Ped Form
Ped Form
Ped Form
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I hereby declare that the information provided herein is true to the best of my knowledge. Any misrepresentation by
me will lead to disqualification of my candidature or termination of employment without notice . I also authorize
Concentrix to send job\recruitment related notifications & updates on my contact number(s) and email updated with Concentrix.
To be filled by the candidate in CAPITAL LETTERS only. Please do not leave any field blank.
PERSONAL DETAILS
First Name
Middle Name
Last Name
E Mail Id
Father's name
Present Address
City
State
Pin Code
HIGHEST EDUCATION Under Graduate Graduate Post Graduate Diploma RESULT Pass Awaited
Foreign Language
Diploma / Certificate
Course
WORK EXPERIENCE DETAILS (Start from most recent job) Fresher Experienced
I authorize, Concentrix or its 3rd party agency to use this for verification purpose with concerned authorities. I
understand and agree that Concentrix holds the right to conduct drug test & background check on my professional,
educational and financial background through independent sources. In case background check is negative/ drug test
is positive, Concentrix to withdraw the offer or terminate my employment with immediate effect. On joining I will
submit authentic copies of all certificates, testimonials to support the details mentioned in the form.
Applicant's Signature Date (DD/MM/YYYY) :
CNX/REC/ART/AGHR/PED/4.3
OTHER DETAILS
Nationality
Agency Employee Referral Job Portal Advertisement Campus Social Network CNX Website Others
Emp Id/Candidate ID
Physically Challenged YES NO Disability % If yes, please submit supporting documents on Onboarding day
If yes, please share
Have you ever worked with Concentrix / IBM Daksh / Daksh / Minacs / Convergys? YES NO
Employee ID :
In case you have any Relatives / Friends working in Concentrix, please provide Name, Location, Designation, Department/ Process
In case you have ever worked in / for Concentrix while being employed by a vendor/consultant
Date of Joining Last Working Day
providing services to Concentrix, please specify duration :
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CNX/REC/ART/AGHR/PED/4.3