BACKGROUND VERIFICATION FORM

Personal Details

Full Name: FAIQ JAVEED Gender : M Marital Status: Single

Date of Birth:24/09/1996 Nationality: Indian Father’s name: Javeed Iqbal
Current Address with Landmark:
Sukhdev vihar Okhla Pocket A 91D
Near gate no.4 DDA flats

Period of Stay – 3 months

Telephone (Home):7006697118 Mobile: 7006697118
Permanent Address:
Mahala shaksaz kadipora anantnag

Period of stay at Permanent Address: 27 years

Telephone (Home):7006697118 Mobile: 7006697118
Email address: faikmunjkhal@gmail.com
 Educational qualification: (Highest Full time Degree)

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

College name Chandigarh group of colleges Jhanjeri

College Address Jhanjeri mohali

University Name and address I.K Gujral Punjab technical University

From – To Graduated - Program - Student ID/ Enrolment No -

2016-2019
Full time / Part Full Time
Time
Type of degree Graduation date Major Subject
07/06/2019
Employment Details – (Accepted resignation letter copy of current employer and relieving
letter for all the previous employers to be attached)

Details of Current / Immediate last employment

Company Name: Position Held Customer support

FIS Global & Dept associate

Address of the Telephone

office no(s)
Plot no.15 Udyog Vihar phase 4

Employment date: ( Date, Month , Year) Employee E5696247

code:
From: 02/02/2022 To: 27/09/2023

Whether employment is temporary or permanent in Nature -

Agency details ( If temporary or Contractual)

Responsibilities:

Last drawn CTC P.a: 3.5 Lakh Reason for leaving: family emergency

Do you grant permission for checks to be undertaken with this employer now: YES / NO
If no, when can the checks be undertaken?
Reported to
Name of the reporting authority
Position of the reporting authority
Landline No
Mobile no
Email Id
Previous Employment

Company Name: Position Held

& Dept

Address of the Telephone

office no(s)

Employment date: ( Date, Month , Year) Employee

code:
From: To:

Whether employment is temporary or permanent in Nature -

Agency details ( If temporary or Contractual)

Responsibilities:

Last drawn CTC P.a: Reason for leaving:

Do you grant permission for checks to be undertaken with this employer now: YES / NO
If no, when can the checks be undertaken?
Reported to
Name of the reporting authority
Position of the reporting authority
Landline No
Mobile no
Email Id
 Disclosure of GAP Between Employments
Please account for GAP between employment if any
From:- To:- Reason:-

From:- To:- Reason:-

From:- To:- Reason:-

From:- To:- Reason:-

 Reference Details
References:
2 professional references with Contact details and designation held from previous employers

Full Name Position/Designation Held Professional Relationship Contact Details

 LETTER OF AUTHORIZATION for BACKGROUND
VERIFICATION

To whomsoever it may concern

I hereby authorize Teleperformance and its representative 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 Teleperformance or its representative. I release all persons from
liability on account of such disclosure.

Signature- ______________________

Name- ______________________

DOB- ______________________

DOJ- ______________________

Emp ID- ______________________