Personal Reference Check Form
1. Name of the applicant: _______________________________________________
2. What is your relationship with the applicant?
__________________________________________________________________
3. How long have you known the applicant?
__________________________________________________________________
4. Kindly rate the applicant with respect to the following:
Description Below Average Average Above Average
Integrity
Trustworthiness
Honesty
Efficiency
5. Do you consider the applicant an appropriate person to employ? (Yes / No) _________________
If No, please specify ____________________________________________________
6. Any other comments that you may wish to add about the applicant:
________________________________________________________________________
________________________________________________________________________
Name: ___________________________________ Designation: _____________________
Email Id: __________________________________ Contact #: _______________________
Company Name with Stamp (if any): ______________________________________________
Note: The above mentioned information shall remain strictly confidential.