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    Background Verification Form - Infosys

    Uploaded by

    Soundarapandi A
    Nothing

    Copyright:

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

    Background Verification Form - Infosys

    Uploaded by

    Soundarapandi A
    23 views3 pages
    Nothing

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    23 views3 pages

    Background Verification Form - Infosys

    Uploaded by

    Soundarapandi A
    Nothing

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Background Verification Form

    Note: All information should be filled in CAPITAL LETTERS only.

    Contractor/Principal Employer

    Work Location Profile /


    Department

    Date of placement at Infosys Employee ID

    PERSONAL DETAILS

    Name of Applicant
    First

    Middle

    Last

    Maiden Name:

    Have you ever been known by another name? Yes/No -


    If Yes, please write the other name:

    Place of Birth: Date of Birth (dd/mm/yyyy):

    Gender: Nationality:

    Father’s Name Passport Number PAN (Permanent account Number)

    Home Phone Office Phone Mobile


    RESIDENTIAL ADDRESSES
    Permanent Address:

    Nearest Landmark:
    Contact person name and number:
    City State

    Pin Phone No.


    Residing Since (mm/yyyy) -
    Residing till (mm/yyyy) – Type of residence: Rented/Owned/Others
    *If currently residing at the same address, please mention “till
    date” under residing till

    Current Address:

    Nearest Landmark:
    Contact person name and number:
    City State

    Pin Phone No.


    Residing Since (mm/yyyy) - Type of residence: Rented/Owned/Others
    Residing till (mm/yyyy) –
    *If currently residing at the same address, please mention “till
    date” under residing till

    Please confirm on the document submitted as Proof (Mandatorily require copy of ANY ONE document for each address):-

    For Current address

    Electricity/Phone Bill Ration Card Passport Copy Voter ID Driving License Aadhaar card
    If any other document please clarify (should be issued by Indian government)

    For Permanent address

    Electricity/Phone Bill Ration Card Passport Copy Voter ID Driving License Aadhaar card
    If any other document please clarify (should be issued by Indian government)

    For Name change (if any)

    Gazette Marriage Certificate Affidavit

    For office (Infosys) use only

     Address to be considered for Criminal verification: Current Permanent

     Address to be considered for Address verification: Current Permanent

    Please tick () appropriate requirement


    Information Release Form

    To Whom It May Concern:


    Please print

    I ,
    Last name First name Middle name
    hereby authorize (Company name) , being my employer
    Infosys Limited where I am deputed by (Company and and
    name) their
    respective representatives to verify information presented on my employment
    application/resume 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:
     pertaining to information in respect to my character from the records maintained
    by local authorities
     to verify address shared
     of my qualification/degree (copy of my certificates attached)
     of my previous employment record held by any company or business for whom
    I previously worked. This information should include the dates of employment;
    the nature of the position held, [details of my salary upon departure] and an appraisal of
    my performance, capabilities and character
     pertaining to any other pertinent information requested by the individual
    presenting this authority.
    I hereby release from liability all persons or entities requesting or supplying such information.

    Signature: Date: dd / mm / yyyy

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