BACKGROUND VERIFICATION FORM
Personal Details
Full Name: Teleperformance Date Of Joining (DD/MMM/YY):
Teleperformance Employee Code:
Current Address with Landmark:
Period of Stay:
Permanent Address with Landmark(If current and permanent are same please write “Same as above”):
Period of Stay:
Details of Education:
Educational Qualification: Year of Passing:
(Highest Full time Degree
Eg. Bcom /HSC/Diploma, Etc..)
Details of Recent Employment
Company Name: Designation:
Address of the office: UAN (Mandatory ):
Employment date: ( Date, Month , Year) Employee code:
From: To:
(DD/MMM/YY) (DD/MMM/YY)
Last drawn CTC P.A: Reason for leaving:
Reporting Manager / Supervisor / HR’s Details:
Name of the reporting authority:
Position of the reporting authority:
Landline No:
Mobile No:
Email Id:
Details of 2nd Employment
Company Name: Designation:
Address of the office: UAN (Mandatory ):
Employment date: ( Date, Month , Year) Employee code:
From: To:
(DD/MMM/YY) (DD/MMM/YY)
Last drawn CTC P.A: Reason for leaving:
Reporting Manager / Supervisor / HR’s Details:
Name of the reporting authority:
Position of the reporting authority:
Landline No:
Mobile No:
Email Id:
Details of 3rd Employment
Company Name: Designation:
Address of the office: UAN (Mandatory ):
Employment date: ( Date, Month , Year) Employee code:
From: To:
(DD/MMM/YY) (DD/MMM/YY)
Last drawn CTC P.A: Reason for leaving:
Reporting Manager / Supervisor / HR’s Details:
Name of the reporting authority:
Position of the reporting authority:
Landline No:
Mobile No:
Email Id: