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    BGC1

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    pratiksha babannavar
    This document is a BGC application form submitted by Samarth A Subbannavar. It contains information about his previous employment at DXC Technology from September 2021 to July 2021. By signing the form, Samarth consents to IBM verifying his application details and obtaining an investigative report. He also authorizes his previous employer to provide full employment details to IBM and releases all persons from liability who are contacted regarding his application.

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

    BGC1

    Uploaded by

    pratiksha babannavar
    36 views1 page
    This document is a BGC application form submitted by Samarth A Subbannavar. It contains information about his previous employment at DXC Technology from September 2021 to July 2021. By signing the form, Samarth consents to IBM verifying his application details and obtaining an investigative report. He also authorizes his previous employer to provide full employment details to IBM and releases all persons from liability who are contacted regarding his application.

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    This document is a BGC application form submitted by Samarth A Subbannavar. It contains information about his previous employment at DXC Technology from September 2021 to July 2021. By signing the form, Samarth consents to IBM verifying his application details and obtaining an investigative report. He also authorizes his previous employer to provide full employment details to IBM and releases all persons from liability who are contacted regarding his application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views1 page

    BGC1

    Uploaded by

    pratiksha babannavar
    This document is a BGC application form submitted by Samarth A Subbannavar. It contains information about his previous employment at DXC Technology from September 2021 to July 2021. By signing the form, Samarth consents to IBM verifying his application details and obtaining an investigative report. He also authorizes his previous employer to provide full employment details to IBM and releases all persons from liability who are contacted regarding his application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    BGC

    APPLICATION FORM

    SAMARTH A SUBBANNAVAR
    Employee Name: ___________________________________________________________________
    (First) (Middle) (Last)

    002AZP744
    IBM Employee No : __________________

    Employment Record
    Note: If you are a fresher, please specify “NA” in all the fields below

    DXC TECHNOLOGY
    Employer 1 Name (Most recent ): ___________________________________________________

    11569541 09/JUL/2021
    EMP ID:__________________________ Last working day: ___________________________
    (DD/MMM/YYYY)
    (DD/MMM/YYYY)

    INFORMATION RELEASE AUTHORIZATION (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 understood 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 hereby authorize IBM and/ or any of its subsidiaries or
    affiliates, and any persons or organizations acting on its behalf to verify the information presented on this
    application form and to procure an investigative report or consumer report for that purpose. I hereby grant authority
    for the bearer of this letter to access or be provided with full details of my previous records.
    In addition, please provide any other pertinent information requested by the individuals presenting this authority. I
    hereby release from liability all persons or I authorize to contact my present employer.
    I have read, understand and by my signature consent to these statements.

    SAMARTH A SUBBANNAVAR
    Employee Name: ___________________________________________________________________
    (First) (Middle) (Last)

    Samarth A Subbannavar Digitally signed by Samarth A Subbannavar


    Date: 2021.07.15 00:52:59 +05'30'
    Signature: __________________________________________________

    15/JUL/2021 15/JUL/2021
    Signed Date: ____________________________ Effective Date: _____________________________
    (DD/MMM/YYYY) (DD/MMM/YYYY)

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