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028 - Reference Check Form

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0% found this document useful (0 votes)
15 views1 page

028 - Reference Check Form

Uploaded by

abidashraf1059
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

Human Resources

STRICTLY CONFIDENTIAL CONTROLLED DOCUMENT

Reference Check Form


CANDIDATES DETAILS
Name as per passport
Mobile
Email

Please provide contact details of 3 referees below with at least one of them being a Direct Superior in a previous
role.

Name as per passport


Position Title
Place of work
Mobile
Email
Relationship Superior Subordinate Peer Other:

Name as per passport


Position Title
Place of work
Mobile
Email
Relationship Superior Subordinate Peer Other:

Name as per passport


Position Title
Place of work
Mobile
Email
Relationship Superior Subordinate Peer Other:

I, the undersigned, authorize UEMedical Human Resources Department to contact my referees to conduct a
reference check by email or phone, and I am aware that my referees will be asked questions related to my
performance evaluation, duration of employment, job title(s), duties performed, circumstances of separation, and
my attitude & behavior, and any other area the company deem to check.
And I do understand that any negative reference check can be a ground for the cancellation of my application/
employment.

SIGNATURE:

_____________________
Date:

Page 1 of 1
CHR/RCF;028_V2

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