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Application Form for Employer Companies for Retained Executive Search

Name of the Company :
Address :
Contact Person and His / Her Designation :
Email :
Website :
Phone (O) :
Phone (M) :
Executive Search Type : Retained
Type of Industry :
Designation for the Executive you are looking for :
Job Description for the Executive you are looking for :
Location :
Salary (per annum, pl. include all the benefits, ESOP details etc.) :
Please mention in which of the below mentioned job-sites you would like to advertise about this opening. These will be ads. paid by you and you have to mention our contact details (email and phone nos.) in the ads introducing us as your consultants. So that all CVs will come to us. :
Other relevant details :


Declaration :  We have read the details about "Executive Search Consultancy" and we have decided to give you this assignment for this position as a retained search consultant.

           Signature
(Name & Designation)		 Date       





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