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| Personal Details |
| * First Name: |
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* Last Name: |
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| * Birth Date: |
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* Address (1): |
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| * Gender: |
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Address (2): |
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| * Phone (Res): |
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* City: |
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| Phone (Cell): |
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* Zip Code: |
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| * Email: |
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* State: |
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| Alternate Email: |
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* Country: |
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| Questions |
| * 1. From where did you hear about Extencore? If through a reference, please provide a name |
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| * 2. Position applied for (If you are unsure, you may enumerate 2 – 3 options) |
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| * 3. If offered a position at Extencore, when would you be able to join? |
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| * 4. What additional skills do you have that would help in the work place? |
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| * 5. Why are leaving your current employment? |
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| * 6. What is your current annual gross salary? |
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| 7. Your last increment was |
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* For an amount of (per year):
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* 8. What is your annual gross salary expectation? |
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| 9. Are you suffering from a recurring health problem that may affect your work? |
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| * 10. Do you have a valid passport? |
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* 11. Have you ever been rejected a visa? |
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| * 12. Have you traveled outside India in the last five years? If yes, where? |
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| Academic Background (most recent first) |
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| Professional Background (most recent first) |
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| List any additional certifications, qualifications, accreditations, relevant organization memberships? |
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| Language Skills |
| Languages: |
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Level of proficiency: |
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| Upload Resume |
| Please upload your detailed resume here: |
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