CANDIDATE WELCOME FORM
NAME OF THE CANDIDATE
SOURCE :
IF EMPLOYEE REFERRAL, THEN STATE NAME AND
ECODE OF EMPLOYEE. IF CONSULTANT, STATE NAME :
MOBILE
EMAIL
LOCATION/BRANCH APPLIED TO
ROLE APPLIED TO
Details Select
1 Have you worked with Kotak Life Insurance earlier? Yes No
Have you ever been dismissed or discharged or terminated or laid-off
2 in any of the organizations you worked for? Yes No
If yes, specify details:
Do you have any blood relative* working with Kotak Life Insurance? Yes No
3
If yes, relative's* name: Relationship : Branch:
4 Are you agent with any Life Insurance or any other company? Yes No
Do you have any immediate family* working currently as
5 agent/distributor with any life Insurance company Yes No
If yes, relative's* name: Relationship : Company & Branch:
*Relative is defined as mother, father, mother in law, father in law, brother, sister, brother in law, sister in
law, son, step son, daughter, step daughter, husband, wife
Are you a graduate Yes No
6 If yes, state year of passing
Correspondenc
Graduation course type (tick one option) Full time Part time e Open University
Year of passing HSC or 12th Standard
7 Correspondenc
HSC course type (tick one option) Full time Part time e Open University
8 Year of passing SSC or 10th Standard
Applicable for Diploma holders
Year of obtaining diploma
9
Duration of Diploma (tick one option) 1year 2year 3year 4 year
Diploma course type (tick one option) Full time Part time Correspondence
I (Candidate Name) hereby declare that, the information provided by me in
this form, CV & interviews is true to best of my knowledge and I will be able to produce to the original
document /proofs whenever demanded by organization. Kotak Life reserves the right to take strict
action if any of the above information is found to be untrue or inaccurate
Signature: Date: Place: