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Information Release Form: I Confirm That

The document is an information release form authorizing Capgemini Technology Services India Limited to conduct background checks on the individual, including contacting former employers and educational institutions. It releases any entities from liability for providing information related to the individual's employment or education. It also states that the individual's appointment is based on the information provided and any false statements could result in dismissal according to company policy.

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KHAN IMRAN
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110 views1 page

Information Release Form: I Confirm That

The document is an information release form authorizing Capgemini Technology Services India Limited to conduct background checks on the individual, including contacting former employers and educational institutions. It releases any entities from liability for providing information related to the individual's employment or education. It also states that the individual's appointment is based on the information provided and any false statements could result in dismissal according to company policy.

Uploaded by

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

ANNEXURE 1

Information Release Form

I hereby authorize Capgemini Technology Services India Limited or any of it Affiliates(or a


third party agent appointed by the Company) to contact any former employers as indicated above
and carry out all Background Checks not restricted to education and employment before and
during the period of employment. I authorize former employers, agencies, educational institutes
etc. to release any information pertaining to my employment/education and I release them from
any liability in doing so.

I confirm that my appointment is based on the information furnished by me in my employment


application and all further declarations and undertakings. Hence, any false statement or
information furnished as above and/or furnished during the period of my employment, will result
in action based on company policy including dismissal without notice.

First Name Middle Name Last Name


Mohammad Imran Abubakar Khan

Date D D / M M / Y Y Y Y
2 6 / 0 4 / 2 0 2 1

Signature

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