Annexure-A
INTERVIEW APPLICATION FORM Personal Informations
Post Applied For :
Name (IN BLOCK LETTERS) :
Father/Mother/Husband Name :
Gender Present Address ( Own / ✔ Rented / Shared) : Permanent Address : Same As Present? ✔
Birth Date
Age
Email
Marital Status
Marriage
Aadhar #
Anni. Date
Religion District : District : PAN No #
Caste State : State : UAN No #
Category Pincode : Pincode : ESIC #
Contact Details
Family Background
Handphone
Relationship Name DOB Education Occupation Organisation Monthly Income
Home
Father
Dependent
Mother
Emergency Spouse
Physical Status Sibling 1
Blood Group Sibling 2
Weight Dependent 1
Height Dependent 2
Do you have driving license? Which Vehicle do you own?
Copyright © 2024 Z Ventures & its related Entities. All Rights Reserved. Page 1 of 7
Annexure-A
INTERVIEW APPLICATION FORM Personal Informations
Passport # Have you been to abroad? Dropbox If yes, please ll the details.
SN Country Visited Duration Purpose
Hobbies Strengths Weaknesses
Participation
Sports
Liberal-arts
Others
What is your future Goal?
Copyright © 2024 Z Ventures & its related Entities. All Rights Reserved. Page 2 of 7
Annexure-B
INTERVIEW APPLICATION FORM Qualification & Compliance
Education
Sr. No. Passing Year Degree Main Subject Institute Percentage Attachment
1 10th / SSC Attach Files
2 10 + 2 / HSC Attach Files
3 Diploma / ITI Attach Files
4 Graduation Attach Files
5 PG / Masters Attach Files
Additional Quali cation
Sr. No. Passing Year Degree/Certification Subject Institute Percentage Attachment
1 Attach Files
2 Attach Files
3 Attach Files
Training / Workshop
Duration
Certificate
[Link]. Training / Workshop Description Institute
Attachment
From To
1 Attach Files
2 Attach Files
3 Attach Files
Skills
Soft Skills (For e.g. Leadership, Negotiations etc.) Computer Skills (For e.g. SAP, MS Of ce etc.) Languages Known Write Read Speak
✔ ✔ ✔
✔ ✔ ✔
✔ ✔ ✔
Copyright © 2024 Z Ventures & its related Entities. All Rights Reserved. Page 3 of 7
Annexure-C
INTERVIEW APPLICATION FORM Employment
Work History (From Present to Starting)
Duration Salary Details
Organization Name Designation Reason for Leaving
Date of Date of At the time At the time
Joining Leaving of joining of leaving
Awards & Achievements CTC Details (INR)
Salary Structure Annual
Sr.
Description Received For
Basic Salary ₹
No. HRA ₹
Fix Pay Conveyance ₹
1 ₹
₹
2
Total ₹ 0.00
3 ₹
4 ₹
Variable Pay
₹
₹
What is your present job pro le and responsibilities? Total ₹ 0.00
₹
Other Perks
₹
Total ₹ 449952.00 0.00
PF (Employer) ₹
Reason to change your present organization? ESIC (Employer) ₹
PF (Employee) ₹
Deductions ESIC (Employee) ₹
PT ₹
TDS ₹
Why do you want to join our organisation?
₹
Total ₹ 500000.00 0.00
Net Take Home Salary ₹ 0.00
Note: 6 Month notice period required at the time of resignation. Expected Hike on Current Salary (In %) ✔ Negotiable Non-Negotiable
Notice Period in Current Organization : Reason for Hike Payslips Attach Files
Copyright © 2024 Z Ventures & its related Entities. All Rights Reserved. Page 4 of 7
Annexure-D
INTERVIEW APPLICATION FORM Other Informations
Professional References
Known Since
Sr. No. Name & address Contact Occupation Company/Business
(In years)
For business needs, Sometimes you need to travel at different location (As & When required). ✔ Yes No
Are you comfortable with this?
Have you ever been tried / convicted by a court of law in India or Abroad? Yes ✔ No
Have you ever had any life threatening / contagious ailment? (If yes, kindly furnish medical Yes ✔ No
history reports)
It is hereby informed that you may have to sign an employment bond for such term as per
the internal policy of the company by whom you may be recruited through Z Ventures. Are ✔ Yes No
you ready for such bond?
It is hereby informed that you may have to undergo a background verification as per the
internal policy of the company by whom you may be recruited through Z Ventures. Are you ✔ Yes No
ready for such Verification?
Declaration:
I hereby declare that the above information is correct & complete to the best of my knowledge and belief and nothing relevant has been concealed. I undertake to inform you
of any changes therein, immediately. I understand that if I am found at any time to have concealed or mispresented any material / facts or information against any of the
above particulars, my appointment in the company by whom I may be hired shall be liable to be terminated without notice. I hereby also grant authority & permission to Z
Ventures to store and share my information with its clients for recruitment purposes.
Date : Place : Signature :
Copyright © 2024 Z Ventures & its related Entities. All Rights Reserved. Page 5 of 7
Annexure-D
INTERVIEW APPLICATION FORM Other Informations
Candidate Feedback :
1.
2.
3.
4.
5.
6.
Interviewer’s Remark / Observations : Interviewer Name
1.
2.
3.
4.
Copyright © 2024 Z Ventures & its related Entities. All Rights Reserved. Page 6 of 7
Annexure-E
INTERVIEW APPLICATION FORM Evaluation
Interview Evaluation Card CTC Details (INR)
Interview evaluation forms are to be completed by the interviewer to rank the candidate's overall qualifications for the Salary Structure Monthly Annual
position for which they have applied. Under each heading, the interviewer should give the candidate a numerical rating
and write specific job-related comments in the space provided. The numerical rating system is based on the scale Basic Salary ₹ ₹ 0.00
below.
HRA ₹ ₹ 0.00
BASIC STRUCTURE
Conveyance ₹ ₹ 0.00
SCALE 5– Exceptional 4 – Above Average 3 – Average 2 – Satisfactory 1 – Unsatisfactory Misc. Allowances ₹ ₹ 0.00
FIXED PAY ₹ 0.00 ₹ 0.00
Interviewer-1 Interviewer-2 Interviewer-3 Interviewer-4 Performance Incentive ₹ ₹ 0.00
Parameters
VARIABLE STRUCTURE &
Reimbursement of Insurance Premium ₹ ₹ 0.00
5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1
BENEFITS
Special Retention Pay (Yearly Paid) ₹ ₹ 0.00
Educational Background Holiday Bonus (Yearly reimburse) ₹ ₹ 0.00
Prior Work Experience 0.00 ₹ 0.00
TOTAL SALARY ₹
Technical Qualifications/Experience Interim Leave Encashment ₹ ₹ 0.00
OTHER BENEFITS
Verbal Communication
Statutory Bonus (Interim) ₹ ₹ 0.00
TOTAL SALARY WITH BENEFITS / CTC ₹ 0.00 ₹ 0.00
Candidate Interest
EMPLOYER
PF Contribution ₹ ₹ 0.00
Knowledge of Organization CONTRIBUTION
ESIC Contribution ₹ ₹ 0.00
Team building / Interpersonal Skill PF Contribution ₹ ₹ 0.00
Initiative EMPLOYEE
ESIC Contribution ₹ ₹ 0.00
CONTRIBUTION
Time Management
Professional Tax ₹ ₹ 0.00
Employee Welfare Fund ₹ ₹ 0.00
Overall Impression 0.00 0.00 0.00 0.00 TOTAL DEDUCTIONS ₹ 0.00 ₹ 0.00
Assessment Score 0.00 NET TAKE HOME ₹ 0.00 ₹ 0.00
Signature of Interview Panel
Final Approval with Signature
Interviewer-1 Interviewer-3
Interviewer-2 Interviewer-4
Copyright © 2024 Z Ventures & its related Entities. All Rights Reserved. Page 7 of 7