Part of the DUNBRAE Group of Companies.

EMPLOYMENT VERIFICATION & CONSENT FORM

Date:

To Whom It May Concern:

I, ______________________________________, hereby authorize the Dunbrae Subic Inc. to gather

information regarding my previous employment with _____________________________________.
This is to determine my employment record and I understand that a background search will be
conducted and that this is my notification of that intent.

I also understand that the conduct of this background investigation is to determine if I am suitable for
employment which will include information about my character, general reputation, personal
characteristics, and mode of living.

Also, I do hereby consent to do any verification to the following information.

1. Company details
2. Position
3. Employment status
4. Length employment
5. Gross monthly salary including allowance.
6. Derogatory records

I authorize the release of information and I am aware that this will be applied throughout my
employment, unless otherwise I send a signed letter or statement for revocation.

Source Details
Please provide at least (2) HR contact information of your previous company.
Name: Contact No.
Position:
Department: Email Address:
Company:

Name: Contact No.

Position:
Department: Email Address:
Company:

Thank you!

NAME
Signature over printed name

[TypeSubic
Dunbrae here]Incorporation Tel : +63 47 250 2895 | Fax : +63 47 250 2761
No. 7 Argonaut Highway Corner Efficiency Avenue, Subic Bay Email : inquiries@dunbraesubic.ph
Gateway Park, Phase 1, Subic Bay Freeport Zone 2222 Philippines Web : www.dunbraesubic.ph