Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
3K views6 pages

Sutherland - Background Verification Form

This background verification form collects personal and employment details of a job candidate over 6 pages. It requests documents like photo ID, address and education proofs. It also collects information on the candidate's name, contact details, gender, date of birth, highest degree obtained, employment history at 3 previous companies including dates, designations, salaries and supervisors' details. The candidate authorizes the company to verify this information and conduct necessary inquiries.

Uploaded by

Sanjay Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
3K views6 pages

Sutherland - Background Verification Form

This background verification form collects personal and employment details of a job candidate over 6 pages. It requests documents like photo ID, address and education proofs. It also collects information on the candidate's name, contact details, gender, date of birth, highest degree obtained, employment history at 3 previous companies including dates, designations, salaries and supervisors' details. The candidate authorizes the company to verify this information and conduct necessary inquiries.

Uploaded by

Sanjay Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 6

Background Verification Form

Personal Details Full Name

Former Name(s) / Maiden Name (if applicable) Fathers Name Mailing Address:

First

Middle

Last

Current:

Landline No:

Mobile No:

Mailing Address:

Permanent:

Landline No:

Mobile No:

Gender:

Date of Birth:

1. Please provide clear copy of the Ration card for Address Proof and Voter ID, Passport and Driving licenses any one for photo ID.

Page 1 of 6

Education History

Highest Degree:
Educational Details (Highest Degree)

Specialization:

Exam Passed

Complete name and address of the college / institute from where qualification attained

Course start date

Course end date

% Achieved

2. Please mention if the candidate has attained qualification with correspondence


studies and also enclose copy of mark sheet and degree Certificate with roll no. clearly indicated. 3. Please provide clear copy of the Degree Certificate for the education qualification mentioned above

Page 2 of 6

Employment History 1
Details of Previous Employer Company Name :

Address (main office and branch where worked):

Company Board Line Numbers (No Cell Phone numbers accepted) If Deputed by Agency - Agency name and address

Tel no of the Agency Employee Code Designation and Dept Date of Joining Date of Leaving Monthly Gross Salary Reason For leaving Supervisors Name and Designation

Supervisor's direct line number and Mobile no. Any other information you would like to provide:

Page 3 of 6

Employment History 2
Details of Previous Employer Company Name :

Address (main office and branch where worked):

Company Board Line Numbers (No Cell Phone numbers accepted) If Deputed by Agency - Agency name and address

Tel no of the Agency Employee Code Designation and Dept Date of Joining Date of Leaving Monthly Gross Salary Reason For leaving Supervisors Name and Designation

Supervisor's direct line number and Mobile no. Any other information you would like to provide:

Page 4 of 6

Employment History 3
Details of Previous Employer Company Name :

Address (main office and branch where worked):

Company Board Line Numbers (No Cell Phone numbers accepted) If Deputed by Agency - Agency name and address Tel no of the Agency Employee Code Designation and Dept Date of Joining Date of Leaving Monthly Gross Salary Reason For leaving Supervisors Name and Designation Supervisor's direct line number and Mobile no. Any other information you would like to provide:

Candidate Name: ___________________ Date: ________________

Signature: _______________ Location: ________________

Page 5 of 6

Letter of Authorization
To whom it may concern

I hereby authorize Sutherland Global Services Pvt. Ltd. and its representative to verify information provided in my resume and application of employment, and to conduct enquiries as may be necessary, at the companys discretion. I authorize all persons who may have information relevant to this enquiry to disclose it to Sutherland Global Services Pvt. Ltd. or its representative. I release all persons from liability on account of such disclosure Signed: ______________________

Name in capitals:_________________

Page 6 of 6

You might also like