Employee Verification Form

ORACLE

Employee Verification Form Please Print Clearly and Provide Complete and Accurate Information

Personal Details Full Name (First, Middle, Last) (2) Original colour passport size photographs

Former Name(s) / Maiden Name (if applicable)

Gender:

Date of Birth (dd/mm/yy)

Residence Number: Mobile Number :

Father’s Name:

Passport No

Details of Addresses (Oracle to decide on longest place of stay and earmark in the form) Complete Address (Longest stay in last 07 years))

From:(mm/yy) To: (mm/yy)

Telephone Number of each place of stay

Educational Qualifications Post Graduation (If professional, please proceed to next page) (IMPORTANT: Copy of marksheet and degree certificate MUST be attached) College Name (1) College Address

University Name and Address From - To (month / year)

Graduated
Yes
No
Pursuing

Type of degree

Program
Full Time
Part Time

Roll No / Enrollment

Graduation date (month / year)

Subject

Graduation – Must for all candidates (IMPORTANT: Copy of marksheet and degree certificate MUST be attached) College Name (2) College Address University Name and Address From - To (month / year)

Type of degree

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Graduated
Yes
No
Pursuing

Program
Full Time
Part Time

Roll No / Enrollment No

Graduation date (month / year)

Subject Major:

Professional Qualification (if PG is a professional qualification) (IMPORTANT: Copy of transcript and certificate MUST be attached) Institute Name (3)

Institute Address

From - To (month / year)

Degree attained
Yes
No

Qualification/Certification attained

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Program
Full Time
Part Time Date of completion (month / year)

Membership No/ ID No / Enrollment No.

Employment History

Details of Current Employer – (Verification will be conducted later) Company Name (1):

Position Held & Department

Address (main office and branch where worked):

Company Telephone:

Employment Period: (date, month, year) From To

Reported to (Name & Position):

Employee Code:

Contact details:

Agency Details (if temporary or contractual)

Remunerations

Reason(s) for Leaving

Details of Previous Employers Company Name (2) :

Position Held & Department:

Address (main office and branch where worked):

Company Telephone

Employment Period: (date, month, year) From To Reported to (Name & Position):

Employee Code:

Contact details:

Whether employment is of permanent or temporary nature Agency Details (if temporary or contractual)

Remunerations :

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Reason(s) for Leaving:

Details of Previous Employers Company Name (3) :

Position Held & Department

Address (main office and branch where worked):

Company Telephone:

Employment Period: (date, month, year) From To

Reported to (Name & Position):

Employee Code:

Contact details

Agency Details (if temporary or contractual)

Remunerations

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Reason(s) for Leaving

Letter of Authorisation(approved by legal) To whom so ever it may concern I understand that Oracle may offer / has offered me employment. I also understand that Oracle may use an external third party agency to verify and validate the information that I have provided, in the application/employee data form/my resume during or after my interview with Oracle personnel, including information related to my employment, personal background, professional standing, work history and qualifications. I understand that this external third party agency may obtain information it deems appropriate from various sources including, but not limited to, the following: current and past employers, criminal conviction record, school record, college records and professional and personal references. I authorise, with out reservation, any individual, corporation, or other private or public entity to furnish Oracle and the external third party agency all information about me. I unconditionally release and hold harmless any individual, corporation, private or public entity from any and all causes of action that may arise from furnishing to Oracle and the external third party agency information that they my request pursuant to this authorisation. This authorisation and release, in original, faxed or photocopy form, shall be valid for this and any further reports and updates that may be requested.

Signed: ___________________ Name: ___________________ Date: _____________________

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Declaration I hereby certify as true and complete all of the statements made in the application/employee data form/my resume during or after my interview with the Oracle personnel / Oracle employment verification form. I understand that any willful omission or misrepresentation of any fact may result in refusal of employment / revoke the offer even if accepted or immediate termination. I recognise that in this connection, I may be the subject of a background enquiry by Oracle or its representatives, and I hereby authorise the same. Signed: ___________________ Name: ___________________ Date: _____________________

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