BACKGROUND VERIFICATION FORM
Personal Details
Full Name: FAIQ JAVEED Gender : M Marital Status: Single
Date of Birth:24/09/1996 Nationality: Indian Father’s name: Javeed Iqbal
Current Address with Landmark:
Sukhdev vihar Okhla Pocket A 91D
Near gate no.4 DDA flats
Period of Stay – 3 months
Telephone (Home):7006697118 Mobile: 7006697118
Permanent Address:
Mahala shaksaz kadipora anantnag
Period of stay at Permanent Address: 27 years
Telephone (Home):7006697118 Mobile: 7006697118
Email address:
[email protected] Educational qualification: (Highest Full time Degree)
(Important: Copy of Mark sheet and Degree certificate MUST be attached)
College name Chandigarh group of colleges Jhanjeri
College Address Jhanjeri mohali
University Name and address I.K Gujral Punjab technical University
From – To Graduated - Program - Student ID/ Enrolment No -
2016-2019
Full time / Part Full Time
Time
Type of degree Graduation date Major Subject
07/06/2019
Employment Details – (Accepted resignation letter copy of current employer and relieving
letter for all the previous employers to be attached)
Details of Current / Immediate last employment
Company Name: Position Held Customer support
FIS Global & Dept associate
Address of the Telephone
office no(s)
Plot no.15 Udyog Vihar phase 4
Employment date: ( Date, Month , Year) Employee E5696247
code:
From: 02/02/2022 To: 27/09/2023
Whether employment is temporary or permanent in Nature -
Agency details ( If temporary or Contractual)
Responsibilities:
Last drawn CTC P.a: 3.5 Lakh Reason for leaving: family emergency
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 -
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
Disclosure of GAP Between Employments
Please account for GAP between employment if any
From:- To:- Reason:-
From:- To:- Reason:-
From:- To:- Reason:-
From:- To:- Reason:-
Reference Details
References:
2 professional references with Contact details and designation held from previous employers
Full Name Position/Designation Held Professional Relationship Contact Details
LETTER OF AUTHORIZATION for BACKGROUND
VERIFICATION
To whomsoever it may concern
I hereby authorize Teleperformance and its representative to verify
information provided in my resume and application of employment, and to
conduct enquiries as may be necessary, at the company’s discretion. I
authorize all persons who may have information relevant to this enquiry to
disclose it to Teleperformance or its representative. I release all persons from
liability on account of such disclosure.
Signature- ______________________
Name- ______________________
DOB- ______________________
DOJ- ______________________
Emp ID- ______________________
