Background Verification Form - Address Employment Education C Type

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    E/PLO0/ENT RECORD

    Employer 1 (Current Employment)*

    ACE NA OVERSEAS NS1RANCE

    CO/PAN0 L/TED

    Em!"o2ee

    D

    From

    3(4-543--6

    To

    334-(43-(-

    Address*

    4-- INE$CHAN=E +, %UILDIN=

    +3H> 4H"LOO$/ SU#HU!?I $OAD/

    #LON=OE@ NUA/ WAANA/

    %AN=#O# ,,,/ HAILAND

    P7one Num8er#(Wit& SD Code)

    557()7+5,,66

    Cit*

    %AN=#O#

    State* Countr*

    HAILAND

    .ostal Code*

    ,,,

    De1artment* O.E$AIONS $eason of LeaBin

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    ED1CATON RECORD

    Name & Address ofSchool/College/Institute *

    Name & Address ofni!ersity itsaffiliated "ith *

    #ype of$egree/$iplomao%tained *

    $ates Attended(mm/yyyy)

    ollNum%er/egistrationNum%er/E'amSeat num%er *

    lease specify"hetherCourseCompleted(es/No) *

    rom * #o *

    !ANA=E!EN

    DE?ELO.!EN

    INSIUE/

    =U$=AON

    7 NONE 7 .OS

    =$ADUAE

    .$O=$A!

    IN

    !ANA=E!E

    N

    (DI.LO!A

    !%A)

    5'+

    4'+

    +

    .4+ @ES

    SH$I $A!

    COLLE=E O"

    CO!!E$CE

    DELHI UNI?E$SI@

    DELHI/ INDIA

    %2 CO!

    (HONO$S)

    5',--

    8

    6'+

    $OLL NO2

    +44-8

    EN$OLL NO2

    C7+36'-8

    @ES

    E/PLO0/ENT RECORD

    Employer +* (re!ious Employer)

    +E /ONE0 FNANCAL SERVCES L/TED

    Em!"o2ee

    D

    3-@3.

    From#

    3)4-43--.

    To#

    (54-543--6

    Address*

    6,/ 6+/ 6H"LOO$/ A==A$WAL !ILLENIU! OWE$

    E7,/+/4/ NEAI SU%HASH .LACE/ .IA!.U$A/ DELHI

    P7one Num8er#(Wit& SD Code)

    -,7(,+6)7+434

    Cit*

    DELHI

    State*

    DELHI

    Countr*

    INDIA

    .ostal Code*

    ,,46

    De1artment* S$AE=@ AND

    %USINESS DE?ELO.!EN

    $eason of LeaBin

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    S.$IN=DALES

    SCHOOL

    C%SE (AISSCE) ,+HCLASS

    (CO!!E$CE)

    6',--

    5

    4',--

    8

    5+4+-58 @ES

    S.$IN=DALES

    SCHOOL

    CS%SE (AISSE) ,HCLASS 6',--

    6

    4',--

    3

    5,434 @ES

    C7eck"i&t of document& to 8e attac7ed a"ong it7 t7i& form #

    E Em1loment $elieBin< Letters(i case of previous employer)

    Offer Letter'a11ointment letter'increment latter'1romotion letter (i case of curret employer)

    and last .asli1'salar sli1'salar certificate';an statement s1ecifin< t&e salar credited

    Identification 1roof: (Co1 of 1ass1ort'driBin< license'Boters ID'.an Card)

    E Address .roof: $ation card'tele1&one %ills' Electricit %ill'.ass1ort'=as Connection'Letter

    from Sar1anc& or ?illa