PULSAR KNOWLEDGE CENTRE PVT. LTD.
3rd Floor, Vipul Agora, Mehrauli Gurgaon Road, Gurgaon 122 002 India
Tel. : (+91-124-) 452 5300 Fax : (+91-124-) 452 5399 Email : [email protected]
EXIT INTERVIEW FORM
Employee Name :
Employee Code : PKC
Employee E-mail ID : @pulsarkc.com
Designation :
Department :
Reporting To :
Date of Joining in PKC : Date Month Year
Date of Resignation : Date Month Year
Date of Leaving from PKC : Date Month Year
Employee Forwarding Address :
City :
Pin Code :
Landline Tel# :
Mobile# :
E-mail ID 1. @
2. @
Thought process driving your decision to leave
Under what conditions would you have stayed at PKC?
What did you like most about PKC?
What did you like least about PKC?
What did you like most/dislike most about your work?
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Version 02 QF/HR/014
PULSAR KNOWLEDGE CENTRE PVT. LTD.
3rd Floor, Vipul Agora, Mehrauli Gurgaon Road, Gurgaon 122 002 India
Tel. : (+91-124-) 452 5300 Fax : (+91-124-) 452 5399 Email : [email protected]
EXIT INTERVIEW FORM
Are there any changes or improvements, which would have made this company and your position more attractive?
What would be the 3 attributes that you most appreciate about KIPCO?
Any additional Remarks?
The following list gives various reasons for leaving an organisation.
How relevant is each of these to your decision to leave Pulsar Knowledge Centre? (Please indicate the three most
important reasons for leaving under the column Rank)
(Ratings 4-High relevance,3- Some relevance,2- Little relevance,1- No relevance)
Rank Resons 4 3 2 1
I PERSONAL
a) Family related issues
b) Health problems
c) Own business
d) Shifting abroad
II PROFESSIONAL GROWTH RELATED
a) Inadequate training and development activities.
b) Lack of challenge in the work.
c) Low Promotional opportunities.
d) Job allotted not matching with job aspirations.
e) Higher studies
f) Self Employment
III PROFESSIONAL ATMOSPHERE CONDITIONS
a) Lack of clarity on policies
b) Insecurity and uncertainty in day-to-day working
c) Lack of communication on matters relating to job
d) Delays in decision-making
e) Lack of regular performance feedback & recognition
f) Unfair treatment, partiality
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PULSAR KNOWLEDGE CENTRE PVT. LTD.
3rd Floor, Vipul Agora, Mehrauli Gurgaon Road, Gurgaon 122 002 India
Tel. : (+91-124-) 452 5300 Fax : (+91-124-) 452 5399 Email : [email protected]
EXIT INTERVIEW FORM
The following list gives various reasons for leaving an organisation.
How relevant is each of these to your decision to leave Pulsar Knowledge Centre? (Please indicate the three most
important reasons for leaving under the column Rank)
(Ratings 4-High relevance,3- Some relevance,2- Little relevance,1- No relevance)
Rank Resons 4 3 2 1
IV PROFESSIONAL COMPENSATION RELATED
a) Inadequate pay & Increments in relation to the industry
b) Inadequate incentives and bonus
V PROFESSIONAL ROLE RELATED
a) Ambiguous role
b) No clarity in reporting relations
VI OTHERS
a) Non Fulfillment of commitments by the company
b) Job involves too much of travel
c) Job is too stressful
d) Distance from Office
Reviewed by HR :
Signature of Employee : Signature
Date Month Year Date Month Year
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