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    Ped Form

    Uploaded by

    Mr. Harsha
    This document is a prospective employee details form for a candidate applying for a position at Concentrix. It requests personal information such as name, date of birth, contact details, education history, work experience, and other details. The candidate declares that the information provided is true and accurate. They also authorize Concentrix to send job notifications to their contact details and conduct background and reference checks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Ped Form

    Uploaded by

    Mr. Harsha
    89 views2 pages
    This document is a prospective employee details form for a candidate applying for a position at Concentrix. It requests personal information such as name, date of birth, contact details, education history, work experience, and other details. The candidate declares that the information provided is true and accurate. They also authorize Concentrix to send job notifications to their contact details and conduct background and reference checks.

    Original Description:

    Original Title

    PED FORM

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    This document is a prospective employee details form for a candidate applying for a position at Concentrix. It requests personal information such as name, date of birth, contact details, education history, work experience, and other details. The candidate declares that the information provided is true and accurate. They also authorize Concentrix to send job notifications to their contact details and conduct background and reference checks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    89 views2 pages

    Ped Form

    Uploaded by

    Mr. Harsha
    This document is a prospective employee details form for a candidate applying for a position at Concentrix. It requests personal information such as name, date of birth, contact details, education history, work experience, and other details. The candidate declares that the information provided is true and accurate. They also authorize Concentrix to send job notifications to their contact details and conduct background and reference checks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    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

    Middle Name

    Last Name

    Date Of Birth Gender Male Female Others


    (DD/MM/YYYY)

    Contact Number Emergency Contact Number

    E Mail Id

    Father's name

    Present Address

    City

    State

    Pin Code

    HIGHEST EDUCATION Under Graduate Graduate Post Graduate Diploma RESULT Pass Awaited

    From To Degree/ Diploma / Name of Degree/ Diploma / Name of the


    Board/University
    (YYYY) (YYYY) Certificate Certificate Institution/School/College

    Foreign Language
    Diploma / Certificate
    Course

    WORK EXPERIENCE DETAILS (Start from most recent job) Fresher Experienced

    Name, Designation &


    From To Name of Organisation Designation at the
    Emp Id Contact Number of Annual Salary (CTC)
    (DD/MM/YYYY) (DD/MM/YYYY) (Branch/Location) time of Leaving
    Reporting Manager

    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/YYYY) :

    CNX/REC/ART/AGHR/PED/4.3
    OTHER DETAILS

    Marital Status Single Married Aadhaar Number

    PAN Number Passport Number

    Nationality

    SOURCE OF APPLICATION (Please tick mark the appropriate box)

    Agency Employee Referral Job Portal Advertisement Campus Social Network CNX Website Others

    Agency/Referee/Portal/Social Network Name

    Emp Id/Candidate ID

    Relocation (if applicable) FROM TO

    Do you have UAN / EPF Account Number? Yes No

    Physically Challenged YES NO Disability % If yes, please submit supporting documents on Onboarding day
    If yes, please share
    Have you ever worked with Concentrix / IBM Daksh / Daksh / Minacs / Convergys? YES NO
    Employee ID :

    In case you have any Relatives / Friends working in Concentrix, please provide Name, Location, Designation, Department/ Process

    In case you have ever worked in / for Concentrix while being employed by a vendor/consultant
    Date of Joining Last Working Day
    providing services to Concentrix, please specify duration :

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

    Page 2 of 2

    CNX/REC/ART/AGHR/PED/4.3

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