Background Verification Form
Employer – 1
Details To Be Provided By Reporting
Details To Be Provided By Candidate
Manager or Colleague
Candidate Name
Candidate Employee ID
Employment Status with this
employer
Resigned/ Working/ Notice
Candidate Designation
Period of Employment
Remuneration / Salary
Per Day/Per Month
Name
Reporting Manager or Colleague Designation
Details (from current or previous
company) Email Id
(Mandatory)
Phone
Number
Reason for Leaving
Suitable date to do Back Ground
Verification
Any integrity or disciplinary issue
(Kindly Mention
(Yes or No, if Yes please specify)
Status of Exit Formalities
Completed / Pending
(Reasons/details if pending)
Eligible for rehire
Additional Comments
We hereby assure that the details received from your end shall remain confidential and not used for any other
purpose.
Employer – 2
Details To Be Provided By Reporting
Details To Be Provided By Candidate
Manager or Colleague
Candidate Name
Candidate Employee ID
Employment Status with this
employer
Resigned/ Working/ Notice
Candidate Designation
Period of Employment
Remuneration / Salary
Per Day/Per Month
Name
Reporting Manager or Colleague Designation
Details (from current or previous
company) Email Id
(Mandatory)
Phone
Number
Reason for Leaving
Suitable date to do Back Ground
Verification
Any integrity or disciplinary issue
(Kindly Mention
(Yes or No, if Yes please specify)
Status of Exit Formalities
Completed / Pending
(Reasons/details if pending)
Eligible for rehire
Additional Comments
We hereby assure that the details received from your end shall remain confidential and not used for any other
purpose.