NOTICE OF CONSENT AND APPROVAL

FOR EMPLOYMENT VERIFICATION

I authorize Concentrix to verify and check on my behalf any and all information pertinent to my previous
employment background.

Employment Information:
(Please indicate all previous /present employers. Also list down details of unemployment - start and end
date of unemployment. You may write at the back of the sheet is the space provided is not enough.)

Company Name Last Held Work Position Start & End Date Comments

10

I am executing this notice of consent and approval, willingly and voluntarily, without compulsion and
intimidation from the company.

With my full consent and authority

Signature over printed name

Date:-