Instructions for filling

India Background Check Form

Important:- Keep these instructions readily available while filling the form ensure the information given exactly
matches your documents for spelling, dates etc.

Refer to the end of this document to find steps to navigate to the India Background Check Form.

Details
First Name : Enter your first name as it appears in your Aadhaar.

Middle Name : Enter your middle name as it appears in your Aadhaar

Last Name : Enter your last name as it appears in your Aadhaar

Father’s Name : Enter the name as it appears in your Aadhaar/PAN Card/Passport

Candidate ID : No action required : This should automatically populate when you open the form

Enter Mother’s name as per your passport if available. You can also find this in
Mother’s Maiden Name : your Matriculation marks sheet

Enter your SSN[Social Security Number]/NIN[National Insurance Number] if

SSN | NIN :
applicable

Have you ever changed your name, if yes

kindly ensure you have uploaded proof of
name change on the candidate portal and Yes | No
shared the proof with the recruiter:

If you have ever changed your name, mention

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Education Details [Highest Completed Education]
Name of Degree | Diploma : Enter this as per your Convocation/Degree certificate/Marks sheet

Indicate specialisation of Enter this as per your Convocation/Degree certificate/Marks sheet

the Degree | Diploma :

Name & Location of Enter the expanded and complete name of your college as it appears in your
School|College|Institute : college provided document

Name & Location of

University|Board to which Enter the expanded and complete name of your University/Board as it appears
the college|institute is in your college provided document
affiliated to :

Type of course : Enter if this is a Regular or Correspondence Degree

Date Attended - From: This is the beginning duration of the course tenure
[MM|YYYY] :

Date Attended - To: [MM|YYYY] : This is the closing duration of the course tenure

Year of Passing [MM|YYYY] Enter as per your Convocation/Degree Certificate examination held date
:

Roll Number|Registration Enter as per your Convocation/Degree certificate/Marks sheet

Number|Exam Seat Number :

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Education Details [Previous to Highest Completed Education]

Name of Degree | Diploma : Enter this as per your Convocation/Degree certificate/Marks sheet

Indicate specialisation of
Enter this as per your Convocation/Degree certificate/Marks sheet
the Degree | Diploma :

Name & Location of Enter the expanded and complete name of your college as it appears in your
School|College|Institute :
college provided document

Name & Location of

Enter the expanded and complete name of your University/Board as it
University|Board to which the
appears in your college provided document
college|institute is affiliated to :

Type of course : Enter if this is a Regular or Correspondence Degree

Date Attended - From: This is the beginning duration of the course tenure, as per your First
[MM|YYYY] : Semester Mark-sheets

Date Attended - To: This is the closing duration of the course tenure, as per your Final Semester
[MM|YYYY] : Mark-sheets

Year of Passing [MM|YYYY] Enter as per your Convocation/Degree Certificate

:

Roll Number|Registration
Enter as per your Convocation/Degree certificate/Marks sheet
Number|Exam Seat Number :

Do you have any work experience : Yes | No

If you check ‘Yes’ then a further set of forms with regards to your previous and current employments would expand

Provide job history for a minimum of last five (5) years or last three (3) employments, starting with
most recent employer

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Employment 1 Details [Most recent employment]

This field should be updated as it appears in your pay slip or in your

Company Name : offer/relieving letter. Expand the abbreviations if any and do not use
any short forms

Employee ID : This field should be updated as it appears in your pay slip if you do
not have an Employee ID, mention Not-Applicable

Start Date [DD|MM|YYYY] : This is also known as date of joining, as mentioned in the Offer
Letter or Payslip

End Date [DD|MM|YYYY] : You can leave this blank if you are currently employed or if you have
quit your employer, please enter the date as per your
relieving/service letter

Company Complete Address along

This is your current work location or assigned work location address
with postal code :

Job Title : This should be as per your latest supporting documents. Do not use
any short forms, kindly expand as it appears in the document

Reason for Leaving : Mention your reason for leaving

Employment Status : Mention if it is Regular/Contractual

If your employment status was that of a contractor, then

enter the details of the Primary employer

Enter as per your Payroll company Offer Letter/Experience Letter/Pay

Outsourcing Agency Name:
slip

Outsourcing Agency
Company Complete Address
along with postal code: Enter that of your Payroll company

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 Employment 2 Details
Company Name : This field should be updated as it appears in your pay slip or in your
offer/relieving letter. Expand the abbreviations if any and do not use any
short forms

This field should be updated as it appears in your pay slip if you do not
Employee ID : have an Employee ID, mention Not-Applicable

This is also known as date of joining

Start Date [DD|MM|YYYY] :

Enter the date as per your relieving/service letter

End Date [DD|MM|YYYY] :

Company Complete Address

This is your current work location or assigned work location address
along with postal code :

This should be as per your latest supporting documents. Do not use any
Job Title : short forms, kindly expand as it appears in the document

Reason for Leaving : Mention your reason for leaving

Employment Status : Mention if it is Regular/Contractual

If your employment status was that of a contractor, then enter

the details of the Primary employer

Outsourcing Agency Name: Enter as per your Payroll company Offer Letter/Experience Letter/Pay slip

Outsourcing Agency Company

Complete Address along with Enter that of your Payroll company
postal code:

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 Employment 3 Details
Company Name : This field should be updated as it appears in your pay slip or in your
offer/relieving letter. Expand the abbreviations if any and do not use any
short forms

This field should be updated as it appears in your pay slip if you do not
Employee ID : have an Employee ID, mention Not-Applicable

This is also known as date of joining

Start Date [DD|MM|YYYY] :

Enter the date as per your relieving/service letter

End Date [DD|MM|YYYY] :

Company Complete Address

This is your current work location or assigned work location address
along with postal code :

This should be as per your latest supporting documents. Do not use any
Job Title : short forms, kindly expand as it appears in the document

Reason for Leaving : Mention your reason for leaving

Employment Status : Mention if it is Regular/Contractual

If your employment status was that of a contractor, then enter

the details of the Primary employer

Outsourcing Agency Name: Enter as per your Payroll company Offer Letter/Experience Letter/Pay slip

Outsourcing Agency Company

Complete Address along with Enter that of your Payroll company
postal code:

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 Years :
Total Experience
Months :

This is your total experience since you started working. Kindly calculate and enter

Years :
Relevant Experience
Months :

This is connected with the job you have applied for at IBM, the exact years and months that are relevant
to the IBM position

Gap in employment

Any gaps in Employment over the last

Yes | No
5 years :

If there is a gap of 3 or more months in your employment or between your education and employment,
then kindly select Yes. Explain reasons wherever there is a Gap

Any freelancer assignment or self-employment venture should be entered as employment and not as a
Gap

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 Address Details
For all formal communication and HR systems updated, IBM uses the current address you
supplied during your application process. In case of any corrections to the below address
please get in touch with your recruiter to make the required changes before submitting.

Current Address
From Date : Enter the date from which you moved to this address or started living at this
address

To Date [If still residing

at this address, leave Enter this if relevant, else leave blank
this field blank] :

Address 1 :

Address 2 :

Country :
Current address should be the one where you are currently residing, if you are
eligible for relocation this is the address you will be relocating from.

Ensure complete address is provided along with Postal Code

State|Province :

City :

Postal Code :

Have you been residing in the above

mentioned address for the last 5 years Yes | No
or more?

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Prior Address
Enter the date from which you moved to this address or started living at this
From Date :
address

To Date : This date should coincide with your movement to the current address

Address 1 :

Address 2 :

Country :

Enter the complete address as mentioned in your photo ID proof at that point of
time
State|Province :

City :

Postal Code :

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 Disclaimer
INFORMATION RELEASE AUTHORISATION [TO BE SIGNED BY THE CANDIDATE]

I certify that the statements made in this application are valid and complete to the best of my knowledge. I
understand that false or misleading information may result in termination of employment. If upon investigations,
any of this information is found to be incomplete or inaccurate, I understand that I will be subject to dismissal at
any time during my employment.

I authorise IBM, any third-party vendor and its designated agents to conduct and obtain a background check
report about me which includes information from multiple sources across the globe, to determine my suitability for
employment at IBM. Such background check report may include criminal background check, credit check,
reference, and education checks, as required by IBM and as permitted by local law. I authorise IBM and any third
party vendor to contact me by telephone and email to prompt me to provide required personal information via a
secure website collection tool.

I authorise IBM, such third parties and its designated agents to obtain the necessary information to prepare such
report. I understand that my information may be transmitted electronically and may be transferred across
international borders in the fulfilment of this purpose. IBM, its third-party vendors and its designated agents will
hold all personal information obtained as part of this background check exercise securely and confidentially. I
agree that IBM may disclose any or all information collected about me to its third-party vendors for the purpose of
this background check, and that they may in turn disclose this information to their agents. I also agree that third
party vendors and their agents will disclose personal information collected about me as part of this background
check to IBM.

I understand that the conduct of this background check will entail verifying that the information I provided in my
Employment Application, Curriculum Vitae/Resume, Disclosure/Authorisation, and/or the information requested
below (together called "Source Documents") is accurate, that I am suitable for employment with IBM, and that
sources such as public records, court records, and records of law enforcement agencies will be used to perform
this verification.

I authorise relevant educational institutions, employers, government agencies, credit reporting agencies,
companies, corporations, and law enforcement agencies to provide relevant information concerning my
background to IBM, its third party vendors or their agents. I understand that if my prior employers and/or
references are contacted, the background check report may include information obtained through interviews with
such parties regarding my character and general reputation.

This consent is effective from the date specified on this form until the date my employment application is accepted
or denied by the above- named company, or until I withdraw my authorisation in writing. I acknowledge and agree
that a photocopy of this authorisation may be accepted with the same authority as the original.

The report and the information collected to complete such report will be retained for 5 years.
Candidate Consent :
I have read, understand and by submitting this information I provide my consent to these statements

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Steps to navigate to the India Background Check Form

Step 1 :- Step 2 :-

Open the email you have received from BrassRing Click on the India Background Check Form link

Step 3 :- Step 4 :-

A blank form will open up Use the instructions and fill in the Form

Step 5 :-

Click on ‘Submit’ and you are done

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