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Reference Form: EEPL/IV/HRA/F-9

This reference form contains sections for an applicant's current and previous employers as well as professional references. It requests contact information for supervisors and HR managers at current and previous jobs along with employment dates, job titles, and reasons for leaving. It also has fields to list names, relationships, organizations, designations, phone numbers, and email addresses for three professional references. The purpose is to collect information to verify an applicant's employment history and references.

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parmeshwar mahato
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
170 views

Reference Form: EEPL/IV/HRA/F-9

This reference form contains sections for an applicant's current and previous employers as well as professional references. It requests contact information for supervisors and HR managers at current and previous jobs along with employment dates, job titles, and reasons for leaving. It also has fields to list names, relationships, organizations, designations, phone numbers, and email addresses for three professional references. The purpose is to collect information to verify an applicant's employment history and references.

Uploaded by

parmeshwar mahato
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Reference Form

EEPL/IV/HRA/F-9

CURRENT EMPLOYER: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:


Phone No.:

City: State: Country: Postal Code:

Job Title: Reason for Leaving:

Employment Status:(Please check the relevant Supervisor’s Details:


box)

Full Time Name:


Contract /Through Outsourcing Agency
Title:
Outsourcing Agency Details:
Name:
Phone No.:
Address:
E-mail id:
Tel No.:
(Preferably official)
HR Manager’s Details:

Name:

Description of Duties:
Phone No.:

E-mail id:
(Preferably official)
EMPLOYMENT RECORD CONTINUED:
EMPLOYER 2: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s Fax No.:


Phone No.:

City: State: Country: Postal Code:

Job Title: Reason for Leaving:

Employment Status:(Please check the relevant Supervisor’s Details:


box)
Name:
Full Time
Title:
Contract /Through Outsourcing Agency
Phone No.:

Outsourcing Agency Details: E-mail id:


Name: (Preferably official)
Address: HR Manager’s Details:

Tel No.: Name:


Description of Duties: Phone No.:
E-mail id:
(Preferably official)
PROFESSIONAL REFERENCES:

PARTICULARS REFERENCE 1 REFERENCE 2 REFERENCE 3

NAME

Relationship
/Association Type

Organization
(name of the
company)

Designation/Position

Landline No.

Mobile No.

Email Address

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