Employee Reference Check Form
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Employee Reference Check Form (only applicable for whom this will be his / her first employment.) Note: provide references with at least three years acquaintance other then relatives
1
Reference 1
Name: __________________________________ Designation: _________________________________ Organization: _____________________________ Department: _________________________________ Address: _____________________________________________________________________________ Relationship with Applicant: ____________ _________________________________________________ Telephone (office): ____________________________ (Home): _________________________________ (Cell): ______________________________ Fax: __________________________________
1
Reference 2
Name: __________________________________ Designation: _________________________________ Organization: _____________________________ Department: _________________________________ Address: _____________________________________________________________________________ Relationship with Applicant: ____________ _________________________________________________ Telephone (office): ____________________________ (Home): _________________________________ (Cell): ______________________________ Fax: __________________________________
1
Reference 3
Name: __________________________________ Designation: _________________________________ Organization: _____________________________ Department: _________________________________ Address: _____________________________________________________________________________ Relationship with Applicant: ____________ _________________________________________________ Telephone (office): ____________________________ (Home): _________________________________ (Cell): ______________________________ Fax: __________________________________
Authorization / Declaration
n
I do hereby authorize Samba Pakistan, to contact directly or through other agency, the persons I have listed above as reference. I hereby allow persons, I have listed above as reference, to disclose any information they may have regarding my qualifications for employment, including but not limited to employment dates, description of jobs performed, salary and wage rates and personal attributes.
Name
Signature
Department
Cadre & Business Title
Location
Date
1
Reference 1
Name: __________________________________ Designation: _________________________________ Organization: _____________________________ Department: _________________________________ Address: _____________________________________________________________________________ Relationship with Applicant: ____________ _________________________________________________ Telephone (office): ____________________________ (Home): _________________________________ (Cell): ______________________________ Fax: __________________________________
1
Reference 2
Name: __________________________________ Designation: _________________________________ Organization: _____________________________ Department: _________________________________ Address: _____________________________________________________________________________ Relationship with Applicant: ____________ _________________________________________________ Telephone (office): ____________________________ (Home): _________________________________ (Cell): ______________________________ Fax: __________________________________
1
Reference 3
Name: __________________________________ Designation: _________________________________ Organization: _____________________________ Department: _________________________________ Address: _____________________________________________________________________________ Relationship with Applicant: ____________ _________________________________________________ Telephone (office): ____________________________ (Home): _________________________________ (Cell): ______________________________ Fax: __________________________________
Authorization / Declaration
n
I do hereby authorize Samba Pakistan, to contact directly or through other agency, the persons I have listed above as reference. I hereby allow persons, I have listed above as reference, to disclose any information they may have regarding my qualifications for employment, including but not limited to employment dates, description of jobs performed, salary and wage rates and personal attributes.
Name
Signature
Department
Cadre & Business Title
Location
Date
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