Reference Form for Document Verification
Candidate Name:- Date:-
Candidate PAN:-
Candidate Aadhar: -
Residential Address:-
Professor\Teacher\Internship References (for Fresher Candidate)
Name Relation Contact Number Contact Email
Reference 1:-
Reference 2:-
Previous Employment Reference (mandatory for Experienced Candidate)
1) Current Employer
Company Name: Employee Code:
Department Name: Last Designation:
From To Last CTC(Annually):
Company Website:- Company Landline Number:-
Reporting Manager Details
Reporting Manager Name: Mobile Number:
Email ID:- Designation:-
Head of Department Details
HoD Name: Mobile Number:
Email ID:- Designation:-
HR Details
Hiring Manager Name: Mobile Number:
Email ID:- Designation:-
Document Required Checklist
Document Attachment Status (Y\N)
Experience\Relieving Letter
Offer Letter/Appointment letter
Increment mail/letter
Salary Slips (last 3 months)
Reason For Change
2) Previous Employer
Company Name: Employee Code:
Department Name: Last Designation:
From To Last CTC(Annually):
Company Website:- Company Landline Number:-
Reporting Manager Details
Reporting Manager Name: Mobile Number:
Email ID:- Designation:-
Head of Department Details
HoD Name: Mobile Number:
Email ID:- Designation:-
HR Name:
Hiring Manager Name: Mobile Number:
Email ID:- Designation:-
Document Required Checklist
Document Attachment Status (Y\N)
Experience\Relieving Letter
Offer Letter/Appointment letter
Increment mail/letter
Reason For Change
3) Previous Employer
Company Name: Employee Code:
Department Name: Last Designation:
From To Last CTC(Annually):
Company Website:- Company Landline Number:-
Reporting Manager Details
Reporting Manager Name: Mobile Number:
Email ID:- Designation:-
Head of Department Details
HoD Name: Mobile Number:
Email ID:- Designation:-
Hiring Manager Name:
Hiring Manager Name: Mobile Number:
Email ID:- Designation:-
Document Required Checklist
Document Attachment Status (Y\N)
Experience \Relieving Letter
Offer Letter/Appointment letter
Increment mail/letter
Reason For Change
I hereby authorize all corporations, former employers, educational institutions, city, state, county,
and persons to release information they may have about me to the person or company with which
this form has been filed. This releases the above-mentioned parties from any liability and
responsibility for collecting the above information.
Youngman Group maintains the right to conduct, either through its employees or through a third party, a
background check of any employee or job applicant. None of the information provided on this form will be used
to discriminate against any applicant or employee on the basis of race, color, national origin, sex, sexual
orientation,genetic information, religion, age, disability, or military status.
By signing this form, you authorize the organization and/or its designated third party to conduct a background
check. In addition, you acknowledge that any false or misleading statement, omission, or failure to disclose
information may disqualify you from employment or, if employed, may result in dismissal.
Signature of Applicant