ORACLE

Employee Verification Form

Please Print Clearly and Provide Complete and Accurate Information

Personal Details

Full Name (First, Middle, Last)

(2) Original colour passport

size photographs

Former Name(s) / Maiden Name (if applicable) Gender:

Date of Birth (dd/mm/yy) Residence Number:

Mobile Number :
Father’s Name: Passport No

Details of Addresses (Oracle to decide on longest place of stay and earmark in the form)

Complete Address From:(mm/yy) Telephone Number of

(Longest stay in last 07 years)) To: (mm/yy) each place of stay
Educational Qualifications

Post Graduation (If professional, please proceed to next page)

(IMPORTANT: Copy of marksheet and degree certificate MUST be attached)

College Name (1)

College Address

University Name and

Address

From - To Graduated Program Roll No /

(month / year)
Yes
Full Time Enrollment

No
Part Time

Pursuing
Type of degree Graduation date (month Subject
/ year)

Graduation – Must for all candidates

(IMPORTANT: Copy of marksheet and degree certificate MUST be attached)

College Name (2)

College Address

University Name and

Address

From - To Graduated Program Roll No /

(month / year)
Yes
Full Time Enrollment No

No
Part Time

Pursuing
Type of degree Graduation date (month Subject Major:
/ year)

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Professional Qualification (if PG is a professional qualification)
(IMPORTANT: Copy of transcript and certificate MUST be attached)

Institute Name (3)

Institute Address

From - To Degree attained Program Membership No/

(month / year)
Yes
Full Time ID No /

No
Part Time Enrollment No.

Qualification/Certification attained Date of completion

(month / year)

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Employment History

Details of Current Employer – (Verification will be conducted later)

Company Name (1): Position Held & Department

Address (main office and branch where worked): Company Telephone:

Employment Period: (date, month, year) Employee Code:

From To

Reported to (Name & Position): Contact details:

Agency Details (if temporary or contractual)

Remunerations Reason(s) for Leaving

Details of Previous Employers

Company Name (2) : Position Held & Department:

Address (main office and branch where worked): Company Telephone

Employment Period: (date, month, year) Employee Code:

From To

Reported to (Name & Position): Contact details:

Whether employment is of permanent or temporary nature -

Agency Details (if temporary or contractual)

Remunerations : Reason(s) for Leaving:

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Details of Previous Employers

Company Name (3) : Position Held & Department

Address (main office and branch where worked): Company Telephone:

Employment Period: (date, month, year) Employee Code:

From To

Reported to (Name & Position): Contact details

Agency Details (if temporary or contractual)

Remunerations Reason(s) for Leaving

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 Letter of Authorisation(approved by legal)
To whom so ever it may concern

I understand that Oracle may offer / has offered me employment. I also understand that Oracle may
use an external third party agency to verify and validate the information that I have provided, in the
application/employee data form/my resume during or after my interview with Oracle personnel,
including information related to my employment, personal background, professional standing, work
history and qualifications.

I understand that this external third party agency may obtain information it deems appropriate from
various sources including, but not limited to, the following: current and past employers, criminal
conviction record, school record, college records and professional and personal references.

I authorise, with out reservation, any individual, corporation, or other private or public entity to
furnish Oracle and the external third party agency all information about me.

I unconditionally release and hold harmless any individual, corporation, private or public entity from
any and all causes of action that may arise from furnishing to Oracle and the external third party
agency information that they my request pursuant to this authorisation.

This authorisation and release, in original, faxed or photocopy form, shall be valid for this and any
further reports and updates that may be requested.

Signed: ___________________

Name: ___________________

Date: _____________________

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 Declaration
I hereby certify as true and complete all of the statements made in the application/employee data
form/my resume during or after my interview with the Oracle personnel / Oracle employment
verification form. I understand that any willful omission or misrepresentation of any fact may result in
refusal of employment / revoke the offer even if accepted or immediate termination.

I recognise that in this connection, I may be the subject of a background enquiry by Oracle or its
representatives, and I hereby authorise the same.

Signed: ___________________

Name: ___________________

Date: _____________________

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