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Candidate Name:
Position Interviewed For:
Department/ Function
Nature of Employment
(Contract/ Regular)
Applied under (Quota) General SC ST OBC Disabled
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Present/ Last Organisation:
Educational Qualification:
Total Experience (in Years):
Interviewers:
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selection committee)
o HR Representative
o SC/ST/OBC
Representative
o Minority Representative
o Lady Representative
o Psychologist
o CMD
Date:
Assessment Details:
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Interviewer’s comments
IF Selected:
Date:
SC/ST/OBC Representative
Minority Representative
Lady Representative
Psychologist
CMD
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