BI Check Form
BI Check Form
Please fill out the fields legibly / printed. Use the back sheet if necessary. All information will be treated with utmost confidentiality.
Present Address:
Permanent Address:
EMPLOYMENT REFERENCES: (Make use of the Back Page for more Employment References)
Company Name & City Address Position Date of Employment Reason for Leaving Contact Numbers
1.
2.
3.
4.
5.
1.
2.
3.
4.
5.
SCHOOL REFERENCES:
Name of School:
(Highest Educational Attainment)
Complete Address:
Course:
(Vocational / Degree)
I hereby know and understand that as part of the Recruitment process, I shall be subjected to a background investigation commissioned by the
company. Hence, I hereby authorize the company and or its authorized representative to confirm and verify my employment including matters of
conduct / behavior, ability / reputation, education, family and employment as well as my financial and credit standing. I also authorize and
request each person ad firm referred in my Application Form to give such information.
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KJVP 2019