Candidate Information Sheet - CIS (Confidential)

PLEASE COMPLETE ALL SECTIONS IN BLOCK LETTERS IN YOUR OWN HANDWRITING.

Position Applied for: ____________________

Customer Care Executive How did you know about this position? _____________________
Social Media

Full Name: Shubham

_______________________ _______________________ Chaubey
_______________________

First Name (Mandatory) Middle Name Last Name (Mandatory)

20-07-1995
Date of Birth: _____________________ Tewar, Cholapur, Varanasi
Home Town: __________________________
(DD/MM/YYYY)

Residential Address:Flat No 301, PVR Brij ,D Block,ShyamNagar, Kanpur

_______________________________________________________
Please affix a recent
208013
Pin:____________ Kanpur
City:_____________ Uttar Pradesh
State:___________________ passport size
photograph
6391880113
Contact No : (R) _________________ (M): _____________________

[email protected]
E-Mail Address: __________________________________________________________

Single Male PAN No: AZTPC64589

Marital Status: ___________Gender:_____ ___________________ Aadhar (UID: 744788482675
_____________________

PLEASE PROVIDE INFORMATION ABOUT YOUR EDUCATION : SECONDARY (X & XII OR EQUIVALENT)
GRADUATION, POST GRADUATION & PROFESSIONAL DEGREE (IF ANY):
PERIOD
Degree / Full/ Percentage &
Name & City of College/University From To
Diploma Part Time Class
MM & YY MM & YY
High School NPIC Mughal Sari Chandauli Full Time 1st July 1st June 52.16%
2009 2010
Intermediate S S N Inter College Ayar Varanasi Full Time 1st July 5th June 65.5%
2011 2012
Graduation Mahatma Gandhi Kashi Vidyapith, Full Time 1st July 6th June 45.55%
(B.A) Varanasi 2013 2015
P.G Mahatma Gandhi Kashi Vidyapith, Full Time 16th Sep 18th Sep 47.87%
(M.A) Varanasi 2015 2018

[PLEASE TELL US ABOUT YOUR EMPLOYMENT HISTORY AND WORK EXPERIENCE :

Salary Period
Organisation (Name & City) Position Supervisor Name & Number
(Fixed) (from - to)

Utkarsh Small Finance Bank Relationship 1.80 Lac 15 -09-2022 Manish Chaubey
Officer CTC 18-01-2023 8009224328
HDB Finance Sales 1.88 Lac 02-03-2023 Satish Pandey
Executive CTC 04-07-2023 90290 31771

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 JOB SKILLS :

NO
Please mention if you hold any certification (NCFM / AMFI / NISM / IRDA etc) ___________________________________

Please list the most important skills you have obtained during your employment history (e.g. Customer orientation,
negotiation skills, numerical ability, computer skills) and any business / professional memberships.
Gati Soft Skills Training Program on Grooming and Grooming Skills Received Certificate
____________________________________________________________________________________________________
And ADCA Computer Course with A Grade Certificate
Describe what you would consider to be your most significant contribution at work :
Achieving the targets given by the company

Self-Motivated,Hard Working, Problem -Solving, Punctuality

Please mention your Strengths : __________________________________________________________________________

Please mention your weaknesses: sometimes I feel very nervousness other wise I'm veryconfident and
_________________________________________________________________________
focused person.
Family Details: Please provide details of Family members

Relation Name Occupation Relation Name Occupation

Father Brother Abhishek Chaubey

Jata Shankar Chaube Shopkeeper Pvt Ltd Job
Mother Saroj Chaube Housewife Sister Priyanka Chaubey Housewife
Wife / Husband Children

REFEREES: Please provide details of at least two people, one of whom should be your current or last employer, who can
be contacted regarding this application
Company & Mailing Address/ Relation Years
Name Contact Number
Designation Email ID E.g.: Ex-Supervisor known
Utkaras Small Finance Manishchaubey402@ 8009224328 6
Manish Chaubey Bank & S.R.O Ex- Senior
gmail.com Months
R.O
HDB Finance & [email protected] 90043 64086
Suraj Gautam Sales Executive 5
Sales Executive Months

GENERAL INFORMATION :
12-10-2023
If appointed, when would you be able to join? (DD/MM/YYYY)______________ 1.88Lac
Expected CTC: ____________________

Do you have any relatives working for IIFL Group (Give details) Name______________________________________,

Company and Designation______________________________________, Relationship __________________________

Have you previously been interviewed by us for a position: if Yes, give details

Date (DD/MM/YYYY) : ___________ Location / Office :________________ Name of Interviewer: :_____________

The information mentioned in the Candidate Information Sheet will be used for internal purpose by IIFL including obtaining
credit reports through any credit bureau at the discretion of IIFL.

DECLARATION :

I hereby declare that all the information given by me is true to the best of my knowledge and any misrepresentation
of facts by me in this application will entitle IIFL to take suitable action, as it may deem fit, including termination of
contract of services.

Kanpur
PLACE: ____________________ 11-10-2023
DATE: ______________________ SIGNATURE: ____________________

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