1. Employment Verification Form – AVVAS INFOTECH
Applicant No/ Employee ID Work Location Date of Joining/Interview
Please provide complete and correct information. All fields are mandatory.
Please do not use short forms / abbreviations.
Personal Details
Full Name (First, Middle, Last)
Date of Birth (dd/mm/yy) Gender:
Male Female
Father’s Name: Mobile Number:
Permanent Address with Landmark:
NSR (National Skills Registry) Number if any:
Educational Qualification
Educational Record - Post Graduation
(Please attach copy of degree certificate and mark sheets for this)
College Name
College Address
University Name and
Address
From - To
(month / year)
Graduated
 Yes
 No
Program
 Full
 Part Time
Roll No /
Enrollment No.
Type of degree Graduation date (month /
year)
Subject Major
Copy of the Certificate Attached Yes No
SSN No. (mandatory if studied in USA or Canada):

2. Educational Record - Graduation
(Please attach copy of degree certificate and mark sheets for this)
College Name
College Address
University Name and
Address
From - To
(month / year)
Graduated
 Yes
 No
Program
 Full Time
 Part Time
Roll No /
Enrollment No
Type of degree Graduation date (month /
year)
Subject Major
Copy of the Certificate Attached Yes No
SSN No. (mandatory if studied in USA or Canada):
Educational Record - Professional Qualification
(Please attach copy of degree certificate and mark sheets for this)
College Name
College Address
University Name and
Address
From - To
(month / year)
Graduated
 Yes
 No
Program
 Full Time
 Part Time
Roll No /
Enrollment No
Type of degree Graduation date (month /
year)
Subject Major
Copy of the Certificate Attached Yes No
SSN No. (mandatory if studied in USA or Canada):

3. Employment Section
Please give details of all previous employers covering last two employers
Ensure that you are descriptive wherever necessary – e.g. If Co. is closed, do mention it.
Employee code/ ID/ Number are Mandatory, if your employer did not provide one, please
mention and state reasons for the same. All the fields are mandatory to be filled
Details of Previous Employers (Covering last two employers)
Please attach a copy of your relieving letter/service certificate/last 3 months pay slip for this
Company Name (1) : Position Held & Department
Address (main office and branch where worked): Telephone:
Employment Period: (date, month, year)
From To
Employee Code/
Personnel No
Name of Reporting
Manager
Designation & Department of Reporting Manager Contact No of Reporting
Manager:
Email ID of Reporting
Manager:
Whether employment is of permanent or temporary nature - Permanent Temporary
Agency Details (if temporary or contractual)
Annual CTC: Reason(s) for Leaving:
Remarks If any:

4. Page 4 of 7
Details of Previous Employers (Covering last two employers)
Please attach a copy of your relieving letter/service certificate/last 3 months pay slip for this
Company Name (2) : Position Held & Department
Address (main office and branch where worked): Telephone:
Employment Period: (date, month, year)
From To
Employee Code/
Personnel No
Name of Reporting
Manager
Designation & Department of Reporting Manager Contact No of Reporting
Manager:
Email ID of Reporting
Manager:
Whether employment is of permanent or temporary nature - Permanent Temporary
Agency Details (if temporary or contractual)
Annual CTC: Reason(s) for Leaving:
Remarks If any:

5. Page 5 of 7
Reference Check
Please provide the details of two professional references of your previous employers. We undertake not
to contact your present employer until your consent is gained. Note: No friends/ relatives references.
Name & Position Held: Name & Position Held:
Company Name: Company Name:
Address: Address:
Tel. No.: Tel. No.:
How do you know this person? How do you know this person?
Please provide the details of an Alternate professional reference of your previous employers, in case
the above two are unavailable. We undertake not to contact your present employer until your consent is
gained. Note: No friends/ relatives references.
Name & Position Held: Company Name:
Address: Tel. No.:
How do you know this person?

6. Page 6 of 7
Declaration and Authorization
I understand that any employment by Avvas Infotech Pvt. Ltd. and its affiliated companies
is conditioned upon positive responses from my references, bonding eligibility, continued
adherence to Avvas Infotech and its affiliated companies policies and procedures, applicable
rules and regulations and job performance satisfactory at all times to Avvas Infotech and its
affiliated companies
I consent to take any pre or post-employment examinations as may be required by Avvas
Infotech and its affiliated companies or its representative, and release Avvas Infotech and its
affiliated companies from any liability that may arise from such examination.
I authorize an inquiry to be made on the information contained on this application. Former
employers and officials of education institutes, named on this application are authorized to
give information about me and I release them from all liability for issuing such information.
I hereby attest and warrant that all my answers on this application as well as on all forms
completed in conjunction with my employment are true and accurate. I understand that my
misrepresentation of facts, failure to disclose information required on this application or
material change in my information provided which is not reported to Human Resources shall
be cause for dismissal regardless of when discovered by Avvas Infotech and its affiliated
companies
Signed: ________________________
Name in Block Capitals: ________________________
Date: ________________________

7. Page 7 of 7
Documents Required - Mandatory
For Education Verification:
 Photocopy of the degree certificate and mark sheet for all the years of attendance would be
required.
For Bangalore University:
 A Photo Copy of both the sides of the Degree Certificate (The reverse side of the certificate has
some information which the University would require).
 Copies of the Marks Sheets/Grade Card for all the years of attendance.
 Name of the College through which the candidate has graduated.)
For Employment Verification:
 Photocopy of relieving/experience certificate/ Last 3 months Salary slip.