Reference Request Form
Reference Request Form
RNA
L Reference Request Form
To be filled by previous employer
Please provide accurate and specific information about Basheer Ahmad Mukhlis He has applied for the position
of WASH Officer - KHR and we would like to know your professional opinion about the suitability of this
candidate. We are thankful for your honest and detailed feedback.
REFERER DETAILS
Full name Saifullah Mukhlis
Current position Project Manager
Current company/ organisation Najib Zarab Construction Company (NZCC)
[email protected]
Phone number +93 774 23 32 66 Email address
m
How long did you work together? He worked with us form 10th April 2011 up to 30th June 2012.
Why did the candidate leave the
Due to completion of project.
organisation?
Number of sick leaves taken in the Honestly, I don’t remember. (Needs to mention that for the time being I’m not working
last 6 months with this company (NZCC)). But, he did work with me at that time.
SAFEGUARDING
To your knowledge, was the candidate involved in any suspected terrorist activities?
Yes ✘ No
Do you have any concerns about whether this individual can follow an organizational Code of Conduct or Code of
Ethics or Safeguarding Policy?
Yes ✘ No
Have you ever received any type of allegation against the candidate that relates to safeguarding?
Yes ✘ No
Was disciplinary action ever taken against the individual regarding their professional conduct when working with
communities, staff, partners and stakeholders?
Yes ✘ No
Information: if you answered “yes” to any of the last 4 questions, our HR Manager will be in contact to discuss this further.
I certify that the information submitted in this form is true and correct to the best of my knowledge.
Date, location & signature (stamp recommended):