pre interview form

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Confidential PRE-INTERVIEW INFORMATION PROFILE Name : Mr./Mrs..................................................................... First Name Middle Name Surname Position Applied for :...................Referred by :............................. Service Line :...........................Sub Service Line : ....................... Date(s) & location of interview : 1........2...................3................... Location preference : Bangalore Chennai Hyderabad Kolkata Mumbai New Delhi Pune Date of birth : ____/____/____ Age :......................... Passport No.. Date of Expiry :......................... dd mm yy Nationality : Indian.................... PAN :..................................... Languages Known : English, Sindhi.................................................. CONTACT DETAILS : Current Residence Address : ...........................................Phone (R) : Permanent Residence Address :...................................................... Office Address :................................................................... Phone (O) : .............Office Extn. No..........Mobile No....................... Emergency Contact Name & Address :................................................. ...........................................Phone :................................. Personal e-mail ID :............................................................... Family : Marital Status: Single..................Date of Marriage :......................... Name Age Contact No. Profession (indicate name of the company & title) Spouse Children Father Mother Brother(s) Sister(s) EDUCATION / ACADEMIC Year From (mm/yy) To (mm/yy) Name of Institution and Location Principal Subjects Marks % !@# Page 1 of 4 Affix recent passport size photograph

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Page 1: Pre Interview Form

Confidential

PRE-INTERVIEW INFORMATION

PROFILE

Name : Mr./Mrs.............................................................................................................................................................................First Name Middle Name Surname

Position Applied for :...............................................................Referred by :................................................................................

Service Line :............................................................................Sub Service Line : ......................................................................

Date(s) & location of interview : 1................................................2..............................................3..............................................

Location preference : Bangalore Chennai Hyderabad Kolkata Mumbai New Delhi Pune

Date of birth : ____/____/____ Age :.................... Passport No..............................................Date of Expiry :........................... dd mm yy

Nationality : Indian................................................................ PAN :............................................................................................

Languages Known : English, Sindhi..............................................................................................................................................

CONTACT DETAILS :

Current Residence Address : .....................................................................................................................................Phone (R) :

Permanent Residence Address :.....................................................................................................................................................

Office Address :.............................................................................................................................................................................

Phone (O) : .........................................Office Extn. No...................................Mobile No...........................................................

Emergency Contact Name & Address :.........................................................................................................................................

........................................................................................................Phone :...................................................................................

Personal e-mail ID :.......................................................................................................................................................................

Family :

Marital Status: Single.............................................................Date of Marriage :..........................................................................

Name Age Contact No. Profession(indicate name of the

company & title)

Spouse

Children

Father

Mother

Brother(s)

Sister(s)

EDUCATION / ACADEMIC

YearFrom (mm/yy) To (mm/yy)

Name of Institution and Location

Principal Subjects Marks %

Matriculation

Higher Secondary

Graduation

Post Graduation

!@# Page 1 of 4

Affix recent passport size photograph

Page 2: Pre Interview Form

Education / Professional (CA/MBA/Engineering/Any Other)

Degree / Diploma / Certificate

YearFrom (mm/yy) To (mm/yy)

Name of Institution and Location

Principal Subjects Marks % Achievement(s)

EXPOSURE TO COMPUTERS Indicate proficiency (P) on a scale of High (H), Medium (M) or Low (L) :

Languages P Operating System P Applications / Package P Hardware P

PREVIOUS WORK EXPERIENCE (Begin from your current job. Also include any Vacation / Project work) :

Name and address of the Company From(mm/yy)

To(mm/yy)

Position Held Total compensation / stipend & reason for leaving

Total years of work experience :............................................Years of work experience post qualification.................................

Notice period with current employer :...................................Current CTC (Excluding Bonus)...................................................

Expected CTC :...................................................................... Earliest you can join......................................................................

PREVIOUS ASSOCIATION WITH ERNST & YOUNG OR ITS ASSOCIATES

Are any of your relatives working for Ernst & Young or its affiliate firm anywhere in India ?

Yes No If yes then please state :

Entity City Relationship with you

Have you been previously interviewed by Ernst & Young or its affiliate firm anywhere in India ?

Yes No If yes then please state :

When (mm/yy) Location Practice / Function For which position

!@# Page 2 of 4

Page 3: Pre Interview Form

Have you been offered employment by Ernst & Young or its affiliate firm in the past ?

Yes No If yes then please state :

When (mm/yy) Location Practice / Function For which position

Have you worked previously with Ernst & Young or its affiliate firm ?

Yes No If yes then please state :

From (mm/yy) To (mm/yy) Position held while leaving Reason for leaving

Hobbies / Interests :

HEALTH:

Blood Group : .....................

Have you suffered from any major illness / surgery / accident since birth :

Yes No If yes, please provide details

REFERENCE :

S. No.

Name Organisation & Current Title Address & Telephone Number

Your professional / personal relationship with

him / her

OTHERS :

Have you ever been the subject of any investigation, civil or criminal or been prosecuted by any court of law ? Yes No

If yes, please state Date & Facts (and also provide details separately)

Date Facts

Have you ever been listed negative on credit rating by any financial institution ?

Yes No If yes, please state (and also provide details separately):

!@# Page 3 of 4

Page 4: Pre Interview Form

Date Name of financial institution Reason

!@# Page 4 of 4

Page 5: Pre Interview Form

Do you have any legal obligation (Retention bonds, loans etc.) with your current employer ?

Yes No If yes, please state (and also provide details separately):

Nature & Limits of the Obligation Amount

Additional Information for Qualified or Semi-qualified Chartered Accountants OnlyName & Location of the Firm Period of Articleship

From (mm/yy) To (mm/yy)Nature of Assignments

Month & Year of Passing Percentage At which attempt did you clear the examination ?

Merit Rank

Foundation / CPT

Intermediate / PE-II / PCE

Group – I

Group – II

Final

Group – I

Group – II

CA Membership Number :.............................................................................................................................................................

CA Membership Enrolment Year :................................................................................................................................................

Do you hold a Certificate of Practice : Yes / No...........................................................................................................................

If yes, please state Certificate of Practice Date :...........................................................................................................................

ACA Status effective from :..........................................................................................................................................................

FCA Status effective from :...........................................................................................................................................................

I acknowledge and declare that by submitting all of the data contained in this Pre-interview Information form, my Resume, and other documents furnished by me (hereinafter collectively and severally, “Candidate Data”), I confirm and agree that EYPL may process the Candidate Data according to the recruitment purposes set out herein below;

1. EYPL and its associated entities (hereinafter, “EYPL entities”) process Candidate Data for legitimate HR purposes. Such processing will be conducted within such purpose limitations and in accordance with applicable law. These principal purposes include:

Identifying and/or evaluating candidates for EYPL positions; making a decision about whether the individual should be hired; maintaining appropriate record-keeping related to hiring practices; analyzing the hiring process and outcomes; and conducting background investigations, where permitted by law.

2. EYPL entities may be required to transfer Candidate Data to selected external third parties that they have hired to perform certain recruitment or employment-related services on their behalf. These third parties may process the data in accordance with the EYPL entity’s instructions or make decisions regarding the data as part of the delivery of their services.

3. EYPL entities may be required to disclose certain Candidate Data to other third parties (1) as a matter of law (e.g., to tax and social security authorities); (2) to protect EYPL entity’s legal rights (e.g., to defend a litigation suit); or (3) in an emergency where the health or security of a Candidate is endangered.

I hereby declare that my statements on this application and on my resume or documents provided by me are true to the best of my knowledge. I acknowledge and agree that providing any false information may result in a decision not to hire me or if hired, may result in termination of my employment.

!@# Page 5 of 4

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Signature................................................................     Date :....................................................     Location..................................

!@# Page 6 of 4