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AUTHORIZATION TO CONDUCT REFERENCE CHECK /

EMPLOYMENT VERIFICATION

Dear Mr/Ms. (Name of Professional Reference):

Good day!

I hereby authorize the International Committee of the Red Cross (ICRC) and its duly
authorized representative to obtain and verify the following details with applicable individuals
whom I have identified as references in connection with my application for employment:

Subject Name: First Name SURNAME of the candidate


Company Name: Put the company of where the candidate and the reference
worked together
Position Held by the Indicate position/s garnered in the company above (use bullet if
Candidate: more than one role, latest to oldest)
Full or Part-time: Please choose from the option
Start Date: dd-mmm-yyyy ex. 01-Jan-2021
End Date: Same as above; if currently working in the company, put hyphen
(-)
Promotions given: If any, please specify
Reason/s for leaving: Please specify
Eligibility for re-hire: (to be filled out by character reference on MS Forms)

Comments:

Teamwork Applicant was able to exude excellent collaboration across


various teams in working on deliverables for daily and monthly
submission. She was also able to take part in supporting
initiatives in relation to system onboarding and tightening of
controls and checks for business and regulatory reporting.
Work Ethics Applicant shows utmost dedication on what she does. She is
vocal in providing feedback which helped a lot in managing
deliverables effectively. She ensures issues and breaks raised
are keenly investigated with its appropriate resolutions.
Communication Applicant is experienced to reaching out to various teams and
stakeholders with the nature of the role she has in the bank. She
can flag and escalate issues observed to proper points of control
and provide assurance to the stakeholders that any issue
observe is being monitored and follow ups in case progress in
the resolution is in its way.
Attendance and Reliability Applicant is one of the bet team players in the team. She can
report to work and deliver assigned tasks as expected. When
some of the team members are away, she can support pending
production processes that needs to be provided.
Others Applicant is a well-balanced person with so much potential in
being a technical expert and people-person
at the same time. While she was able to be accomplished
deliverables, she never stopped
being helpful to her peers as she continues to help in building
expertise in the team. She made herself flexible with all the
competing deliverables and continuously spread positivity.

Pursuant to RA 10173 – Data Privacy Act of 2012, I authorize ICRC and or Michelle Aubrey
SANCHEZ to obtain the above-mentioned, and I hereby waive my rights and further release the
ICRC and its representative/s from whatever liability that may rise from this disclosure as
provided.

CONFORME:

(kindly paste e-signature here)


_____________________________________
Candidate Signature Over Printed Name

*Please convert to PDF file once done filling out. This will be shared with the professional reference/s
identified.

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