Please fill your Company and logo on the right
side
Employee Background Verification Form
Team:
Attach recent
Reporting Manager: passport sized
photograph
Division:
Personal Details
Full Name: Male Marital Status:
Nationality: Indian Father’s Name:
Date of Birth:
Employee No: Designation:
Place of Joining: Chennai Date of Joining:
Current Address: (Attach Proof)
Period of stay at current address: From: To:
Telephone (Home): Mobile:
Email Address:
Permanent Address:
Period of stay at permanent address: From: To:
Telephone (Home): Mobile:
<<Client Address>>
Private and Confidential
Please fill your Company and logo on the right
side
Previous Address1:
Period of stay at permanent address: From: To:
Telephone (Home): Mobile:
Previous Address2:
Period of stay at permanent address: From: To:
Telephone (Home): Mobile:
Reference Details
Reference 1
Reported to
Name of the reporting authority
Position of the reporting authority
Landline No
Mobile No
Email Id
<<Client Address>>
Private and Confidential
Please fill your Company and logo on the right
side
Reference 2
Reported to
Name of the reporting authority
Position of the reporting authority
Landline No
Mobile No
Email Id
Identity Check Details
Reported to
Name of the Identity Proof Attached Driving License/PAN/Passport/Voter ID/Aadhaar Card
Letter of Authorization:
To Whomsoever It May Concern
I hereby authorize...........................and its authorized representatives 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......................or its representative. I release all persons from liability on account of such
disclosure.
I hereby authorize concerned authorities to dispatch my confidential report to ……………… or its
authorized representative.
Signed: ---------------------------------------------------
Name: ------------------------------------------------------
Date: -----------------------------------------------------------
<<Client Address>>
Private and Confidential
Please fill your Company and logo on the right
side
Please attach the following documents along with the background verification form (Failure to attach
the relevant documents will delay the BGV process)
Your Recent Passport size photograph pasted at the appropriate place
Self attested & signed copy of Identity proof
o Valid passport / Driving license / PAN card / Voter’s ID card/Aadhaar Card
Copies of address proof.
o Ration card
o Electricity bill
o Land line Telephone bills
o House Lease Agreement
<<Client Address>>
Private and Confidential
