For Issuance of Appointment Letter Background Verification Form CIFCL CSEC
For Issuance of Appointment Letter Background Verification Form CIFCL CSEC
Please provide complete and correct information. All fields are mandatory.
Please do not use short forms / abbreviations.
Personal Details
Residence No Mobile No
Permanent Address
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Present Address
Education Qualification
For CA/CS/ICWA
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Employment Section
Permanent/ Temporary
Address (main office) Address (Branch where worked) Main Office Telephone Branch Telephone (if
(if available): available):
From To
If Employee code was not
given (tick box)
Name: Department:
Name:
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Details of Employer 2
(Please specify if your company did not given you any employee code or if you were on payroll of a
temporary staffing company)
Permanent/ Temporary
Address (main office) Address (Branch where worked) Main Office Telephone Branch Telephone (if
(if available): available):
From To
If Employee code was not
given (tick box)
Name: Department:
Name:
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Declaration and Authorization
I understand that any employment by CHOLAMANDALAM INVESTMENT & FINANCE COMPANY or its
affiliated companies is conditioned upon positive responses from my references, bonding eligibility,
continued adherence to CHOLAMANDALAM INVESTMENT & FINANCE COMPANY policies and
procedures, applicable rules and regulations and job performance satisfactory at all times to
CHOLAMANDALAM INVESTMENT & FINANCE COMPANY.
I further authorize CHOLAMANDALAM INVESTMENT & FINANCE COMPANY or any third party
appointed by CHOLAMANDALAM INVESTMENT & FINANCE COMPANY to make inquiries by written
communication, by telephone, or in persons to any former employer, government, agency,
educational institution, state police or any other regulatory, compliance body or organization or any
other persons or institutions knowledgeable of my background, prior history, work experience,
nature of duties, CTC, performance levels, reliability, responsibility, honesty and any other measures
of my character or personality
I release CHOLAMANDALAM INVESTMENT & FINANCE COMPANY or any third party appointed by
CHOLAMANDALAM INVESTMENT & FINANCE COMPANY from any liability that may arise from such
examination and or verification/checks. Former employers and officials of education institutes,
named on this application are authorized to give information about me and I release them from all
liability for issuing such information.
I hereby attest and warrant that all my answers on this application as well as on all forms completed
in conjunction with my employment are true and accurate. I understand that my misrepresentation
of facts, failure to disclose information required on this application or material change in my
information provided which is not reported to Human Resources shall be cause for dismissal
regardless of when discovered by CHOLAMANDALAM INVESTMENT & FINANCE COMPANY .
A Photostat or any other copy of this instrument bearing my signature shall be equally legally valid as
the original
Signature
Date
Place
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