Scribd
Upload
4 views

10. Employee Reference Check Form

The document is an Employee Reference Check Form used by Indus Hospital & Health Network's Human Resource Department. It aims to verify candidate information and gather insights on their performance, attendance, integrity, and relationships with colleagues. The form requires completion of various sections, including reasons for separation and overall experience with the candidate.

Uploaded by

safdar ali
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
4 views

10. Employee Reference Check Form

The document is an Employee Reference Check Form used by Indus Hospital & Health Network's Human Resource Department. It aims to verify candidate information and gather insights on their performance, attendance, integrity, and relationships with colleagues. The form requires completion of various sections, including reasons for separation and overall experience with the candidate.

Uploaded by

safdar ali
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

INDUS HOSPITAL & HEALTH

NETWORK
Human Resource Department
Employee Reference Check Form

A reference check is a valuable tool in the recruitment process to verify facts and obtain additional information about
the candidate. All sections should be completed to be considered a valid reference. Indicate N/A if the question is not
\
Candidate Date of Reference
Name Check
Reference Reference
Name Organization
Relationship to Supervisor Full-time Part-time
Applicant: Job Category: Others, Contractual
Peer
Position(s) held:
Tenure of Employment From: To:
Gross Salary: PKR.
Reason of Separation: Resignation Lay-off Termination
Would you like to rehire? Yes No

If no, please specify a reason:

Belo
How would you rate the following? Good Averag
w
e
Avera
ge
1. Working Performance
2. Attendance & Punctuality
3. Maturity & Adaptability
4. Honesty & Integrity
5. Relationship with colleagues
6. Proficiency of Work
7. Attitude towards work and people
8. Ability to work under pressure
9. Behavioral aspects
Yes N
o
Do you have any doubts that this candidate has committed professional *If Yes,
misconduct and/or acted contrary to your Code of Conduct/Regulations? and/or then
Do you have any doubt or awareness that the candidate has ever been involved please
in sexual share
exploitation or sexual abuse? reason
and
details
Please comment on the overall experience which you have had with him while he served your organization:

Reference Signature with Date


IHHN/ALL/HRD/ERC/F010/V01 Mar - Page 1
24 of 1

You might also like