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@gmail.com

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

M.C.College, Barpeta

53%

2008

B.Tech(IT)

Hindustan University, Chennai

6.47(CGPA)

2012

Version No: 1.0 Date: 20-May-2004

Confidential

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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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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@hcl.com
Address:
Tele no:
Email id:

Lead

Confidential

Address, Tele No & email ID

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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

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