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

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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

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