(ck BIRLA GROUP birlasoft
Letter of Authoriza!
To whom itmay concern
understand that Birlasoft may use an outside agency to verify and validate the information | have provided
uring my interview, job application or resume including my employment, personal background, professianal
standing, work history and qualifications oF any such information related or relewant to my employment.
understand thot an outside bockground screening agency may obtain information it deems appropriate from
various sources including, Dut not limited to, the following: current and past employers, criminal conviction /
ongoing criminal case records, School & College records, Identity Records and professional and personal
such information related to my credentials ta any government agencies or anyone with whom Birlasoft has any
Dusiness relationship (such as clients, auditors, specific consultants, etc.) with whom BirlasoTt has formal
services agreements, specifically confidentiality agreements in place
| unconditionally release and hold harmless any individual, corporation, or private or public entity from any
and all causes of action that might arise from furnishing to Birlasoft and the outside agency information that
they may request pursuant to this release.
This euthorization ond release, in oviginol, foxcd, electronic or photocopied form, shall be veld for this and ony
future reports and updates that may be requested.
Signed:
Name in Block Capitale:
Date of Birth: (dave fryvy)
Date:
Wersioa: 5.0
Biriasore classification: Public