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Employee Background Verification Form

This document is an applicant information sheet for Kalpataru Limited. It requests personal details from applicants such as name, date of birth, contact information, education history, and employment history. Fields marked with an asterisk are mandatory to complete. The sheet requests documents like degree certificates, marksheets, experience or relieving letters, and identity proofs. It also contains an authorization for Kalpataru to verify information and conduct necessary inquiries for employment purposes.

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Anupam0103
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2K views3 pages

Employee Background Verification Form

This document is an applicant information sheet for Kalpataru Limited. It requests personal details from applicants such as name, date of birth, contact information, education history, and employment history. Fields marked with an asterisk are mandatory to complete. The sheet requests documents like degree certificates, marksheets, experience or relieving letters, and identity proofs. It also contains an authorization for Kalpataru to verify information and conduct necessary inquiries for employment purposes.

Uploaded by

Anupam0103
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 3

Kalpataru

Applicant Information Sheet


Personal Details
Name of the Applicant *
First

Middle

Last Name

Date of Birth (DD/MM/YYYY) *


Fathers Name
PAN Number or SSN for US*
Permanent Address
& Duration of Stay *
Telephone *
Mobile *
Current Address *
& Duration of Stay
Telephone *
Mobile *
Previous Address *
& Duration of Stay
Telephone *
Mobile *
Client Employee Code *
Whether to Contact the Current
Employer *

Yes

If Not, Then After What Date:

Please Note: Fields marked with astrix are absolutely mandatory.

Education History (Highest Degree Qualification)


Name of the Institute / College *
Location (City, State) *
Affiliated University *
Contact Details
Qualification (Type of Degree) *
Specialization (Major Subject) *
Dates Attended (DD/MM/YYYY) *

Start date and year of passing

Exam Seat No / Registration


Number / Enrollment No *
Marks Obtained / Class Obtained *

Documents Required: Copy of Degree Certificate & Final Year Marksheet *

Page 1 of 3

Confidential Materials

Employment History (Most Recent)


Employer 1 *
{Provide Agency Details if on Contract}

Location (City, State) *


Contact Details *
Employee Code * (If applicable)
Dates of Employment *

Start:

End:

(DD MM YYYY)

Designation *
Last Salary Drawn (CTC) *
Reason for Leaving *
Reporting Manager *
HR Manager

Employer 2 *
{Provide Agency Details if on Contract}

Location (City, State) *


Contact Details *
Employee Code * (If applicable)
Dates of Employment*

Start:

End:

Start:

End:

(DD MM YYYY)

Designation *
Last Salary Drawn (CTC) *
Reason for Leaving *
Reporting Manager *
HR Manager

Employer 3 *
{Provide Agency Details if on Contract}

Location (City, State) *


Contact Details *
Employee Code * (If applicable)
Dates of Employment*
(DD MM YYYY)

Designation *
Last Salary Drawn (CTC) *
Reason for Leaving *
Reporting Manager *
HR Manager

Documents Required: Copy of Relieving Letter (Preferred) or Experience Certificate

Page 2 of 3

Confidential Materials

APPLICANT AUTHORIZATION
I hereby authorize Kalpataru Limited and the appointed agencies to
Verify information provided in my resume and the applicant Information sheet for
employment purposes and to conduct enquiries necessary.
I authorize all who may have pertaining information relevant to this enquiry to
disclose the same.
Thank you.
Full Name: ____________________________________________ Place: _____________
Signature: _____________________________________________Date: ______________

DOCUMENTS CHECKLIST:
1. Completed & Signed Application Form
2. Relevant Education Certificates (Degree Certificate & Final Year Marksheet)
3. Experience Certificate or Relieving Certificate
4. Proof of Address & Identity: Government issued ID, or Passport Copy or Pan Card

Page 3 of 3

Confidential Materials

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