NAVATA ROAD TRANSPORT

Reference declaration Form

Applicant Name : Contact number 1: M Senthil Kumar

Email Id: Contact number 2: 8951227701
Education qualification : Current Location:
Current Employer
Name of the company Zinka logistics solutions
Joining Date 07/01/2022
Designation Territory Sales lead
Employee ID Z4333
On roll /Off Roll On roll
If Off Roll name of the Agency, Contact
number , mail id
Monthly Salary Take home 31200
Relieving Date 01/04/2023
Reason for Leaving Carrier growth
Reporting to ( Designation & Name ) Area sales manager
Reporting authority contact number +91 87780 09216
Company HR ( Name ) Shanti
HR Contact No: Mobile & Landline 7093148743
HR Email ID shanthabai.kashinath@blackbuck.com
Company website Www.zinkalogic.com / Blackbuck
Job location existing full address
Previous Employer
Name of the company
Joining Date
Designation
Employee ID
On roll /Off Roll
If Off Roll name of the Agency, Contact
number , mail id
Monthly Salary Take home
Relieving Date
Reason for Leaving
Reporting to ( Designation & Name )
Reporting authority contact number
Company HR ( Name )
HR Contact No: Mobile & Landline
HR Email ID
Company website
Job location existing full address
 For Office Use

** Strictly to be filled by the HR and used during Employment verification

HR Authorization

HR name:

Signature:

HQ:

Date:

Letter of Authorization
To whom it may concern

I understand that M/s Navata Road Transport may verify and validate the
information I have provided including my employment, my personal background,
professional standing, work history and qualifications.

I understand that company may obtain information it deems appropriate from

various sources including, but not limited to, the following: current and past
employers, criminal conviction records, academic records and professional
references.
I authorize, without reservation, any individual, corporation or other private or
public entity to furnish M/s Navata Road Transport all information about me.

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: ________________________

Name in Block Capitals: _

Date: