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Background Verification Form(1)

The document is a background verification form for a candidate named Veronica Anthony Thorat, detailing personal, contact, and educational information, as well as employment history. It includes authorization for Gallagher Service Center LLP to verify the provided information. The form is signed by the candidate, confirming consent for the background check process.

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icicipru498
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13 views

Background Verification Form(1)

The document is a background verification form for a candidate named Veronica Anthony Thorat, detailing personal, contact, and educational information, as well as employment history. It includes authorization for Gallagher Service Center LLP to verify the provided information. The form is signed by the candidate, confirming consent for the background check process.

Uploaded by

icicipru498
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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GALLAGHER SERVICE CENTER LLP

BACKGROUND VERIFICATION FORM


Note‐ Fields marked in astrix (*) are mandatory

Candidate Details

Veronica Anthony Thorat


Name of the Applicant *

Maiden Name

Have you ever been known by another name? (If Yes No


"Yes" mention the other name)

Date of Birth ( DD/MM/YYYY)* 14/04/1998

Gender* Male Female


Father's Name* Anthony

Landline No: NA Mobile No:9970221379


Contact Details*

SSN * ( If applicable)

ADDRESS DETAILS*

Flat No 839, Sadanandnagar, Somwarpeth, Pune-411011


Current Address :

Nearest Landmark Near Swarupwardhini


City Pune
State Maharashtra
Pin Code 411011
Name of the contact person at the address: Mary Anthony Thorat
Relationship with the contact person: Mother
Landline No:Na Mobile No:8379070055
Contact Details:

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


Preferred time of the day for conducting the Evening after 4pm
Verification:
Residing Since*: (DD/MM/YYYY) 2016

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GALLAGHER SERVICE CENTER LLP

Falt no 839, Sadanandnagar, Somwarpeth, Pune-411011


Permanent Address :

Nearest Landmark Near Swarupwardhini


City Pune
State Maharashtra
Pin Code 411011
Name of the contact person at the address: Same as above
Relationship with the contact person:
Landline No: Mobile No:
Contact Details:

Nature of Location: (Owned/Rented/Others) Same as aboove


Preferred time of the day for conducting the
Verification:
Residing Since*: (DD/MM/YYYY)

Education History
Graduation*

Name of the Institute/ College Vidya Bhavan College of Commerce


Location ( City and State) Pune , Maharashtra
Affiliated University Pune University
Qualification ( Type of Degree ) B.Com
Specialization ( Major subject) Business Administration
Year Of Passing ( DD/ MM / YYYY) 10/2019
Exam Seat No/ Registration Number / Enrollment 03260
No
Marks Obtained/ Class obtained 611/ Second Class

Professional Qualification*

Name of the Institute/ College


Location ( City and State)
Affiliated University
Qualification ( Type of Degree )
Specialization ( Major subject)
Year Of Passing ( DD/ MM / YYYY)
Exam Seat No/ Registration Number / Enrollment
No
Marks Obtained/ Class obtained

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GALLAGHER SERVICE CENTER LLP

Employment History

Whether to contact the Current Employer


Yes No
immediately?
After joining
If "NO", what will be the favorable date to contact
the current employer?

Current Employment* WNS Global Services


Name of the Company WNS Global Services
Location ( City & State) Pune, Maharashtra
Contact Details 020 6767 4000
Employee Code U368873
Date of Joining ( DD/ MM/ YYYY) 23/08/2021
Date of Relieving ( DD/ MM/ YYYY)
Designation Senior Associate-Operations
Last Salary drawn 56,321.00/-
Reason for Leaving Better Opportunities
Supervisor's Name & Designation Amit Chauhan - Senior Group Manager
Supervisor's Contact no & Official Email ID 020 6767 4000 [email protected]
HR Manager Sumit Gupta
HR Manager Contact no & Official Email ID [email protected] 02067674000

Employer ‐2*
Name of the Company
Location ( City & State)
Contact Details
Employee Code
Date of Joining ( DD/ MM/ YYYY)
Date of Relieving ( DD/ MM/ YYYY)
Designation
Last Salary drawn
Reason for Leaving
Supervisor's Name & Designation
Supervisor's Contact no & Official Email ID
HR Manager
HR Manager Contact no & Official Email ID

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GALLAGHER SERVICE CENTER LLP

GALLAGHER SERVICE CENTER LLP

INFORMATION RELEASE AUTHORIZATION

TO WHOM IT MAY CONCERN

I hereby authorize Gallagher Service Center LLP and its authorized representatives to verify information
provided in my resume and application of employment, and to conduct enquiries as may be necessary, at the
company’s discretion. I completely understand and agree that the information furnished by me in this regard
shall be used only for background verification purposes alone and may be initiated periodically by Gallagher
Service Center as deemed appropriate.

I authorize all persons who may have information relevant to this enquiry to disclose it to Gallagher Service
Center LLP or its representative. I release all persons from liability on account of such disclosure.

I hereby authorize concerned authorities to dispatch my confidential report to Gallagher Service Center LLP
or its authorized representative.

Signed: ____ Veronica______________

Name: ____Veronica_________________

Date:___12/02/2025__________________

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