Scribd
Upload
253 views4 pages

Male /female Marital Status: Single/ Married: Background Verification Form

This background verification form collects personal and employment details of an individual. It requests information such as full name, date of birth, contact details, educational qualifications, and employment history. Supporting documents like degree certificates, mark sheets, resignation and relieving letters from previous employers are required. Employment details include company name, designation, dates of employment, salary, reporting manager's contact information to verify employment history and responsibilities.

Uploaded by

Akul Kamble
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
253 views4 pages

Male /female Marital Status: Single/ Married: Background Verification Form

This background verification form collects personal and employment details of an individual. It requests information such as full name, date of birth, contact details, educational qualifications, and employment history. Supporting documents like degree certificates, mark sheets, resignation and relieving letters from previous employers are required. Employment details include company name, designation, dates of employment, salary, reporting manager's contact information to verify employment history and responsibilities.

Uploaded by

Akul Kamble
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

BACKGROUND VERIFICATION FORM

Personal Details

Full Name: Male /Female Marital Status: Single/ Married


Date of Birth: Nationality: Indian Father’s name:
Employee Code : Process: CVS DOJ: 01/11/2021
Designation-Sr.CSE
Current Address with Landmark:

Period of Stay -
Telephone (Home): Mobile:
Permanent Address:

Period of stay at Permanent Address:


Telephone (Home): Mobile:
Email address:
Educational qualification: (Highest Full time Degree)

(Important: Copy of Mark sheet and Degree certificate MUST be attached)

College name

College Address

University Name and address

From – To Graduated Program Student ID/ Enrolment No


(Month / Year)
Yes / No Full time /Part
time/ Day /
evening
Type of degree Graduation date Major Subject
Employment Details – (Accepted resignation letter copy of current employer and relieving
letter for all the previous employers to be attached)

Details of Recent Employment

Company Name: Position Held


& Dept

Address of the Telephone


office no(s)

Employment date: ( Date, Month , Year) Employee


code:
From: To:

Whether employment is temporary or permanent in Nature - Temp / Permanent

Agency details ( If temporary or Contractual)

Responsibilities:

Last drawn CTC P.a: Reason for leaving:

Do you grant permission for checks to be undertaken with this employer now: YES / NO
If no, when can the checks be undertaken?
Reported to
Name of the reporting authority
Position of the reporting authority
Landline No
Mobile no
Email Id
Previous Employment

Company Name: Position Held


& Dept

Address of the Telephone


office no(s)

Employment date: ( Date, Month , Year) Employee


code:
From: To:

Whether employment is temporary or permanent in Nature - Temp / Permanent

Agency details ( If temporary or Contractual)

Responsibilities:

Last drawn CTC P.a: Reason for leaving:

Do you grant permission for checks to be undertaken with this employer now: YES / NO
If no, when can the checks be undertaken?
Reported to
Name of the reporting authority
Position of the reporting authority
Landline No
Mobile no
Email Id

You might also like