Reference Check Form
Name of person whose reference check is sought
Name of the referee
Current company & designation of the referee
Contact details (Contact no / Email)
Relationship with the candidate (i.e. current supervisor,
peer, previous supervisor)
Period of working together
Please fill in response to the below questions
Sr. No Questions Response
1 Please describe the key
responsibilities of the candidate in
his/her most recent position
2 Comment on his/her work
performance, meeting deadlines &
targets
3 How would you comment on his/
her interpersonal skill and team
playing ability?
4 What are the candidate's most
significant strengths?
5 What are the candidate's
development areas?
6 Pl comment on Why he/ she left the
company
7 Please highlight if the candidate had
any allegation of bribery/corrupt
practices
8 Leadership style
[Link] Skills Poor Satisfactory Good Outstanding
1 Integrity (Professional /Personal )
2 Execution Drive
3 Driving Excellence
4 Learning Agility
5 People Leadership
Kalpataru Section
Name of the person conducting a reference check
Designation
Final remarks