Assessment Sheet

For Office Use Only

Date:________________

TO BE FILLED
Scoring Total Marks
By HR By HOD By BFG
1. Communication skills 15
2. Academic/Professional qualifications 15
3. Knowledge about job profile 15
4. Stability with previous employers 15

5. Presentable/Appearance 10

6. Confidence 10

7. Computer knowledge 10

8. Commonsense 10
100

Marks obtained in written test_______out of _________

Decision of the panel_____________________________________________________________________

Selected Hold Rejected ________________________________________

Designation Given : _____________________________________________________________________

Total cost to the company fixed ____________________________________________________________

Name of panelists 1. ___________________ 2. _____________________ 3. _______________________

Signature 1. ___________________ 2. _____________________ 3. _______________________

Note: HRD will not Issue Offer Letter unless assessment sheet is completed by Interviewer

Deputy Manager (HR) Manager (H.R.)

Note: Incomplete form will not be entertained for the interview

PERSONAL INFORMATION

1. Post applied for ______________________________________________________

2. Full name ___________________________________________________________
3. Date of Birth (actual)____________________As per matriculation certificate______________________
4. Blood Group _________________________________________________________________________
5. If Married (Date of Marriage)____________________________________________________________
6. What will be your mode of transportation to our work place in case you are selected?
____________________________________________________________________________________
7. Your driving license no.:______________________Conveyance Registration No.:_________________
8. Where will you take accommodation in case you are selected?________________________________
9. Your passport no:____________________________________________________________________
10 Languages known:
Language Speak Read Write

FAMILY

Relation Name Age Occupation Employer (if any)

Father

Mother

Brother (B)/
Sister (S)

Husband / Wife

Child(ren)
 CONTACT DETAILS
12. Present address._____________________________________________________________________

___________________________________________ Mobile/ Telephone:-__________________________

Emergency Contact No.: __________________Name of Person. ______________Relation_____________

Email:_______________________________________Tel: ______________ Mobile:__________________

Permanent Address._____________________________________________________________________

13. QUALIFICATION

Level of Education Name of Board University Percentage of Marks

School/Institution
Matriculation
Year of Completion
………………………………..
10+2
Stream
Year of Completion
………………………………..
Graduation
Stream
…………………………………
Year of Completion
…………………………………
Post Graduation
Specialization
…………………………………
Year of Completion
…………………………………
Post Graduation
Specialization
………………………………….
Year of Completion
………………………………….
Professional
Qualification
…………………………………
Year of Completion
………………………………….
 EXPERIENCE

Experienced Fresher
If experienced:
Note: 1. Please fill the details of work experience beginning with your most recent job held.
Note: 2. Please Avoid general reasons for leaving the job.
1.Name & Address Name of Current Employment
Salary Designation held by you
of Employer: Reporting Head Dates
From: Start: At Joining

To: Final: As of Now:

Contact Details Reason for Leaving:

2.Name & Address Name of Current Employment

Salary Designation held by you
of Employer: Reporting Head Dates
From: Start: At Joining

To: Final: As of Now:

Contact Details Reason for Leaving:

3.Name & Address Name of Current Employment

Salary Designation held by you
of Employer: Reporting Head Dates
From: Start: At Joining

To: Final: As of Now:

Contact Details Reason for Leaving:

4.Name & Address Name of Current Employment

Salary Designation held by you
of Employer: Reporting Head Dates
From: Start: At Joining

To: Final: As of Now:

Contact Details Reason for Leaving:
 INFORMATION ABOUT CURRENT COMPANY

15. Business of organization_______________________________________________________________

16. Total Number of employees: ___________________________________________________________
17. Annual Turnover of the company: _______________________________________________________
18. No. of team members reporting to you.___________________________________________________
19. Draw organization hierarchy of your company below:

Reporting to You Self 1st Level 2nd Level

20. Applicable to: Candidates applying for Marketing/Sourcing only:

a. Name of products, you are dealing into:_________________________________________________
b. Name of the Countries/Region/Territories/ Markets you are dealing with: _____________________
___________________________________________________________________________________
c. Name of the Countries visited (along with no, of visits)._____________________________________
d. Number of Customers/ Suppliers handled by you, _________________________________________
e. Countries in which you are dealing for Export/Import: _____________________________________
f. How much export value/ import values is handled by you,
21. Your Current Salary (CTC),______________________________Take Home_______________________
Salary Break-up._________________________________________________________________________
22. What will be your proof for last drawn salary, ______________________________________________
23. Job Responsibilities___________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

KNOW YOU BETTER

25. What are your strengths?____________________________________________________________

26. What are your weaknesses?___________________________________________________________
27. How do you feel about reporting to a younger person or less qualified person than you?
______________________________________________________________________________________
______________________________________________________________________________________
28. What makes you angry?_______________________________________________________________
29. What was the toughest decision you ever made in your life?__________________________________
______________________________________________________________________________________
30. What are your hobbies/Interests?_______________________________________________________
______________________________________________________________________________________
31. Cite an example of your creativity ______________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
32. Any physical defects you suffer(ed) ______________________________________________________
33. Is there any criminal case with the police/court? If yes give details: ____________________________
______________________________________________________________________________________
______________________________________________________________________________________
34. Explain why do you consider yourself suitable for the job? (In Min. 100 Words),___________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
35. Have you been referred by any Eastman member? YES NO
If yes, Please mention the name & relation with him/her.________________________________________
36. When can you join in case you are selected?. ______________________________________________
37. For how long you want to stay with the company?. _________________________________________
______________________________________________________________________________________
38. What is your expected salary (CTC)-_______________________Take Home. _____________________
39. Please give two references (not relatives) who can vouch for your ability and character.

Name:_______________________________ Name:_______________________________

Address:_____________________________ Address:______________________________

Tel:_________________________________ Tel:__________________________________
__ _

DECLERATION
I hereby undertake that above information is correct to the best of my knowledge and understanding that
I shall be liable to appropriate disciplinary action, if the information given above is found to be incorrect
Place: Signature :
Date: