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Authorization to Perform Background Checks

I , authorize HALLIBURTON GUYANA INC and/or the company


defined by Halliburton to process and perform a complete background check.
This process will include: (1) Government issued identification verification; (2)
Criminal record check; (3) Sex offender registry where available; (4) Global
sanctions list; (5) Motor vehicle record; (6) Employment verification for the
previous jobs; and (7) Position qualification checks such as education
(College/University) or equivalent experience and professional accreditation
when is applicable.

In order to perform the above listed processes, I authorize HALLIBURTON


GUYANA INC and/or the company defined by Halliburton to collect, store, use,
report, and disclose my personal and sensitive data.

The information will only be shared to clients in compliance with commercial


contracts.

Signed on ……………………………………………….

Name:
Identity Number:

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