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BVC Form

This document contains a background/criminal verification form for a potential employee. It requests personal details, educational and employment history, and authorization to conduct background checks. The form collects names, addresses, phone numbers, dates, places of education and employment, responsibilities, supervisors' contact information, and authorization to verify the information and conduct inquiries.

Uploaded by

Arindom Sen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
582 views2 pages

BVC Form

This document contains a background/criminal verification form for a potential employee. It requests personal details, educational and employment history, and authorization to conduct background checks. The form collects names, addresses, phone numbers, dates, places of education and employment, responsibilities, supervisors' contact information, and authorization to verify the information and conduct inquiries.

Uploaded by

Arindom Sen
Copyright
© © All Rights Reserved
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
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BACKGROUND/ CRIMINAL VERIFICATION FORM

Personal Details

Full Name: Male /Female:

Date of Birth: Father’s Name:

Employee No: Designation:

Place of Joining: Date of Joining:

Current Residential Address:

Telephone (Home): Mobile:

Email address:
Form to be Perforated here

Permanent Address:

Telephone: Mobile:

Educational qualification: (Highest Degree) (Important: Copy of Mark sheet and Degree certificate MUST be attached)

College Name

College Address

University Name and address

From – To (Month / Year) Graduated Yes No


Program Full time Part time
Day Evening

Type of degree Student ID/ Enrolment No


Graduation date

 Any Other Qualifications Major Subject

DECLARATION
Are you holding directorship of any company? Yes No

Company Name Tenure


(Please note: Your name should not reflect as director in any other company)
Employment History (Information shared below should be supported by relevant documents where necessary)

Details of Current or Last Employer

Company Name: Designation & Grade

Address (Main office & Branch where worked)

Telephone:

Employment date: (Date, Month, Year)


From: To: Employee code:
Whether employment is temporary or permanent in Nature Temp Permanent
Agency details (If temporary or Contractual):
Responsibilities:
Remuneration: Reason for leaving:
Reported to: Name, Position & Contact No.:

Details of Second Last Employer

Company Name: Designation & Grade

Address (Main office & Branch where worked)

Telephone:

Employment date: ( Date, Month, Year)

From: To: Employee code:

Whether employment is temporary or permanent in Nature Temp Permanent

Agency details (If temporary or Contractual):

Responsibilities:

Remuneration: Reason for leaving:

Reported to: Name, Position & Contact No.:

Can reference check be done: Yes/ No

Name and contact details of 2 referees (professional persons from previous organizations)

1. 2.

LETTER OF AUTHORISATION
TO WHOMSOEVER IT MAY CONCERN
I hereby authorize India Infoline Group and its authorized representatives to verify information provided in my resume and application of
employment, and to conduct enquiries (Background & Criminal) and disclose such information to any third party/ agency for the purpose of
verification, 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 India Infoline Group or its representative. I release all persons from liability on account of such disclosure.
I hereby authorize concerned authorities to dispatch my confidential report to India Infoline Group or its authorized representative.

Name: Date:
SIGNATURE OF
THE EMPLOYEE

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