First Name

Last Name

Date of Birth

Gender Male Female Other

Marital Status Single Married Divorced

Occupation

Designation

Number of Years spent in the company

Any promotion denial? Yes No

Are you satisfied with your current job? Yes No

Are you satisfied with your pay? Yes No

Are you satisfied with your current designation? Yes No

Are you satisfied with the financial welfare package? Yes No

Are you satisfied with your pension? Yes No

Religion Christianity Islam Other

Tribe

Address

Phone No

Email

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