Interview Process Form

PART-A (Personal details to be filled in by the candidate)

Date:

31/03/2014

Position Applied for:

Java Developer

Name :

Ankit Kumar jain

Date of Birth:

14-09-1988

Permanent Address:
Village:- Chainpura
Post :- Mohanpura
The:- Bassi
Dist:- Jaipur (Raj.)
Contact Number:

Present Address:
Plot No.41, Shiv Sahai Colony
Near Archna Hosital
Sanganer Thana Jaipur
(R)
(M)

E-mail:

Ankitemails@gmail.com

+919660242550

Passport No.:

Family Background:
Members
Occupation
Father

Self Emloyed

Mother

House Wife

Brother(s)

Teacher

Sister(s)

House Wife

Organization/Institute

10th

50

Dependent
Location
(Yes / No)
Yes
Jaipur

10th

47

Yes

Jaipur

Government Of Rajasthan MA

28

Yes

Jaipur

MA

27

Yes

Jaipur

Grocery Shop

Designation

Age

Wife / Husband
Children
Educational Background:
Qualification
Xth

Degree with
Discipline
Board Of Rajasthan

Govt Se Sec School Bassi

% of marks Course
Year of
CGPA
Duration Passing
67.33
1 Year
2003

XIIth

Board Of rajasthan

Govt Se Sec School Bassi

51.22

1 Year

2005

Graduation

University Of Rajasthan

51.22

3 Year

2008

Post Graduation

Rajasthan University
(BA)
MSC-Cs

69.45

2 Year

2010

Diploma / Certificates

MCA

Maharishi Dayanand
University Rohtak
Jaipur National University
Jaipur

74

1 Year

2013

Foreign Languages
Professional Trainings
(Managerial & Other related
to profession)

Name of the Institute

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Special Achievements in school, college etc.

Experience:
Organization*

Location

HCL Infosystem Ltd Jaipur

Experience Total Exp.

(in Mnths.)
From To
(mm/dd/yy)
15/12/2010

2.10 Year

CTC

2.7

Major
Achievements

Reasons for
Leaving

Family Problem

TO

* Please
use
additional
sheets if
required.

31/09/2013
Designation
Associate Engineer

Reporting
Structure
(Reporting to
and Reporting
in )

Designation

Reporting manager :- Deepak Rai

Designation

Current
Emoluments:
S.No.
Part-A
1

Particulars
MONTHLY
Designation

Basic

HRA / CLA

Allowances

Present
5,500
3,300

Transpt/Vehcile Allw

800

Perf Allw

11,399
Designation

5
Part-B

Monthly Reimbursement

Total (14)

(a)
ANNUAL BENEFITS

20,999

For Office Use

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S.No.

Particulars

LTA

Hard Furnishing (if any)

Prof. Bodies

Vehicle Maintenance

10

Medical

11

PF ( %

12
13

Super Annuation ( %

)
)

Incentive / Performance Bonus (indicate actual

earnings previous year and potential earnings)

14
15
16
17
18
19
20

Total ( 19)

Expected Salary

(b)

Cost to Company ( a x 12 + b )
4.5

Present

For Office Use

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Skill Sets:
Hardware
Windows Operating System

Software
Java, J2ee, Struts, Sql Server

What do you think are your strengths & weaknesses / areas of improvement?
Strengths

Weaknesses / areas of improvement

Positive thinking

I dont know my weakness

Honesty
Hard Working
Location Preference:
1. Jaipur

3. Noida

2. Mumbai

4. Banglore

Expectations from HCL (What is it that you are looking for in HCL):

For Getting Opportunity and get knowledge of advancement of technology

If you are related to HCL Infosystems employees (sibling / spouse/ children/in law relationships/ parent, cousin), please
provide names and relationship.

Name

Designation

Business Unit/ Function

Ankit Kumar Jain

Associate Engineer Financial Inclusion

Relationship

Self

References:
Reference 1

Reference 2

Reference 3

Name
Address
Tel. No
E-mail

Any other information that

you may want to provide

Joining Notice Period

0 Days

Privilege/ Annual/ Paid Leaves available

for adjustment

Earliest DOJ

03/04/2014

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SELF EVALUATION
RATING
PARAMETERS
Communication Skills

Need
Improvement

Good

Excellent

(defined by an individual's articulation, clarity, presentation, listening skills and understanding

of non-verbal cues / body language)

Innovative / Creative

(defined by new ideas, thoughts, their implementation, using cost-effective methods, the
practicality of these ideas)

Decision Making
(defined by logical, rational thinking, ability to consider all possible alternatives, resolve
conflicts, make timely, independent decisions)

Problem Solving

(defined by an individual's ability to be analytical, deductive/inductive, handle stress)

Values

(defined by an individual's honesty, integrity, loyalty, stability)

Interpersonal Relations

(defined by an individual's ability of being intimate, sensitive, trusting, have an open and
transparent communication)

Leadership

(defined my an individual's ability to envision the future, motivate others, delegate effectively,
give objective constructive feedback, make quick and fair decisions)

Team Orientation

(defined by an individual's ability to work with others, open to others' ideas/suggestions, open
to criticism, share one's own knowledge, acknowledge others' contribution)

Attitude

(defined by an individual's perseverance, presence of mind, willingness to learn, being

adaptable and competitive)

Initiative / Proactive

(defined by an individual's ability to identify and implement a new idea/direction, take risks,
start new projects independently, willingness to take responsibility)

Assertiveness

[defined by an individual's high self-confidence and self-esteem, ability to openly express

positive and negative feelings (to take a firm stand)]

Stress Handling
(defined by the ability to manage one's own behavior, remain calm in a crisis situation, manage
complex tasks effectively, handle several projects simultaneously)

Adaptability / Flexibility
(defined as being open to different ideas, modify one's behavior in the face of failure /
criticism / a better suggestion, being comfortable in any situation)

Conflict Resolution
(defined as the ability to think analytically, fact-finding, staying calm under stress, be sensitive
to issues, be objective)

Achievement Motivation
(defined as being ambitious, drive to succeed, result-oriented)

Y
Y
Y

I confirm that the information provided by me in this application form is accurate and correct.

I understand that in the event of my employment, if any information provided here by me is found to be untrue, my
employment may be terminated without notice.

I understand that all the details provided in this application are subject to verification.

I hereby authorize HCL Infosystems and its representative (including reference check agencies/third party vendors) to
verify information provided in my application of employment and to conduct enquiries as deemed necessary by the
company.

I authorize all persons who have information regarding my education, employment, and all other details provided in this
form, to disclose it to HCL Infosystems or its representative.

Signature of the Candidate