Educational Initiatives Pvt Ltd

BACKGROUND VERIFICATION FORM

Personal Details

Full Name: Prakhar sinha Male Marital Status: Single

Date of Birth: 15/ 04 / 98 Nationality: Indian Father’s name: Pushkar sinha
Employee No:----- Designation: Residence coach
Place of joining:--- Date of Joining:---
Current Address: (Attach Proof)
26 C, Green View Apartments, pocket 6, Sector 82,Noida, uttar pradesh

Period of stay at current address: From: 2006 To: 2018

Telephone (Home): Mobile: 8377004049
Permanent Address: (Attach Proof)
26C, Green View Apartments, pocket 6, Sector 82,Noida, uttar pradesh

Period of stay at Permanent Address: From: 2006 To: 2018

Telephone (Home): Mobile: 784056444
Email address Prakhardpsn@gmail.com
 Educational Initiatives Pvt Ltd

Letter of Authorization:

To whomsoever it may concern

I hereby authorize Educational Initiatives Pvt Ltd 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 Educational Initiatives Pvt Ltd or its representative. I release all
persons from liability on account of such disclosure.

I hereby authorize concerned authorities to dispatch my confidential report to Educational

Initiatives Pvt Ltd or its authorized representative.

Signed: ---------------------------------------------------

Name: --------------------------Prakhar sinha ----------------------------

Date: --------18/04/18--------------------------------------------------
 Educational Initiatives Pvt Ltd
Please attach the following documents along with the background verification
form (Failure to attach the relevant documents will delay the BGV process)

1. Self attested & signed copy of Valid Identity proof

 Passport
 PAN Card
 Aadhar Card
 Voter ID
 Driving License

2. Copies of Valid address proof.

 Ration card
 Electricity bill
 Land line Telephone bills
 House lease agreement.