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Background Verification Form
Background Verification Form
Personal Details
Full Name: RUCHITA DATTATRAYA WAYAL Male /Female Marital Status: Single/ Married
Date of Birth: 15/02/2002 Nationality: INDIAN Father’s name: DATTATRAYA
Employee No: Designation:
Place of joining: BHOPAL Date of Joining:
Current Residential Address:
C-204, Balaji Krupa Haware, CHS, Nerul (west)- Navi Mumbai, Sector 28, 400706
Permanent address:
C-204, Balaji Krupa Haware, CHS, Nerul (west)- Navi Mumbai, Sector 28, 400706
Employment History – (Relieving letter copy to be attached till last but one employer)
THANE
From:16/05/2021 To:16/05/2022
From: To:
Responsibilities:
2.
AEGIS CUSTOMER SUPPORT SERVICES PRIVATE LIMITED
Letter of Authorization:
I hereby authorize Aegis Customer Support Services Private Limited and its authorized representatives to
verify information provided in my resume and application of employment, and to conduct enquiries as may be
necessary, at the company’s discretion. I authorize all persons who may have information relevant to this
enquiry to disclose it to Aegis Customer Support Services Private Limited or its representative. I release all
persons from liability on account of such disclosure.
Signed: ------RUCHITA---------------------------------------------
Date: --06/08/2022---------------------------------------------------------
** As is the procedure followed by most police departments across India for criminal back ground verification,
it is possible that police authorities may contact or visit the stated residence and at times even ask to be
physically present at the concerned police station. It is part of the standard verification procedure.