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Pre Background Verification Form - 17-05-2023
Pre Background Verification Form - 17-05-2023
Date of Joining
PERSONAL DETAILS
Date of Birth (DD/MM/YY):
Father’s Name:
Contact Number:
Email ID:
Gender:
Marital Status:
Current Address:
Contact Number:
Permanent Address :
Contact Number:
10th STD
Intermediate
/PUC
Graduate
Degree
Post
Graduate
Degree
Other
Employment History
Please fill in the following details regarding your work experience. Start with your current job and end
with your first job. Please mention reasons for breaks in career if any.
Current Employment
Company’s Name:
Complete Address (Location worked):
Contact number:
Employee ID:
Period of Employment: (dd/mm/yyyy)
Designation:
Last Salary withdrawn:
Reason of Leaving
HR Manager’s Details:
Name
Designation and Department
Contact No & Official Email id
Previous Employment – 1
Company’s Name:
Complete Address (Location worked):
Contact number:
Employee ID:
Period of Employment: (dd/mm/yyyy)
Designation:
Last Salary withdrawn:
Reason of Leaving
HR Manager’s Details::
Name
Designation and Department
Contact No & Official Email id
_____________________________________________________________________________________
Reference Checks
Please provide references:
Name
Designation
Organization
Relationship
Address, Telephone
Email ID
Letter of Authorization
I understand that BMM Ispat Limited.may use an outside agency to verify and validate the
information I have provided including my employment, my personal background, professional
standing, work history and qualifications.
I authorize, without reservation, any individual, corporation or other private or public entity to
furnish BMM Ispat Limited. And the outside background agency 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 BMM Ispat Limited and the
outside agency information that they may request pursuant to this release.
This authorization and release, in original, faxed or photocopied form, shall be valid for this and
any future reports and updates that may be requested.
Signed: ________________________
Date: ________________________
Note :
Photocopy of the relieving/experience letter & salary slip of the previous employment.