Pramerica Life Insurance

Consultant

Internal Referral

Line HR

Consultant Name*

Employee Name*

Line HR Name*

Hiring Function*

Hiring Location*

Candidate Information

Full Name*

DOB*

Email *

Gender *

Male

Female

Address

Mobile*

Country*

State*

City*

Pincode*

Marital Status*

No. of Financial Dependents*

PAN Number*

Work Experience

Number of Years*

Number of Months*

Have you ever worked in an Insurance/ Financial Services- sales role?*

Yes

Have you made sales to Defence personnel as part of your previous work?*

Yes

Have you or someone in your immediate family served in Defence?*

Yes, I have

Yes, my family member

No one

If the family is yes, are they currently serving or retired? *

Serving

Retired

Previous Company Details

Sector*

Company Name*

Designation*

Are you currently employed? *

Yes

Start Date*

End Date*

Last Annual Drawn Salary*

Please enter only numeric values (Example : 5000 or 500000)

Education Qualification

What is your educational qualification ?*

Year of Completion*

Specialization*

Questionaire

Please select from the following options in case you have family or close friends who meet the following criteria (select all applicable options) *

CA/Company Secretary

Police/IAS/Retired Defence Officer

Retail banker holding senior managerial position with more than 15 years of experience

Independent business owner with at least 50 employees

Member of prestigious clubs(Gymkhana, Rotary Club, Lions CLub)

President/Senior authority in an NGO

Director of any company/Senior authority of a Real Estate or Construction company

None of the above

Upload Resume*

*Mandatory Fields