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Background Verification Form - (Company Name) : Personal Details

This document is a background verification form for a job applicant. It requests personal details like name, gender, date of birth, contact information, current and permanent addresses. Educational details such as college attended, major, and dates are also collected. Employment history is documented, including company names, durations of employment, designations, salaries and attached documents. The applicant must declare that all information provided is true and complete. The form collects essential details to verify the applicant's background for potential employment.

Uploaded by

Arjun G Krishna
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
525 views

Background Verification Form - (Company Name) : Personal Details

This document is a background verification form for a job applicant. It requests personal details like name, gender, date of birth, contact information, current and permanent addresses. Educational details such as college attended, major, and dates are also collected. Employment history is documented, including company names, durations of employment, designations, salaries and attached documents. The applicant must declare that all information provided is true and complete. The form collects essential details to verify the applicant's background for potential employment.

Uploaded by

Arjun G Krishna
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BACKGROUND VERIFICATION FORM – (COMPANY NAME)

Please provide complete and correct information with utmost attention, all these shall be
verified by authorized representatives.

PERSONAL DETAILS
First Name Middle Name Last Name
Applicant Name

Gender: t Male Date of Birth:


Female
t
Father’s Name: Nationality:
Email Id: Mobile No:

RESIDENTIAL ADDRESS
Current Address

City: State:

PIN Code: Duration of Stay


From (mm/yy):
To (mm/yy):
Permanent Address

City: State:

PIN Code: Duration of Stay


From (mm/yy):
To (mm/yy):
EDUCATIONAL DETAILS (HIGHEST CERTIFICATION)
College Name: College Address:

Group: Major Subject:

From: t Regular
To: Part Time

t Copy of Certificate Submittted.

EMPLOYMENT HISTORY
Current Employer
Company Name: Address:

Employee ID: Designation: Department:

Work Period t Full Time Last Drawan Salary:


From: To: t Contract Basis
Reporting Manager Name Email ID: Mobile No.
& Designation:

Attached Employment Proof


Experience Certificate Relieving Letter Payslips Any Other
Previous Employer (1)
Company Name: Address:

Employee ID: Designation: Department:

Work Period t Full Time Last Drawan Salary:


From: To: t Contract Basis
Reporting Manager Name Email ID: Mobile No.
& Designation:

Experience Certificate Relieving Letter Payslips Any Other


Previous Employer (2)
Company Name: Address:

Employee ID: Designation: Department:

Work Period t Full Time Last Drawan Salary:


From: To: t Contract Basis
Reporting Manager Name Email ID: Mobile No.
& Designation:

Experience Certificate Relieving Letter Payslips Any Other


DECLARATION
I hereby declare that all the information provided here is true and complete to the
best of my knowledge and belief. I promise to extend total cooperation and provide
relevant documents if required.

Place:
Date: Applicant’s Signature

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