Document No: FRO-SEC-FRM-007-

EFRO-SEC-FRM-007-
Revision: 1.0
E
REFERENCE CHECK FORM
Issue Date: 20-07-2023
Page: Page 1 of 4

RECIPIENT: Company:
Title: Department:
Fax number: Telephone:
Reference: E-mail:
nd
CC: (2
CC’s fax no.:
recipient)
SENDER: Department: HUMAN RESOURCES
Title: Telephone:
E-mail: Fax number:
Our reference:

Dear Mr / Mrs / Ms

CONFIDENTIAL: REFERENCE CHECK:

The above candidate has applied for the position of
He / she has provided your name as a referee.
It would be highly appreciated if you could complete the reference check questionnaire and fax it
for my attention to fax number as soon as possible.
Thank you for your assistance regarding this matter.

Yours faithfully (Please insert more rows if space is insufficient)

SIGNATURE OF SENDER: NAME IN BLOCK LETTERS DATE OF SIGNATURE

Uncontrolled Document*
 Document No: FRO-SEC-FRM-007-
EFRO-SEC-FRM-007-
Revision: 1.0
E
REFERENCE CHECK FORM
Issue Date: 20-07-2023
Page: Page 2 of 4

REFERENCE CHECK FORM

CONFIDENTIAL

NAME OF APPLICANT

POSITION CONSIDERED

REFERENCE'S NAME

REFERENCE’S TELEPHONE NUMBER

NAME OF COMPANY

RELATION TO THE APPLICANT

Uncontrolled Document*
 Document No: FRO-SEC-FRM-007-
EFRO-SEC-FRM-007-
Revision: 1.0
E
REFERENCE CHECK FORM
Issue Date: 20-07-2023
Page: Page 3 of 4

REFERENCE CHECK QUESTIONNAIRE

CONFIDENTIAL

QUESTION ANSWER / RESPONSE

1. How would you
describe the
professional knowledge
and skills of the
Candidate?
2. How would you
describe the work
standards of the
Candidate?
3. How would you
describe the leadership
and teamwork qualities
of the Candidate?
4. What is your
assessment of the
Candidate’s
relationship with
colleagues?
5. How would you
describe the
Candidate’s
interpersonal skills?
6. Please comment on
the Candidate’s writing
skills. Has the
Candidate produced
any written reports for
you?
7. Please comment on
the Candidate’s
attention to detail.
8. How would you
describe the
Candidate’s judgment
abilities?
9. Please comment on
the Candidate’s ability
to work independently?
10. Please comment on
the Candidate’s ability
to work under pressure
and to meet deadlines.
11. Did the Candidate
report directly to you?
12. What were the key
responsibilities of the
Candidate?
13. Is the Candidate result
(output) driven?
Please indicate some

Uncontrolled Document*
 Document No: FRO-SEC-FRM-007-
EFRO-SEC-FRM-007-
Revision: 1.0
E
REFERENCE CHECK FORM
Issue Date: 20-07-2023
Page: Page 4 of 4

REFERENCE CHECK QUESTIONNAIRE

CONFIDENTIAL

QUESTION ANSWER / RESPONSE

results (outputs) in
which he/she played a
major role.
14. How would you
describe the
Candidate’s ability to
resolve conflict?
15. What is your
assessment of the
Candidate’s computer
skills?
16. Would you recommend
the Candidate for the
position?

SIGNATURE OF REFERENCE NAME IN BLOCK LETTERS DATE

POSITION IN COMPANY:

Uncontrolled Document*