City: Trivandrum State: Kerala Country: india Postal Code: 695585

Job Title: Assistant ll{anager Reason of Leaving: Personal Heajth lssues

Designation : Supervisittg Associate 1 Final Salary (Annual): INRI 3, 17,000

Supervisor Name & Title HR Manager Name

Binoy Raj Priya

Supervisor os Phone Number HR Manager Phone Number

9447303855 103429987 |

Information Release Form

To Whom It Ma-v Concern:

I_Ganesan Nithin, hereby authorise KPMG or their representatives to veri!. information presented on my
employnent applicationlresume and to procure an investigative report or consumer report for that purpose.

I hereb.v grant authority For the bearer of this letter to access or be provided with ful1 details

r of my previous empioyment record held by any compan,v or business for whom I previously worked.
This information should include the dates of employmentl the nature of the position held, ldetails olmy
salary upon departure] and an apprzisal of my performance. capabilities and character. In addition.
please provide any other pertinent information requested by the individual presenthg this authoriry*. i
hereby release from liabiliry all persons or entities requesting or supplying such infotmation.

r of my qualificationidegree (copy of my certificates attached)

I information in respect to my character from the records maintained by local authorities

2-x f ot f 2",tA
Date: dd / mm / yyly

Have y'ou ever been known by another name? t] YES

Checklist

Current and Permanent address

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Photograph
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-E Education Ceftifrcates
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Employ'ment Relivirrg Leflers
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