Applicant’s Full Name: Ramendra Vikram Tripathi

Present Contact Address: Gaur Cascade, I Block Flat Number 1475, RajNagar Extension Ghaziabad India
Passport Number: In Process
Marital Status: Married
Contact Telephone: +91 8810586352
Post / Position Offered: Quality Analyst (Software Testing)
Job Reference #:
Contact Email Address: Ramendrav.tripathi@gmail.com
Nationality: Indian

Question Answer Interviewer Notes

Please check the box that apply
Sir,  Asked me to repeat or rephrase the
Why do you want to work in USA? Having global exposure tremendously question
helps to broaden my skills and enhances  Answered with isolated words or small
my ability to work across cultures. So I phrases
believe this opportunity will definitely  Answered in complete sentences
help to advance my career.

 Asked me to repeat or rephrase the

What would you need in order to Sir, question
enjoy your time in the USA? Actually I need a cool working  Answered with isolated words or small
atmosphere, without any feud or riots of phrases
any kind. Beside this I need opportunities  Answered in complete sentences
to learn more and more about any
aspects of the creation. Especially in my
field.

Sir,  Asked me to repeat or rephrase the

Describe your plans for the future. My plan for the future is to become an question
What are your goals? entrepreneur and own a IT company. To  Answered with isolated words or small
achieve this goal, I want to work in more phrases
 Answered in complete sentences

Sir,  Asked me to repeat or rephrase the

Describe your general health. As per doctor recent diagnosis I am question
physically, mentally and emotionally fit. I  Answered with isolated words or small
have no genetic disorder, neither current phrases
nor in my past. Overall I can say I have no  Answered in complete sentences
physical, mental and emotional illness for
any kind right now.

 Asked me to repeat or rephrase the

Have you ever suffered from or Sir, question
sought treatment for depression, I have never suffered from any  Answered with isolated words or small
alcoholism, drug addiction or an depression, alcoholism, drug addiction or phrases
eating disorder? Please explain. eating disorder. I have never undergone  Answered in complete sentences
sought treatment.
  Asked me to repeat or rephrase the
Has anyone in your family suffered Sir, question
from depression or alcoholism? Like me none of my family has suffered  Answered with isolated words or small
Please explain. from depression or alcolhlism. phrases
 Answered in complete sentences

 Asked me to repeat or rephrase the

Describe any history of Job abuse in question
any company you have previously  Answered with isolated words or small
worked? phrases
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 Asked me to repeat or rephrase the
Describe where you were born and question
raised  Answered with isolated words or small
phrases
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 Asked me to repeat or rephrase the
Do you have any siblings? If so, how question
old are they?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Describe the relationship you have question
with your siblings.  Answered with isolated words or small
phrases
 Answered in complete sentences

 Asked me to repeat or rephrase the

How often do you have contact with question
your family members?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Describe your family’s support of question
your decision to work in USA.  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What is your family’s reaction to you question
spending a year away from home?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
How were you disciplined as a child? question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
When, where and for how long have question
you spent time away from home?  Answered with isolated words or small
phrases
 Answered in complete sentences

 Asked me to repeat or rephrase the

When, where and for how long have . question
you traveled in English-speaking  Answered with isolated words or small
countries? phrases
 Answered in complete sentences
  Asked me to repeat or rephrase the
Are you willing to be placed with a question
Company that is of a different  Answered with isolated words or small
religion? How would you phrases
accommodate?  Answered in complete sentences
 Asked me to repeat or rephrase the
What is your favorite area of study? question
Why do you like it?  Answered with isolated words or small
phrases
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 Asked me to repeat or rephrase the
What did you like about your last Job question
experience? What did you dislike  Answered with isolated words or small
about it? phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Where and when did you complete question
any formal English courses?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What volunteer work have you question
done?  Answered with isolated words or small
phrases
 Answered in complete sentences

 Asked me to repeat or rephrase the

How will you adjust to a new question
company, country and culture?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
How much notice do you require question
before leaving for a placement with  Answered with isolated words or small
your company? phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What problems do you anticipate question
while working in your previous job?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
How do you feel about being placed question
with a Company of a different race  Answered with isolated words or small
or has different political views or phrases
beliefs?  Answered in complete sentences

The remaining questions are to be completed by the interviewer

Poor Fair Good Excellent

Please rate the Job Seekers: Appearance Excellent

Self Confidence Excellent

Attitude Good

Manners Excellent
 Communication skills Good

English Rating Scale

1 – Uses few or no English words; understands greetings and other basic, memorized phrases.

2 – Uses some English phrases though thoughts may be disconnected; understands basic English sentences when spoken clearly
and slowly but relies on body language and facial expressions to determine meaning.

3 – Responds in complete thoughts and has a large vocabulary of everyday common terms. Can perform tasks based on a short
series of instructions, takes short time to mentally translate and can understand complex sentences when repeated or
rephrased.

4 – Responds in complete sentences and can re-word what he/she is saying when the meaning is unclear or when he/she cannot
remember unusual vocabulary words. Can perform tasks based on complex instructions and understands others when they are
speaking at a natural rate.

5 – Responds completely with more descriptive language and does not take time to mentally translate when listening or
speaking. Understands conversations about abstract things.

Based on the table above, please rate the applicant’s Rating: Native
ability both to speak and comprehend English. Briefly
explain your decision. Explanation:

This applicant will make a good staff workers for the

following reasons:

What difficulties will the applicant experience while

placed working in a foreign country?

Interviewer’s signature

Date