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Employment Verification Form

This document contains an employment verification form for Kammara Sharath Kumar. It requests personal details like name, date of birth, address, education qualifications, and employment history. Sharath Kumar is currently employed at Igot Tech Solutions as a QA from 2015 to present. He declares that all information provided is true and authorizes Genpact to verify the details.

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ravi lingam
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1K views

Employment Verification Form

This document contains an employment verification form for Kammara Sharath Kumar. It requests personal details like name, date of birth, address, education qualifications, and employment history. Sharath Kumar is currently employed at Igot Tech Solutions as a QA from 2015 to present. He declares that all information provided is true and authorizes Genpact to verify the details.

Uploaded by

ravi lingam
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
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EMPLOYMENT VERIFICATION FORM

Employee ID: 5050


DATE OF JOINING: 14/09/2015

Please provide complete and correct information. All fields are mandatory.

Please do not use short forms/Abbreviations.

Please fill up this form in uppercase letters and take a printout.


Hardcopy of this form along-with Supporting Documents has be Submitted
(Duly signed and with a Photograph) to your Location Contact Point.

PERSONAL DETAILS

Title (Mr./Mrs./Ms.) Kammara


Name (Last) Sharath Kumar

Father’s Name: K Satyanarayana

Nationality
Indian

Date of Birth 1989/06/27


(yyyy/mm/dd)

Gender: Male
Marital Status: Single
CONTACT DETAILS

Permanent Residential Address


(Number and Street) 1-2-48/ST/502, Flat no. 502, Sarojini
Towers, Nizampet Road, Kukatpally,
Period of Stay Hyderabad- 500085

Nearest Police Station: JNTU

Current Residential Address


(Number and Street) From 2011 To Current

Period of Stay

Nearest Police Station: JNTU

Contact Telephone No. (Specify Office Mobile/Pager Email


Location Codes) Telephone Address
No.
Current

Professional Reference
Name Ravi

Company Name and


Address Igot Tech Solutions

Designation Team Lead


Contact Details Mobile:
9553430204
Comments
Note: The reference details of will be obtained in writing from the
references

Personal Reference
Name

Address

Occupation
Relationship
Contact Details Mobile:
Comments

Note: The reference details of will be obtained in writing from the


references
EDUCATIONAL RECORD-of your highest and completed education
qualification (Please attach Self-attested copy of degree certificate and mark
sheet for this)-Incase studied directly through the university, though
correspondence or through distance education, please mention clearly.
College MLR Institute of Technology
Name/Address

University JNTU, Hyderabad


Name/ Address

From To Graduated Program %/ Student Id


(Month/yr) (Month/Yr) Class No./Enrolment
No.
05/2007 04/2011 2011 Full- 61 07R21A05A3
Time
Type of Degree Graduation Subject Major
certificate, Date
B.Tech (month/yr) CSE

Copy of Certificate Attached

Social Security Number (Mandatory if Studied in U.S.A)


EMPLOYMENT SECTION: Please give the details of last employment.
Ensure that you are descriptive wherever necessary-e.g. If Co. is closed do
mention it. Telephone number with specific location code. Employee
Code/ID/Number is Mandatory. If your previous employer did not provide
the latter, please mention and state reasons for the same.

EMPLOYMENT 1 (LATEST)

Employment History-Please attach a self attested copy of your relieving


letter/Service certificate for this. Please do not use abbreviations for
company names.

Company Name: Igot Tech Position Held: QA


Solutions
Address (main office and branch Company 080 68970808
where worked) Telephone:

4/3, 2nd Floor, 1st Cross, Bhuvanappa


Layout, Koramangala, Bangalore-29

Employment Period (yyyy/mm/dd) Reported to Name of HR


(Name & Manager
2015/09/14 to current Position):
Priya
Ravi & Team
Lead

Whether employment is of permanent or temporary nature (Contract


positions are temporary)
Temporary Employee Code/Personnel No: 5050

Social Security Number (Mandatory if worked in USA):

Responsibilities:

Last Monthly Gross Salary Reasons for Leaving

(Please attach the self-attested copy


of your last pay slip.)
Can verification be done now? Yes
If No, When can it be done?

EMPLOYMENT 2 (LATEST)
Employment History-Please attach a self attested copy of your relieving
letter/Service certificate for this. Please do not use abbreviations for
company names.

Company Name: Position Held:

Address (main office and branch Company


where worked) Telephone:

Employment Period (yyyy/mm/dd) Reported to Name of HR


(Name & Manager
Position):

Whether employment is of permanent or temporary nature (Contract


positions are temporary)
Temporary Employee Code/Personnel No:

Social Security Number (Mandatory if worked in USA):

Responsibilities:

Last Monthly Gross Salary Reasons for Leaving

(Please attach the self-attested copy


of your last pay slip.)

Can verification be done now? Yes


If No, When can it be done?
Declaration

I hereby certify all of the statements made on the Joulestowatts


employment verification form are true and complete and I understand that
omission or misrepresentation of any fact may result in refusal of
employment or immediate dismissal.

I recognize that in connection with employment with Joulestowatts. I may


be the subject of a background enquiry by Joulestowatts or its
representative and I hereby authorize the same.

Signature : Sharath

Name in Capital : K SHARATH KUMAR

Date : 15/07/2021
Letter of Authorization

To whom it may concern

I hereby authorize Genpact 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
Joulestowatts or its representative. I realize all persons from liability on
account of such disclosure.

Signature :Sharath

Name in Capital : K SHARATH KUMAR

Date : 15/07/2021

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