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Background Check Application Form For Contractors
Background Check Application Form For Contractors
Background Check Application Form For Contractors
Name of Candidate Fathers Name Date of Birth Name of Contracting Agency Date of joining Sapient Telephone No. Current Address
Address
:To
Appointment letter + Resignation Acceptance letter + 01 Last month Pay slip OR Appointment letter + 01 Last month Pay slip OR
Appointment letter + Relieving letter/Resignation Acceptance letter + 01 Pay slip OR Service certificate / Experience letter
Highest Completed Education Qualification Details: Do not enter pursuing qualification details. Qualification should be minimum of 01 year and above.
University Name
Qualification Attained
Year of passing
Regular / Correspondence
Employment Details:
Employment details are required for Payroll Company not of Client Company (for example tenure, designation and employee code is required for payroll company). In case you were deputed to client The supervisor name will be the name of Payroll Companys HR.
nd
2 Last company
3 4
Employer landline numbers / HR contact details-with name and no. Period of employment (DD/MM/YY) Full Time Part Time On Contract Freelancer From: To: From: To:
6 7 8
Supervisor name, designation and contact details Employee code (MANDATORY) If not applicable write - NA Any other Information (e.g., Company shut down/ merged/name changed)
Describe reason for GAP (If any) Between last company and 2 last company Between education completion and joining first companyTo:
nd
From: Reason:
I hereby authorize Sapient (or a third party agent appointed by the Company) to contact any former employers as indicated above and carry out all Background Checks not restricted to education and employment deemed appropriate through this selection procedure. I authorize former employers, agencies, educational institutes etc. to release any information pertaining to my employment/education and I release them from any liability in doing so. I confirm that the above information is correct to the best of my knowledge and I understand that any misrepresentation of information on this application form may, in the event of my obtaining employment, result in action based on company policy. Signature: Name: Date: