3rd Floor, Cambata Building, Above Eros Theatre, Jamshedji Tata Road, Churchgate, Mumbai – 400020.

www.integrityvs.com

BACKGROUND VERIFICATION FORM

Candidate’s Personal Details

Employee ID / Code:
Date of Joining Datamatics:
Candidate’s Full Name First Middle Last

Mohit Kumar

Father’s Name First Middle Last

Vinod Kumar

Former Name(s) / First Middle Last

Maiden Name (If
applicable)
Permanent Address Vpo- Joria ,Teh:kotkasim ,Alwar (Rajasthan)
301702

Duration of stay at this address: From DD/MM/YYYY - To DD/MM/YYYY

Current Address

Vpo- Joria ,Teh:kotkasim ,Alwar (Rajasthan)

301702

Duration of stay at this address: From DD/MM/YYYY - To DD/MM/YYYY

Gender:
28-02-1993
Female Male Date of Birth: (Please attach an identity proof)
Direct contact number:8440996507 Alternate / Emergency contact number:9041083108
 3rd Floor, Cambata Building, Above Eros Theatre, Jamshedji Tata Road, Churchgate, Mumbai – 400020.
www.integrityvs.com

Employment Details – 1 (Previous Employer)

Company Name : Accenture LLC

Company Address (Main Office and Branch where worked): Mumbai

Main Office:

Branch Address where worked: Mumbai

Company Board Line Numbers (No cell phone

numbers accepted)
Employee Code 11860967
Designation and Department Digital data analyst developer

Date of  Joining 29feb 2020

Date of Leaving - 8Jan 2021
Remuneration
Reason for Leaving Better opportunism
Reporting Manager’s  Name and Designation Neeraj
Manger’s Official E-mail id Neeraj.pandey@accenture.com
Manager’s Direct Line Number and Mobile no.
If Deputed by Agency - Agency name and address
Tel. No. of  the Agency

Employment Type  Permanent

 Temporary
 Contractual
 Others, please specify
Documents attached

Any other information you would like to share / provide:

Attention:

 Please provide the Employee Code mandatorily and clearly.

 Please provide a copy of your Relieving Letter and Service Certificate for the employment mentioned
above.
 3rd Floor, Cambata Building, Above Eros Theatre, Jamshedji Tata Road, Churchgate, Mumbai – 400020.
www.integrityvs.com

Employment Details – 2 (Previous Employer)

Company Name :Anand Rathi

Company Address (Main Office and Branch where worked):MUmbai

Main Office: MUmbai

Branch Address where worked: Jodhpur

Company Board Line Numbers (No cell phone

numbers accepted)
Employee Code 918361
Designation and Department Hadoop developer
Date of  Joining 15-04-2019
Date of Leaving 21-01-2020
Remuneration
Reason for Leaving switch
Reporting Manager’s  Name and Designation
Manger’s Official E-mail id
Manager’s Direct Line Number and Mobile no.
If Deputed by Agency - Agency name and address
Tel. No. of  the Agency

Employment Type  Permanent

 Temporary
 Contractual
 Others, please specify
Documents attached

Any other information you would like to share / provide:

Attention:

 Please provide the Employee Code mandatorily and clearly.

 Please provide a copy of your Relieving Letter and Service Certificate for the employment mentioned
above.