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Employment Verification Form Template

The document is an employment verification form that requests personal details such as name, address, contact information, and employment history from an applicant. It also includes declarations authorizing an employer to conduct background checks and verify the information provided.

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trishant13
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© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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8 views3 pages

Employment Verification Form Template

The document is an employment verification form that requests personal details such as name, address, contact information, and employment history from an applicant. It also includes declarations authorizing an employer to conduct background checks and verify the information provided.

Uploaded by

trishant13
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

EMPLOYMENT VERIFICATION FORM

CLIENT NUMBER: ……………………………………


DATE OF JOINING: ……………………………

Please provide complete and correct information. All fields are mandatory.

Please do not use short forms/Abbreviations.

Please fill up this form in uppercase letters and take a printout.


Hardcopy of this form along-with Supporting Documents has be Submitted (Duly signed
and with a Photograph) to your Location Contact Point.

PERSONAL DETAILS

Title (Mr./Mrs./Ms.) (First) (Middle)


Name (Last)

Father’s Name:

Nationality

Date of Birth
(yyyy/mm/dd)

Gender:
Male Marital Status: Married

Female Unmarried

Maiden Name (applicable for married ladies)


CONTACT DETAILS

Permanent Residential Address


(Number and Street)

Period of Stay From To

Nearest Police Station:

Current Residential Address


(Number and Street)

Period of Stay From To

Nearest Police Station:

Contact Telephone No. (Specify Office Mobile/Pager Email


Location Codes) Telephone Address
No.
Current Intermediate Permanent
Declaration

I hereby certify all of the statements made on the employment verification form are true and
complete and I understand that omission or misrepresentation of any fact may result in
refusal of employment or immediate dismissal.

I recognize that in connection with employment with Corrival Corporate Consultants Ltd.. I
may be the subject of a background enquiry by Corrival Corporate Consultants Ltdor its
representative and I hereby authorize the same.

Signature :

Name in Capital :

Date :

Letter of Authorization

To whom it may concern

I hereby authorize Corrival Corporate Consultants Ltdrepresentative to verify information


provided in my resume and application of employment and to conduct enquiries as may be
necessary at the company’s discretion. I authorize all persons who may have information
relevant to this enquiry to disclose it to Corrival Corporate Consultants Ltdor its
representative. I realize all persons from liability on account of such disclosure.

Signature :

Name in Capital :

Date :

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