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Background Verification Form: Candidate's Personal Details

This document is a background verification form for a candidate named Mohit Kumar. It includes details about his personal information like address and contact details. It also includes details of his previous two employments, including company names, duration of employment, designation and reason for leaving. The candidate is requested to provide documents like relieving letters and service certificates.

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shreya arun
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729 views3 pages

Background Verification Form: Candidate's Personal Details

This document is a background verification form for a candidate named Mohit Kumar. It includes details about his personal information like address and contact details. It also includes details of his previous two employments, including company names, duration of employment, designation and reason for leaving. The candidate is requested to provide documents like relieving letters and service certificates.

Uploaded by

shreya arun
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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3rd Floor, Cambata Building, Above Eros Theatre, Jamshedji Tata Road, Churchgate, Mumbai – 400020.

www.integrityvs.com

BACKGROUND VERIFICATION FORM

Candidate’s Personal Details

Employee ID / Code:
Date of Joining Datamatics:
Candidate’s Full Name First Middle Last

Mohit Kumar

Father’s Name First Middle Last

Vinod Kumar

Former Name(s) / First Middle Last


Maiden Name (If
applicable)
Permanent Address Vpo- Joria ,Teh:kotkasim ,Alwar (Rajasthan)
301702

Duration of stay at this address: From DD/MM/YYYY - To DD/MM/YYYY


Current Address

Vpo- Joria ,Teh:kotkasim ,Alwar (Rajasthan)


301702

Duration of stay at this address: From DD/MM/YYYY - To DD/MM/YYYY


Gender:
28-02-1993
Female Male Date of Birth: (Please attach an identity proof)
Direct contact number:8440996507 Alternate / Emergency contact number:9041083108
3rd Floor, Cambata Building, Above Eros Theatre, Jamshedji Tata Road, Churchgate, Mumbai – 400020.
www.integrityvs.com

Employment Details – 1 (Previous Employer)


Company Name : Accenture LLC

Company Address (Main Office and Branch where worked): Mumbai

Main Office:

Branch Address where worked: Mumbai

Company Board Line Numbers (No cell phone


numbers accepted)
Employee Code 11860967
Designation and Department Digital data analyst developer

Date of  Joining 29feb 2020


Date of Leaving - 8Jan 2021
Remuneration
Reason for Leaving Better opportunism
Reporting Manager’s  Name and Designation Neeraj
Manger’s Official E-mail id Neeraj.pandey@accenture.com
Manager’s Direct Line Number and Mobile no.
If Deputed by Agency - Agency name and address
Tel. No. of  the Agency

Employment Type  Permanent


 Temporary
 Contractual
 Others, please specify
Documents attached

Any other information you would like to share / provide:

Attention:

 Please provide the Employee Code mandatorily and clearly.


 Please provide a copy of your Relieving Letter and Service Certificate for the employment mentioned
above.
3rd Floor, Cambata Building, Above Eros Theatre, Jamshedji Tata Road, Churchgate, Mumbai – 400020.
www.integrityvs.com

Employment Details – 2 (Previous Employer)


Company Name :Anand Rathi

Company Address (Main Office and Branch where worked):MUmbai

Main Office: MUmbai

Branch Address where worked: Jodhpur

Company Board Line Numbers (No cell phone


numbers accepted)
Employee Code 918361
Designation and Department Hadoop developer
Date of  Joining 15-04-2019
Date of Leaving 21-01-2020
Remuneration
Reason for Leaving switch
Reporting Manager’s  Name and Designation
Manger’s Official E-mail id
Manager’s Direct Line Number and Mobile no.
If Deputed by Agency - Agency name and address
Tel. No. of  the Agency

Employment Type  Permanent


 Temporary
 Contractual
 Others, please specify
Documents attached

Any other information you would like to share / provide:

Attention:

 Please provide the Employee Code mandatorily and clearly.


 Please provide a copy of your Relieving Letter and Service Certificate for the employment mentioned
above.

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