social CNX
Agency ☑ ☐ Portal ☐ Advertisement ☐ Campus ☐ Network ☐ ☐ Others ☐
Referral Website
Agency/Referee/Portal/Social RIVERA MANPOWER SERVICES
Network Name
Emp ID/Candidate ID

Relocation (If Applicable) From To

Do you have UAN / EPF Account Number? Yes ☐ No ☑ UAN No. :

Physically Challenged Yes ☐ No ☑ If yes, please submit supporting documents on Onboarding day

Have you ever worked with Concentrix / IBM Daksh / Yes ☐ No ☑ If yes,kindly share Employee ID:
Daksh / Minacs / Convergys / Catalyst / Webhelp ?
In case you have ever worked in / for Concentrix while being
employed by a vendor/consultant providing services to Date of Joining Last Working Day
Concentrix, please specify duration :

Applicant's Signature Date (DD/MM/YY): 29/12/2024

CNX/REC/ART/AGHR/PED/5.3
WORK EXPERIENCE DETAILS (Start from most recent job) Fresher ☑ Experienced ☐
From To Designation
Manager Name, Annual
Name of Organization at the Exp. not
Emp Id email & Contact Salary
DD MM YY DD MM YY (Branch/Location) time of consider
Number (CTC)
Leaving

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): 29/12/2024

CNX/REC/ART/AGHR/PED/5.3

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