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Professional Reference Details Form

Please provide names, addresses and contact numbers of three supervisors with whom you have
worked with in your previous organizations or any three people other than your relatives employed with
Public / Pvt Sector (NON-Concentrix employees) whom we may call / write for references.

Reference 1 Reference 2 Reference 3


Name*
Designation
Organization*
Contact No.*
Email Id

I hereby declare that the details provided by me above are true to the best of my knowledge. Any
misrepresentation by me will lead to disqualification of my candidature or termination of employment
without notice

Name of Candidate : NANDEESH S

Date (dd/mm/yy) : 06/12/2022

Signature of Candidate :

CNX/REC/ART/AGHR/PRFD/3.0

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