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    BVG Form

    Uploaded by

    Imran Ahmad

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    BVG Form

    Uploaded by

    Imran Ahmad
    375 views2 pages

    Original Title

    BVG FORM

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    375 views2 pages

    BVG Form

    Uploaded by

    Imran Ahmad

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    BACKGROUND VERIFICATION FORM

    Personal Details
    Full Name: MD IMRAN SHAQUIB Teleperformance Date Of Joining (DD/MMM/YY): 10/07/2024

    Teleperformance Employee Code: 200000000086919

    Current Address with Landmark: 22 Amar 9 No. Estate, Andheri Kurla Road, (Near Sakinaka Metro Station) Sakinaka, Mumbai -
    400072

    Period of Stay: December. 2025


    Permanent Address with Landmark(If current and permanent are same please write “Same as above”): Mohalla Kamalpur, Ansar
    Nagar, Near Day 2 Day Mart Opposite Jama Masjid, Nawada, Bihar - 805110

    Period of Stay: December, 2035

    Details of Education:
    Educational Qualification: B.Sc in Mathematics Year of Passing: 2023
    (Highest Full time Degree
    Eg. Bcom /HSC/Diploma, Etc..)

    Details of Recent Employment


    Company Name: Designation:
    N/A

    Address of the office: UAN (Mandatory ):

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

    From: To:
    (DD/MMM/YY) (DD/MMM/YY)
    Last drawn CTC P.A: Reason for leaving:

    Reporting Manager / Supervisor / HR’s Details:


    Name of the reporting authority:

    Position of the reporting authority:

    Landline No:

    Mobile No:

    Email Id:
    Details of 2nd Employment
    Company Name: Designation:
    N/A

    Address of the office: UAN (Mandatory ):

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

    From: To:
    (DD/MMM/YY) (DD/MMM/YY)
    Last drawn CTC P.A: Reason for leaving:

    Reporting Manager / Supervisor / HR’s Details:


    Name of the reporting authority:

    Position of the reporting authority:

    Landline No:

    Mobile No:

    Email Id:

    Details of 3rd Employment


    Company Name: Designation:
    N/A

    Address of the office: UAN (Mandatory ):

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

    From: To:
    (DD/MMM/YY) (DD/MMM/YY)
    Last drawn CTC P.A: Reason for leaving:

    Reporting Manager / Supervisor / HR’s Details:


    Name of the reporting authority:

    Position of the reporting authority:

    Landline No:

    Mobile No:

    Email Id:

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