BULL’S EYE OUTSOURCING SERVICES PVT. LTD.

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Employment Data Form

Name: ........................................................................................................................
(First Name) (Middle Name) (Last Name)

Personal data:
Date of Birth: ......................................................................................................................

Father Name: ......................................................................................................................

Adhaar No. : ..................................................... PAN No. .....................................

Mobile No. : ..................................................... Alternate No. .....................................

Email ID : ..................................................... Gender .....................................

 BULL’S EYE OUTSOURCING SERVICES PVT. LTD.
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RESIDENTIAL DETAILS
Address (Current):

.........................................................................................................................

.........................................................................................................................

.........................................................................................................................
City: .................................................. PIN Code:...............................................................

State: .................................................. Landmark:..............................................................

Contact Person with relationship at the address ...............................................................

Nature of Location (Owned/Rented/Others) ............................................................................

Address (Permanent):

.........................................................................................................................

.........................................................................................................................

.........................................................................................................................
City: .................................................. PIN Code:...............................................................

State: .................................................. Landmark:..............................................................

Contact Person with relationship at the address ...............................................................

Residing Since ....................................................... Resided Till ................................................

Nature of Location (Owned/Rented/Others) ............................................................................

 BULL’S EYE OUTSOURCING SERVICES PVT. LTD.
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EDUCATION AND TRAINING

Educational Record: (Descending Order)

Degree/Diploma Year of Board/University Complete Enrollment/Roll/

Certificate Course Passing Name and School/College Name Seat/Registration
Name Location and Location No.

Specialized Training / Certification/s:

Duration of Course
Sr. Institute / Name of Course / Percentage/

No. Organisation Certificate From To Grade

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EMPLOYMENT HISTORY

CURRENT EMPLOYER:

Organization Name ......................................................................................................................

Location of Work ......................................................................................................................

Date & Year of Joining ……………………………………… Date & Year of Relieving.…………………………………….

Designation & Department ………………………………………………………………………………………………………………….

Employee Code ………………………………………….. ……Annual CTC ………………………………………………

Supervisor Name …………………………………………………Contact No. ………………………………………………

HR Name …………………………………………………………………………………………………………………….

HR Email ID ………………………………………………… Contact No. ………………………………………………

Reason for Leaving …………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………….

PREVIOUS EMPLOYER – 1:

Organization Name ......................................................................................................................

Location of Work ......................................................................................................................

Date & Year of Joining ……………………………………… Date & Year of Relieving.…………………………………….

Designation & Department ………………………………………………………………………………………………………………….

Employee Code ………………………………………….. ……Annual CTC ………………………………………………

Supervisor Name …………………………………………………Contact No. ………………………………………………

HR Name …………………………………………………………………………………………………………………….

HR Email ID ………………………………………………… Contact No. ………………………………………………

Reason for Leaving …………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………
 BULL’S EYE OUTSOURCING SERVICES PVT. LTD.
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PREVIOUS EMPLOYER – 2:

Organization Name ......................................................................................................................

Location of Work ......................................................................................................................

Date & Year of Joining ……………………………………… Date & Year of Relieving.…………………………………….

Designation & Department ………………………………………………………………………………………………………………….

Employee Code ………………………………………….. ……Annual CTC ………………………………………………

Supervisor Name …………………………………………………Contact No. ………………………………………………

HR Name …………………………………………………………………………………………………………………….

HR Email ID ………………………………………………… Contact No. ………………………………………………

Reason for Leaving …………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………….

PREVIOUS EMPLOYER – 3:

Organization Name ......................................................................................................................

Location of Work ......................................................................................................................

Date & Year of Joining ……………………………………… Date & Year of Relieving.…………………………………….

Designation & Department ………………………………………………………………………………………………………………….

Employee Code ………………………………………….. ……Annual CTC ………………………………………………

Supervisor Name …………………………………………………Contact No. ………………………………………………

HR Name …………………………………………………………………………………………………………………….

HR Email ID ………………………………………………… Contact No. ………………………………………………

Reason for Leaving …………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………….

**Please use additional sheets if there are more employments.

 BULL’S EYE OUTSOURCING SERVICES PVT. LTD.
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REFERENCE DETAILS

Please give references of at least three people who are not your relatives / friends.

Particulars Ref – 1 Ref – 2 Ref – 3

Name
Address
Association with
candidate
Occupation
Mobile/Office Tel
Email ID

.................................................................................................................................................................

I hereby declare that the information and details furnished herein are true and complete to
the best of my knowledge and belief. If any information is found to be suppressed,
misrepresented or false, I shall be responsible for the resultant consequences and shall
render myself liable to disciplinary action including termination of service without any
compensation/ notice.

Place: __________________ Date: _________________ Signature: _________________

 BULL’S EYE OUTSOURCING SERVICES PVT. LTD.
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INSTRUCTIONS
Please read the below mentioned instructions carefully before proceeding to fill the
background check form.

 Address Details – Please fill in the complete residential address as per the
supporting document that you will submit. Also, mention the nearest landmark
like school, temple, petrol pump etc. to locate the same.

 Academic Details – Please fill in the complete details of the education you wish to
declare as per your supporting documents. Please mention the Roll/Enroll/Seat
No., passing year etc. as per the details mentioned on the documents.

 Employment Details – Please fill in the complete details of the companies that you
have worked with. Name and contact details of the company HR is not mandatory
however address of the company office where you have worked is required.

 Reference Details – Please provide the details of the person who will be
connected for your reference check. Contact number is mandatory for the same.

 Letter of Authorization – Please download the LOA, print and manually sign the
same to upload it again along with your supporting documents. Manually signed
LOA is mandatory to be uploaded else your submission will be rejected.

 Supporting documents – Please upload the scan copy of all your supporting
documents in a PDF/Zip file. Maximum file size for one attachment is 15 MB.

 Check list of supporting documents –

Checks Required Documents

Employment Check Experience letter/Relieving letter/Latest Salary slip
Address Check Any Government ID/document with complete address
Court and Criminal Check Any Government ID/document with address along with Father name and Date of Birth
Education Check Degree Certificate/ Final Year Mark sheet
ID Check Valid government Issued ID
INFORMATION RELEASE FORM / AUTHORIZATION / CONSENT LETTER

To whom it may concern:

First Name Middle Name Last Name

I hereby authorize Randstad India/Randstad Technologies or their representatives (Bull’s Eye

Outsourcing Services) to verify the information presented by me through this form and to procure an
investigative or consumer report for that purpose.

I hereby grant authority for the bearer of this letter to access or be provided with full details

 Of my previous employment records held by any company or business for whom I previously
worked. This information should include the dates of employment; nature of the position held;
details of my salary upon departure; and an appraisal of my performance, capability and
character. In addition, please provide any other pertinent information requested by the
individual presenting this authority. I hereby release from liability all persons or entities
requesting or supplying such information.
 Of my qualification/degree (copy of my certificated attached)
 Information in respect to my character from the records maintained by local authorities.

Signature Date : dd/mm/yy