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Employee Background Check Form

Capgemini India Private Limited is authorized to contact former employers and conduct background checks on education and employment history, both before and during employment. The individual releasing this information confirms that the information provided for employment is accurate, and any false statements provided could result in dismissal without notice according to company policy. The authorization is signed with the individual's name and date.
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0% found this document useful (0 votes)
4K views1 page

Employee Background Check Form

Capgemini India Private Limited is authorized to contact former employers and conduct background checks on education and employment history, both before and during employment. The individual releasing this information confirms that the information provided for employment is accurate, and any false statements provided could result in dismissal without notice according to company policy. The authorization is signed with the individual's name and date.
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
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ANNEXURE 1

Information Release Form

I hereby authorize Capgemini India Private Limited or any of its 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

Date of D D / M M / Y Y Y Y
Authorization ( Not
Date of Birth)
Signature ( manual
signature)

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