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Employee Background Verification Form

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subbumajiga
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25 views

Employee Background Verification Form

Uploaded by

subbumajiga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Background Verification Form

Applicant No./Employee ID: Location: Date of Joining / interview:

Personal Details
Applicant Name
(First name, Middle name,
Sur name)
Former Name/Maiden
Name (If applicable)
Date of Birth: Father’s Name:

Gender Male Nationality Marital Status


Female
Email ID: Mobile No:
Current Address: Period of stay form (mm/yy)
to (mm/yy)

Permanent Address: Period of stay form (mm/yy)


to (mm/yy)

Educational Details (Highest Qualification)


Name of the College
Address of the College
Name of the University
Name of the Course: Major Subject: From – To: Full Time
Part Time

Copy of certificate attached


Employment History
Name of current Employer: Address:

Employee ID: Work Period Designation: Department:


From:
To:
Reporting Manager Name & Designation: Email Id:
Contact No:
Position Permanent Last Drawn Salary: Reason for Leaving:
Contract
Temporary
Documents Submitted for This Employment
Experience Certificate Relieving Letter Payslips Any Other
Previous Employer (1)
Name of the Employer: Address:

Employee ID: Work Period Designation: Department:


From:
To:
Reporting Manager Name & Designation: Email Id:
Contact No:
Position Permanent Last Drawn Salary: Reason for Leaving:
Contract
Temporary
Experience Certificate Relieving Letter Payslips Any Other
Previous Employer (2)
Name of the Employer: Address:

Employee ID: Work Period Designation: Department:


From:
To:
Reporting Manager Name & Designation: Email Id:
Contact No:
Position Permanent Last Drawn Salary: Reason for Leaving:
Contract
Temporary
Experience Certificate Relieving Letter Payslips Any Other

Declaration
I confirm that the above information is true to the best of my knowledge and
understanding.

Applicant Name: __________________ Signature: __________________


Date:_____________.

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