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    BVC-Personal Data Form - Address and Criminal Check 8

    Uploaded by

    Uday Gowda
    Sharan Sv completed a personal data form for a background screening. He provided details like his full name, date of birth, address, contact information, education and employment history. He declared that the information provided was true and correct and authorized the company to conduct verification of all statements. He also authorized former employers, educational institutions and other sources to release relevant information to the company for background checks.

    Copyright:

    © All Rights Reserved
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    BVC-Personal Data Form - Address and Criminal Check 8

    Uploaded by

    Uday Gowda
    43 views2 pages
    Sharan Sv completed a personal data form for a background screening. He provided details like his full name, date of birth, address, contact information, education and employment history. He declared that the information provided was true and correct and authorized the company to conduct verification of all statements. He also authorized former employers, educational institutions and other sources to release relevant information to the company for background checks.

    Original Title

    BVC-Personal_Data_Form_-_Address_and_Criminal_Check_8[1]

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    Sharan Sv completed a personal data form for a background screening. He provided details like his full name, date of birth, address, contact information, education and employment history. He declared that the information provided was true and correct and authorized the company to conduct verification of all statements. He also authorized former employers, educational institutions and other sources to release relevant information to the company for background checks.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    43 views2 pages

    BVC-Personal Data Form - Address and Criminal Check 8

    Uploaded by

    Uday Gowda
    Sharan Sv completed a personal data form for a background screening. He provided details like his full name, date of birth, address, contact information, education and employment history. He declared that the information provided was true and correct and authorized the company to conduct verification of all statements. He also authorized former employers, educational institutions and other sources to release relevant information to the company for background checks.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    PERSONALDATAFORM CONFIDENTIAL

    Pleaseensurethatthedetailsprovidedonthisformarecorrectandcompleteinallrespects,asthisinformationwillbeusedfor
    backgroundscreeningpurposesandallotherofficialrequirements.

    FIRSTNAME MIDDLENAME SURNAME


    Sharan Sv

    PERSONALINFORMATION
    Date ofBirth 1 4 0 5 1 9 9 6 PassportNo.
    PAN No. JXTPS2349M Father’sName VASUDEVA S D
    Gender Nationality INDIAN
    ContactNo. MobileNo. 7338085472
    SSN/NIC (if applicable) MaritalStatus Single
    Former/MaidenNames
    Date(s)ofNameChange
    (if applicable)
    CurrentAddress PermanentAddress
    # 37 Ward no.21, Near Kuvempu Circle, Sugatur(V)
    Vijayapura town Devanahalli(T) Jangamakote(P)
    Bangalore Rural(D) Shidlagatta(T)
    Chikkaballapura(D)

    Landmark: Temple Landmark:


    PIN 562135 PIN 562102
    ResidingFrom ResidingFrom
    ResidingTo ResidingTo
    ContactNo. AreaCode ContactNo. AreaCode

    Pageno.1of2
    OTHER INFORMATION

    Areyou currentlyengagedinanyother businesseither asaproprietor,partner, officer, director,


    trustee,employeeandagent or otherwise?Ifyes, please give details.
    Yes No

    Haveyou ever been dismissed fromtheservicesofanypreviousemployer(s)?Ifyes,pleasegive


    details.
    Yes No

    Haveyou ever beenconvictedinacourt oflawor ofacriminal offence?Ifyes,pleasegivedetails


    andstatusof prosecutionsagainstyou.
    Yes No

    Haveyou ever hadany civiljudgmentsmadeagainstyou? Ifyes, pleasegive details.


    Yes No

    DECLARATION

    “Ihereby declarethattheinformationI havegivenis true andcorrecttothebest of my knowledge.Iunderstand that a misrepresentation


    oromissionoffactscalledfor hereinshallbe sufficientcause forcancellationofconsiderationfor employment or dismissa
    fromtheCompany’s serviceifIhave beenemployed,withoutliabilityto theCompany.
    “Ihereby authorizeSLKGlobalPvt.Ltdand/orits agentstoconductverificationofall statements contained in thisrecord if Iam
    consideredfor employment.Iunderstand that my employment issubjectto satisfactorybackgroundverification.”

    Date:15/07/2020 Name: Sharan SV Signature: Sharan S v

    AUTHORIZATION

    “Ihereby authorizeSLK GlobalPvt.Ltdor anythirdparty agent(s) appointed bytheCompanyto contact anyformer employers,
    educational institutes andall suchsourcesasmay berequiredtoverify informationprovidedin my resume and application of
    employmentandtocarry outallBackgroundChecksas may bedeemedappropriatepertheCompany’sselectionprocedure.I
    authorizeformeremployers,agencies,educationalinstitutesandallpersonswhomayhaveinformationrelevanttothisenquiry
    toreleasetheinformationtoSLKGlobalPvt.Ltdortheiragents.Ireleaseallpersonsfromliabilityonaccountofsuch disclosure.Iamwilling
    thataphotocopyofthis authorizationbeacceptedwiththesame authority as theoriginal.”

    Date:15/07/2020 Name:Sharan S v Signature:Sharan s v

    Pageno.2of 2

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