Form Name:
Letter of Authorization
Submitted By:
Submitted Date:
I understand that IBM will use a duly empanelled Vendor to verify and validate the information I have provided at the time
of employment, including my employment and work history, my personal background including address verification and
qualifications.
I understand and hereby authorize the duly empanelled vendor to obtain any information it deems relevant and
appropriate to validate the information provided from various sources including, but not limited to the following: current
and past employers, criminal conviction records(if applicable), school\college records and professional and personal
references.
I hereby authorize the company to access or be provided with full details of my previous employment record held by any
company or business for whom I previously worked. This information include the dates of employment; the nature of
position held, details of my salary upon departure and an appraisal of my performance , capabilities and character, and any
other information as maybe deemed necessary and pertinent by the Company.
This authorization letter, in original, faxed or photocopied , shall be valid for this and any future reports and updated that
may be requested
Privacy and confidentiality of the information shared by IBM to third party vendors will be maintained
Sign Below
Date