Candidate Information Form Position Applied Date of Interview Personal Details Name Date of Birth: Permanent Address: Paste a recent passport-size photograph here Present / Correspondence Address: Mobile Number: Alternate Number E-Mail: Marital Status: Do you have relatives/friends/ references working with Cognito? Please specify details EXPERIENCE DETAILS (Start with the latest one) Employment Period From: To: (dd/mm/yy) (dd/mm/yy) From: To: (dd/mm/yy) (dd/mm/yy) Brief Description of Duties/ Profile: Company Name Designation: Supervisor Name Supervisor Contact No. Total CTC (Fixed + Benefit) Reason for Change Employment Period Brief Description of Duties/ Profile: Company Name Designation: Supervisor Name & Designation Supervisor Contact No. & Email id Total CTC (Fixed + Benefit) Reason for Change Expected CTC Notice Period Cognito Advertising: Confidential HR Document Version: 1.0 Effective Date: 27/12/2012 1 of 3 Candidate Information Form EDUCATIONAL AND PROFESSIONAL QUALIFICATIONS DETAILS (Begin with highest) Degree / Diploma Name of Educational Institution Dates (dd/mm/yy) From To Major Subjects TELL US MORE (Because we believe we hire a personality) 1. What are the advantages and disadvantages of this job? 2. How does joining Cognito Advertising match up with your ideal job? 3. What are Interests/Extracurricular Activities which keep you busy outside office? 4. Which books have you read in last six months? 5. What do you think are your Strengths? 6. What do you think are your Improvement Areas? Cognito Advertising: Confidential HR Document Version: 1.0 Effective Date: 27/12/2012 2 of 3 % Candidate Information Form Declarations Have you ever been convicted of a crime Yes No Do you have the legal right to work for any organization in India? Yes No Do You have Any Medical Condition about which company should be aware of? Details (if Any) Yes No I certify that answers given by me in this information form are true and complete to the best of my knowledge. I have provided requested information about all my full time jobs. I authorize investigation into all statements I have made in this form as may be necessary for reaching an engagement decision. In the event I am engaged I understand that any false or misleading information I knowingly provided in this engagement request form or interview(s) may result in discharge and/or legal action. I understand that if engaged I am required to abide by rules and regulations of the organization and any special agreements reached between organization and me. I would be able to provide a proof of my age( to ascertain my legal authorization to work)and furnish original educational qualification transcripts upon joining. Candidate Signature __________________________________ Cognito Advertising: Confidential HR Document Version: 1.0 Effective Date: 27/12/2012 3 of 3