JW Marriott New Delhi Aerocity

Background Verification Form

Instructions: Please fill the form in BLOCK letters only and do not use any abbreviations
Personal Information
First Name Rajat
Middle Name
Last Name Sachdeva
Nationality Indian Please affix
Gender Male M Female your most
Marital Status Married recent photo
Contact Number 9811770560 here (if applicable)
Email ID
0 6 0 8 1 9 8 8
Date of Birth
Father’s Name Mr. Ramesh sachdeva
Identification
618225793287
Number
Identification Type Aadhaar card
Permanent Address Details
House/Flat Number H. No. 13 -8/1
Building Number &
Name
Cross/Lane/Main
Name
Area/Sector Name Gandhi nagar
District Name Rohtak
City
Postal Code 1 2 4 0 0 1
State Haryana
Country India
Prominent Landmark
1 (Mandatory)
Prominent Landmark
2
Contact Number 1
(Mandatory)
Contact Number 2
(Mandatory)

Education - Highest Qualification

Qualification Name University /Board Name Year of Passing DD/MM/YY
10th STD Cbse 2004
12th STD Cbse 2006
Gradution Nchmct 2010

1
 Employment Details

Fresher (Not required to fill this section) Experienced (Please fill this section as instructed
below)

Employer 1
Company Name Sofitel mumbai bkc
Address Bandra kurla complex

HR name Priyanka
HR Contact details H6451-hr4@sofitel.com
City Mumbai
Postal Code 400051 Supervisor Name 1 Chef neeraj rawoot
Neeraj.rawoot@sofit
State Maharashtra Supervisor’s Email ID
el.com
Company Phone No. 7567260014 Supervisor’s Phone No. 9717596189
Designation Pastry chef Supervisor Name 2
Department Culinary Supervisor’s Email ID
Remuneration (CTC -
1550000 Supervisor’s Phone No.
PA)
Employee ID 001832
0 8 0 1 2 0 1 9 Date of 0 4 1 0 2 0 2 1
Date of Joining
Exit
Reason for Leaving New opportunities
Employment Type ☑️ Full-Time Part-Time
Probation Permanent ☑️ Contractual
Nature of Employment
Temporary
Outsourcing Agency Details, if through contract

2
 Employer 2
Company Name Leela ambience gurugram
Address Ambience island national Highway gurugram

HR Name Garima Kohli /kavinder Tiwari

HR contact details 9717596083
City Gurugram
Postal Code 122002 Supervisor Name 1 Sangeet panwar
State Haryana Supervisor’s Phone No.
Company Phone No. Supervisor’s Email ID.
Designation Sous chef Supervisor Name 2 Anurag barthwal
Department Culinary Supervisor’s Email ID
Remuneration (CTC -
Supervisor’s Phone No.
PA)
Employee ID
1 0 6 2 0 1 7 Date of 0 1 0 1 2 0 1 9
Date of Joining 2 Exit
Reason for Leaving Career opportunities
Employment Type Full ☑️- Time Part-Time
Probation Permanent ☑️ Contractual
Nature of Employment
Temporary
Outsourcing Agency Details, if through contract

Employer 3
Company Name Shangri-La hotel
19, Ashoka Rd, Janpath, Connaught Place
Address

HR Name Dheeraj bhushan

Hr Contact details Dheeraj.bhushan@shangri-la.com
City New delhi
Postal Code 110001 Supervisor Name 1 Chef Sukanata das
sukanta_d@rediffma
State Delhi Supervisor’s Email ID
il.com
Company Phone No. 9718988558 Supervisor’s Email ID.
Designation Chef de partie Supervisor Name 2 Chef Neeraj tyagi
Neeraj.tyagi@accor.c
Department Culinary Supervisor’s Email ID
om
Remuneration (CTC -
550000 Supervisor’s Phone No. 9871396011
PA)
Employee ID
Reason for Leaving Career growth
Employment Type Full - ☑️Time Part-Time
Nature of Probation Permanent ☑️ Contractual
Employment Temporary
Outsourcing Agency Details, if through contract

3
 Letter of Authorization

To whom it may concern

I understand that the information provided by me may be used JW Marriott New Delhi Aerocity

(organization / employer) or any third party agency appointed by the organization to verify and

validate the information I have provided including my employment, my personal background,

professional standing, work history and qualifications etc.

I understand that the organization or the third party agency appointed by the organization may
obtain information it deems appropriate from various sources including, but not limited to current
and past employers, criminal conviction records, university / school / college records, professional
and personal references and other verifying sources / authorities.

I authorize, without reservation, any individual, corporation or other private or public entity to
furnish the organization or the third party agency appointed by the organization, all information
about me.

I unconditionally release and hold harmless any individual, corporation, or private or public entity
from any and all causes of action that might arise from furnishing to the organization or the third
party agency appointed by the organization, that they may request pursuant to this release.

I understand that if I submit any falsified information or documents, I may be subject to legal
proceedings and my complete information may be shared with the verifying source / relevant
authorities

This authorization and release, in original, faxed or photocopied form, shall be valid for this and any
future references.

Signature Rajat sachdeva

Name (In Block Letters) Rajat sachdeva

Date 16/08/2021