AEGIS CUSTOMER SUPPORT SERVICES PRIVATE LIMITED

BACKGROUND VERIFICATION FORM

Personal Details
Full Name: Daniel Pandey Male Marital Status:
Date of Birth: Nationality: Father’s name:
23/11/1994 Indian Lt. David Pandey
Employee No: Designation: Customer Care Executive.
Place of joining: Date of Joining:
Current Residential Address:
271 K.M.D Road Kol-65

Period of stay at current address: From: 2015 To: Present

Telephone (Home): Mobile: 8697945206
Email address: danielpandey35@gmail.com

Permanent address:
271 K.M.D Road Kol-65

Period of stay: From: 2015 To: Present

Telephone: Mobile: 8697945206
 AEGIS CUSTOMER SUPPORT SERVICES PRIVATE LIMITED

BACKGROUND VERIFICATION FORM

Educational qualification: (Highest Degree)

(Important: Copy of Mark sheet and Degree certificate MUST be attached)

College name Karnataka State Open University

College Address Mukhtagangotri, Mysuru, Karnataka - 570006

University Name and address Karnataka State Open University, Karnataka.

From – To Graduated Program Student ID/ Enrolment No

(Month / Year) May, 2015 B.A 1024BAGEN12057

Type of degree Graduation date Major Subject

On Campus May,2015 English

Employment History – (Relieving letter copy to be attached till last but one employer)

Details of Current or last Employer

Company Position Held&

Name: ILS Hospitals Dept Customer Care Executive

Address( Main office & Branch where Telephone

worked)
Address:-
033-4055
98, Dr Abani Dutta Rd, opposite Golabari, 5647
PS, Howrah, West Bengal 711101

Employment date: ( Date, Month , Year) Employee code:

From: 1/10/2019 1700032

To: 30/11/2020

Whether employment is temporary or permanent in Nature - Permanent

Agency details ( If temporary or

Contractual)
Responsibilities: Handled incoming calls and emails and foot fall of the customers.

Remuneration: Yes Reason for leaving: Due to Covid-19

Reported to: name, Position & Contact

No. Manager- Nibedita Ghosh.
8335864661
 AEGIS CUSTOMER SUPPORT SERVICES PRIVATE LIMITED

BACKGROUND VERIFICATION FORM

Details of second last Employer

Company Position Held&

Name: Dept

Address( Main office & Branch where Telephone

worked)

Employment date: ( Date, Month , Year) Employee code:

From: To:

Whether employment is temporary or permanent in Nature -

Agency details ( If temporary or Contractual)

Responsibilities:

Remuneration: Reason for leaving:

Reported to: name, Position & Contact

No

Can reference check be done:

Name and contact details of 2 referees
1. Official contact -
2. Personal contact -
 AEGIS CUSTOMER SUPPORT SERVICES PRIVATE LIMITED

BACKGROUND VERIFICATION FORM

Letter of Authorization:

To whomsoever it may concern

I hereby authorize Aegis Customer Support Services Private Limited and its authorized representatives 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 Aegis Customer Support Services Private Limited or its representative. I release all persons
from liability on account of such disclosure.

I hereby authorize concerned authorities to dispatch my confidential report to Aegis Customer

Support Services Private Limited or its authorized representative.

Signed: - Daniel Pandey.

Name: Daniel Pandey

Date: 23/02/2022
 AEGIS CUSTOMER SUPPORT SERVICES PRIVATE LIMITED

BACKGROUND VERIFICATION FORM

** As is the procedure followed by most police departments across India for criminal back ground verification,
it is possible that police authorities may contact or visit the stated residence and at times even ask to be
physically present at the concerned police station. It is part of the standard verification procedure.