EMPLOYMENT VERIFICATION FORM

Employee ID: 5050

DATE OF JOINING: 14/09/2015

Please provide complete and correct information. All fields are mandatory.

Please do not use short forms/Abbreviations.

Please fill up this form in uppercase letters and take a printout.

Hardcopy of this form along-with Supporting Documents has be Submitted
(Duly signed and with a Photograph) to your Location Contact Point.

PERSONAL DETAILS

Title (Mr./Mrs./Ms.) Kammara

Name (Last) Sharath Kumar

Father’s Name: K Satyanarayana

Nationality
Indian

Date of Birth 1989/06/27

(yyyy/mm/dd)

Gender: Male
Marital Status: Single
CONTACT DETAILS

Permanent Residential Address

(Number and Street) 1-2-48/ST/502, Flat no. 502, Sarojini
Towers, Nizampet Road, Kukatpally,
Period of Stay Hyderabad- 500085

Nearest Police Station: JNTU

Current Residential Address

(Number and Street) From 2011 To Current

Period of Stay

Nearest Police Station: JNTU

Contact Telephone No. (Specify Office Mobile/Pager Email

Location Codes) Telephone Address
No.
Current

Professional Reference
Name Ravi

Company Name and

Address Igot Tech Solutions

Designation Team Lead

Contact Details Mobile:
9553430204
Comments
Note: The reference details of will be obtained in writing from the
references

Personal Reference
Name

Address

Occupation
Relationship
Contact Details Mobile:
Comments

Note: The reference details of will be obtained in writing from the

references
EDUCATIONAL RECORD-of your highest and completed education
qualification (Please attach Self-attested copy of degree certificate and mark
sheet for this)-Incase studied directly through the university, though
correspondence or through distance education, please mention clearly.
College MLR Institute of Technology
Name/Address

University JNTU, Hyderabad

Name/ Address

From To Graduated Program %/ Student Id

(Month/yr) (Month/Yr) Class No./Enrolment
No.
05/2007 04/2011 2011 Full- 61 07R21A05A3
Time
Type of Degree Graduation Subject Major
certificate, Date
B.Tech (month/yr) CSE

Copy of Certificate Attached

Social Security Number (Mandatory if Studied in U.S.A)

EMPLOYMENT SECTION: Please give the details of last employment.
Ensure that you are descriptive wherever necessary-e.g. If Co. is closed do
mention it. 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.

EMPLOYMENT 1 (LATEST)

Employment History-Please attach a self attested copy of your relieving

letter/Service certificate for this. Please do not use abbreviations for
company names.

Company Name: Igot Tech Position Held: QA

Solutions
Address (main office and branch Company 080 68970808
where worked) Telephone:

4/3, 2nd Floor, 1st Cross, Bhuvanappa

Layout, Koramangala, Bangalore-29

Employment Period (yyyy/mm/dd) Reported to Name of HR

(Name & Manager
2015/09/14 to current Position):
Priya
Ravi & Team
Lead

Whether employment is of permanent or temporary nature (Contract

positions are temporary)
Temporary Employee Code/Personnel No: 5050

Social Security Number (Mandatory if worked in USA):

Responsibilities:

Last Monthly Gross Salary Reasons for Leaving

(Please attach the self-attested copy

of your last pay slip.)
Can verification be done now? Yes
If No, When can it be done?

EMPLOYMENT 2 (LATEST)
Employment History-Please attach a self attested copy of your relieving
letter/Service certificate for this. Please do not use abbreviations for
company names.

Company Name: Position Held:

Address (main office and branch Company

where worked) Telephone:

Employment Period (yyyy/mm/dd) Reported to Name of HR

(Name & Manager
Position):

Whether employment is of permanent or temporary nature (Contract

positions are temporary)
Temporary Employee Code/Personnel No:

Social Security Number (Mandatory if worked in USA):

Responsibilities:

Last Monthly Gross Salary Reasons for Leaving

(Please attach the self-attested copy

of your last pay slip.)

Can verification be done now? Yes

If No, When can it be done?
 Declaration

I hereby certify all of the statements made on the Joulestowatts

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 Joulestowatts. I may

be the subject of a background enquiry by Joulestowatts or its
representative and I hereby authorize the same.

Signature : Sharath

Name in Capital : K SHARATH KUMAR

Date : 15/07/2021
 Letter of Authorization

To whom it may concern

I hereby authorize Genpact representative to verify information provided in

my resume and application of employment and to conduct enquiries 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
Joulestowatts or its representative. I realize all persons from liability on
account of such disclosure.

Signature :Sharath

Name in Capital : K SHARATH KUMAR

Date : 15/07/2021