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Employee Background Verification Form

The document is a background verification form for an applicant named Subash, providing personal details, residential addresses, educational qualifications, and employment history. Subash has a degree in Mechanical Engineering from Peri Institute of Technology and has worked as a Software Test Engineer at two companies, Traegen Systems and TeamLease Digital. The form concludes with a declaration of the truthfulness of the provided information, signed by the applicant.

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psabdulla65
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10 views

Employee Background Verification Form

The document is a background verification form for an applicant named Subash, providing personal details, residential addresses, educational qualifications, and employment history. Subash has a degree in Mechanical Engineering from Peri Institute of Technology and has worked as a Software Test Engineer at two companies, Traegen Systems and TeamLease Digital. The form concludes with a declaration of the truthfulness of the provided information, signed by the applicant.

Uploaded by

psabdulla65
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BACKGROUND VERIFICATION FORM

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 Subash T

Gender: Male Date of Birth(DD/MM/YYYY):


12/02/1997
Male
Female
Father’s Name: Nationality: Indian
THIRUGNANASAMBANDAM
Email Id: Mobile No:
[email protected] +91 8148655997
RESIDENTIAL ADDRESS
Current Address
No 13, VOCStreet, Vishnu Nagar Puzhal Chennai 600066

City:Chennai State:TamilNadu

PIN Code: 600066 Duration of Stay


From (mm/yy): 05/2003
To (mm/yy): 08/2025
Permanent Address
No 13, VOCStreet, Vishnu Nagar Puzhal Chennai 600066

City: Chennai State: TamilNadu

PIN Code: 600066 Duration of Stay


From (mm/yy): 05/2003
To (mm/yy): 08/2025
EDUCATIONAL DETAILS (HIGHEST CERTIFICATION)
College Name: Peri Institute Of College Address: No 1, West Street
Technology Tambaram,Mannivakkam, TamilNadu
600048
Group: BE Major Subject: Mechanical

From: 2014 t Regular


To: 2018 Part Time

t Copy of Certificate Submittted.

[Type here]
EMPLOYMENT HISTORY
Previous Employment - 1
Company Name: Traegen Systems Address: No 1/5, 2nd Floor, The Twin
Private Limited Oaks Building, Nallurhalli circle,
Whitefield, Bengaluru-56066
Employee ID: TS- Designation: Software Test Engineer Department:
34427 OPERATIONS
Work Period t Full Time Last Drawan
From: 06/03/2023 t Contract Basis Salary:
To: 27/09/2024 Rs 57,284
Reporting Email ID:koppala.boopathi@tsl- Mobile No:
Manager Name & inc.com 8068975549
Designation:
KOPPALA Email id:[email protected] Mobile No:
BOOPATHI 8068975549
HR Manager
Name: PRAMOD
J

Attached Employment Proof


x Experience Certificate Relieving Letter Payslips Any Other
Previous Employment - 2
Company Name: TEAMLEASE DIGITAL Address: 6th floor, Commercial
PVT LTD complex, 80 feet road, Koramangala,
Bengaluru- 560 095
Employee ID: Designation: Software Test Engineer Department:
2500591 OPERATIONS
Work Period t Full Time Last Drawan
From: 01/07/2022 t Contract Basis Salary:
To: 24/02/2023
Rs 60083
Reporting Email ID: Mobile No.
Manager Name & [email protected] 9884422253
Designation: m Mobile No.
HR Manager Email ID:
Name:

Malathi
Subramanian

[Type here]
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: Chennai
Date:08/01/2025 Applicant’s Signature

[Type here]

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