Important

EXIT INTERVIEW FORM
(Confidential – to be filled by the employee only)
Name: Employee #: Last Working Day:
Grade: Date of Joining: Date of Resignation:
Place of posting: Name of Line Manager:
Duration in Current Role: Functional Position:
Prioritize your reason(s) for leaving the organization using the following scale:
1=Primary Reason (Please choose only one) 2=Contributing Factor(s) (Choose all that apply)
Work Factors Career Opportunities Personal Retirement

o Nature of work o Growth prospects o Relocation o Voluntary Retirement
o Work Environment o Better position o Health o Disability Retirement
o Gender Discrimination offered o Marriage o Regular Retirement
o Work Hours / Workload o Increase Salary & o Education
o Supervisor Benefits o Family
o Transfer o Grade elevation o Own business
o Job satisfaction o Switching Industry
1 2 3 4 5
FEEDBACK ABOUT HABIBMETRO
Below Average Good Very Good Excellent
(Please tick the following aspects)
Average
Job Factors
Clarity of my job role
Training received at the time of joining / during job tenure
Balance of work load
Line Manager
Supervisor’s management of department employees
Support received from supervisor to perform my job
Recognition at workplace
Provided ongoing feedback on my work
Communicated information appropriately
Created a team environment within my department
Was responsive to my needs
Career Development, Reward & Recognition
Career development opportunities within the bank
Chances of promotion in the bank
Employee benefits offered by the bank
Did HMB help you fulfill your career goals? Yes No
Overall Organization
Communication between management and employees
Transparency of Bank policies and procedures
Bank’s performance review system
Culture & general working conditions
Equal opportunity employment
Would you recommended HMB to a friend as a good place
to work? Yes No
(Please describe your employment experience)
What did you enjoy most about working with HabibMetro?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
What suggestions would you make to be improved at HabibMetro?

_________________________________________________________________________________________________
_________________________________________________________________________________________________
Details of New Employer:

Name of New Employer: ______________________________ Designation & Grade Offered: ______________________
Would you like to share your offered salary? Yes No
If yes, please mention here ______________________________________
_______________ ________________________ _________________________

Date: Employee’s Signature Employee’s Contact No.
*The information will be kept confidential and will only be used for management reporting purpose.
For HR Use Only

Interviewer’s Comments:
Name: ______________________________ Level: _____________________________

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Regretted Non-Regretted
Date: Interviewer’s signature

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EXIT INTERVIEW FORM

(Confidential – to be filled by the employee only)

Name: Employee #: Last Working Day:

Grade: Date of Joining: Date of Resignation:

Place of posting: Name of Line Manager:

Duration in Current Role: Functional Position:

Work Factors Career Opportunities Personal Retirement

What suggestions would you make to be improved at HabibMetro?

Details of New Employer:

_ ___________

For HR Use Only

Name: __ Level: _

Date: Interviewer’s signature

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