Verification Street

A-25, Office no. 9, Sector-3,

Noida-201301, Uttar Pradesh
Email – [email protected]
Web – www.verificationstreet.com

Background Check Form

Name of the Candidate Passport Size
(Expanding Initials) Photograph
Father Name
Date of Birth   Marital Status:

Email ID  

Contact Number Alternate Contact Details (Family Members)

   

Aadhaar Card Number PAN Card Number

   
Present Residential Details
 Address:
City/Town:   State:  

Landmark:  

Police Station:   Pin Code:

Period of Stay: From: To:

Permanent Residential Details
 Address:

City/Town:   State:  

Landmark:  

Police Station:   Pin Code:

Period of Stay: From: To:

Education Qualification Details

Details 1 2 3

Board, College,
     
Institute Name

University Name      

Degree / Course /
     
Program

Year of Passing      
Reg./Enrolment/
     
Roll No.
Regular/ Distance /
     
Correspondence
 Verification Street
A-25, Office no. 9, Sector-3,
Noida-201301, Uttar Pradesh
Email – [email protected]
Web – www.verificationstreet.com
1. Previous Organization Name
Name of Organization  
Company Address  

Employee Code  
Designation  
Date Of Joining  

Last Working Date   Company Contact no.  

Salary (In Hand/Month)   Reason For Leaving  

Reporting Manager /Supervisor Name
 

Contact number & Email

 
 
HR Name - 1 HR Name - 2

Contact number Contact number

Email ID Email ID

Name of Third party company, if any:

2. Previous Organization Name

Name of Organization  
Company Address  

Employee Code  
Designation  
Date Of Joining  

Last Working Date   Company Contact no.  

Salary (In Hand/Month)   Reason For Leaving  

Reporting Manager /Supervisor Name
 
 
Contact number & Email
 
 
HR Name - 1 HR Name - 2

Contact number Contact number

Email ID Email ID

Name of Third party company, if any:

 Verification Street
A-25, Office no. 9, Sector-3,
Noida-201301, Uttar Pradesh
Email – [email protected]
Web – www.verificationstreet.com
3. Previous Organization Name
Name of Organization  
Company Address  

Employee Code  
Designation  
Date Of Joining  

Last Working Date   Company Contact no.  

Salary (In Hand/Month)   Reason For Leaving  

Reporting Manager /Supervisor Name
 
 
Contact number & Email
 
 
HR Name - 1 HR Name - 2

Contact number Contact number

Email ID Email ID

Name of Third party company, if any:

Reference Verification (Professional)
Details 1 2
 
Name of Referee  
 
 
Company Name  
 
 
Designation  
 
 
Contact Number  
 
 
Email ID  
 

Please attach Below Mentioned Supportive Documents along with this form:

Documents Submitted No (Specify the Reason)

Copy of PAN Card, Aadhar&Voter ID    

Copy of permanent address proof

Appointment/Offer & relieving / Experience letter
   
from employer
Last Three Months’ Salary Slips of each company    
Scanned Copy of Highest degree certificates & All
   
marksheet
 Verification Street
A-25, Office no. 9, Sector-3,
Noida-201301, Uttar Pradesh
Email – [email protected]
Web – www.verificationstreet.com
Letter of Authorization
I hereby authorize Trangile Services Private Limited and/or any of its subsidiaries or affiliates, and any person or
organizations acting on its behalf to verify the information presented on this application from and to procure
and investigate report for background verification purpose.

I have read, understood and by my signature consent to above statement.

I also understood if any misrepresentation found in details provided by me it may cause the repercussions,
which may be lead to result as releasing from my duties with immediate effect.
Name of the Candidate:

Signature

Date: