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Culture Documents
Employment Verification Form
Employment Verification Form
SYNOVA ID NUMBER: .
DATE OF JOINING:
Please provide complete and correct information. All fields are mandatory. Please do not
use short forms/Abbreviations. Take a printout of only the last page (Declaration and
Letter of Authorization). Please sign, scan it and send the same.
PERSONAL DETAILS
Full Name (Mr./Mrs./Ms.)
Fathers Name:
Mothers Name:
Date of Birth:
Blood Group:
Nationality:
Gender: Male / Female
From:
To:
Period of Stay:
From:
Intermediate Address:
To:
Mobile:
Graduated
(Yes / No )
Type of Degree:
Graduation Date
(month/yr):
Program
(Part-time /
Full-Time)
Yes
%/ Class Student Id
No./Enrolment No.
Major Subject:
No
EMPLOYMENT DETAILS: Please give the details of last employment and ensure that
you are descriptive wherever necessary-for e.g. If Co. is closed, please mention it. Please
mention the Company telephone number with specific location code. Employee
Code/ID/Number is Mandatory. If your previous employer did not provide the latter,
please mention and state reasons for the same. Please do not use abbreviations for
company names.
EMPLOYMENT 1 (LATEST) - Please attach a self attested copy of your relieving
letter/Service certificate for this.
Company Name:
Address (main office and branch where
worked):
To:
Temporary
Yes
No
To:
Temporary
Yes
No
To:
Temporary
Yes
No
To:
Temporary
Yes
No
REFERENCES DETAILS:
(PLEASE GIVE DETAILS OF TWO PROFESSIONAL AND ONE ACADEMIC REFERENCE.
THEY SHOULD NOT BE RELATIVES OR FRIENDS.)
REFERENCE 1
REFERENCE 2
REFERENCE 3
NAME
ORGANIZATION/
INSTITUTION
POSITION
ADDRESS
TELEPHONE NO.
RELATIONSHIP
YEARS YOU HAVE
KNOW EACH
OTHER
Declaration
I hereby certify all of the statements made on the SYNOVA employment verification
form are true and complete and I understand that omission or misrepresentation of any
fact may result in refusal of employment or immediate dismissal.
I recognize that in connection with employment with SYNOVA. I may be the subject of
a background enquiry by SYNOVA or its representative and I hereby authorize the same.
Signature
Name in Capital
Date
Letter of Authorization
enquiry to disclose it to SYNOVA or its representative. I realize all persons from liability
on account of such disclosure.
Signature
Name in Capital
Date