CAPGEMINI

BACKGROUND VERIFICATION (ANNEXURE - 2)

PERSONAL DETAIL

Title First Name Middle Name Last Name Maiden Name Father's Name Date of Birth (DD/MM/YY) Permanent Address Current Address Contact Number E-mail ID Passport Number PAN SSN

EDUCATION DETAIL

College or Institute Name University Name University Address Name of Degree Started On Completed On Seat Number (ID/Roll Number) Qualification Gained

CURRENT EMPLOYMENT

Employer's Name Employee ID / Code Employer's Address Employer's Phone No. Employer's Fax No. Employment Status Designation / Position Held Department Reason for Leaving Date of Joining Date of Leaving Name of Supervisor / Manager Contact Number E-mail Address ,

PREVIOUS EMPLOYMENT

Employer's Name Employee ID / Code Employer's Address Employer's Phone No. Employer's Fax No. Employment Status Designation / Position Held Department Reason for Leaving Date of Joining Date of Leaving Name of Supervisor / Manager Contact Number E-mail Address