Beruflich Dokumente
Kultur Dokumente
Form
Photograph
This form will be a part of your permanent records. Any update or change in the information mentioned in this form should be
communicated to the HR department.
Personal Details
First Name
Middle Name
Surname
Gender
Martial Status
Date of Birth
Place of Birth
Mobile Phone
Email id
Blood Group
Nationality
Signature
Domicile State
Passport Number
Former/Maiden Name
Address Details
Present Address
City, State
Permanent Address
Same as Above
City, State
Previous Residential Address 1
City, State
Previous Residential Address 2
City, State
Previous Residential Address 3
City, State
Residing From
Till
Telephone Number
Nature of Ownership
Telephone Number
Nature of Ownership
Telephone Number
Nature of Ownership
Telephone Number
Nature of Ownership
Telephone Number
Nature of Ownership
Landline
Mobile Phone
Name of Degree/Diploma
Attained
% of Marks Obtained /
Grade
Work Experience
Will this be your first job?
If No, how many employers have you worked with Current or Most Recent Employer
(The current employer will be contacted post your joining Previous Employer - 1
Employment Details
with BNP Paribas ISPL.)
Company Name
Address
Employee Code
Broadline
Dates of Employment
From
To
From
Name
Name
Designation
Designation
Direct line
Direct line
Email ID
Email ID
Name
Name
Designation
Designation
Mobile Phone
Mobile Phone
Direct line
Direct line
Email ID
Email ID
Previous Employer - 2
Previous Employer - 3
To
Position/Job Title
Fixed Salary (incl benefits):
Bonus
Reason for Leaving
Deputed from Agency
If Yes, Agency Name and
Contact Details
Employment Details
Company Name
Address
Employee Code
Broadline
Dates of Employment
From
To
From
Name
Name
Designation
Designation
Direct line
Direct line
Email ID
Email ID
Name
Name
Designation
Designation
Mobile Phone
Mobile Phone
Direct line
Direct line
Email ID
Email ID
To
Position/Job Title
Fixed Salary (incl benefits):
Bonus
Reason for Leaving
Deputed from Agency
If Yes, Agency Name and
Contact Details
If in case you have worked with more than 3 previous employers within the past 5 years, please provide additional employment details in a separate page.
Family Details
Name
Relationship
Date of Birth
Language
Fluency
Career Mobility
Would you consider career mobility within India?
Would you consider career mobility outside India?
Please use the below space for any other information which you consider to be relevant to your application. It may inculde major leisure interests, social
and sporting activities.
Additional Information
1. Are you currently engaged in any other business either as a proprietor, partner, officer, director, trustee, employee, and
agent or otherwise?
2. Have you ever been convicted of a criminal offence or are there any criminal prosecutions against you pending?
3. Have you ever been declared bankrupt or had a bankruptcy petition made against you?
4. Have you ever had any civil judgments made against you or are there any civil cases pending against you?
5. Do you know or are you related to anyone who works for the company?
6. Have you ever been refused entry to any country?
7. Have you ever been disqualified from acting as a Director?
8. Have you ever been disciplined or fined or convicted by any regulatory body or any stock exchange?
If yes to any of the above questions, please give details in the space provided below
Dear Sir/Madam,
I hereby authorize BNP Paribas India Solutions Private Limited and their agents, First Advantage Limited (the Service Provider), a subsidiary of First
Advantage, or any other service provider as determined by BNP Paribas India Solutions Private Limited to conduct background checks, both verbal and
written, on the information I have provided in the Application Form and any other matter BNP Paribas India Solutions Private Limited or such agent
considers relevant. I understand that the background checks may include details regarding identity, education, professional qualifications and regulatory
licensing history, previous employment and remuneration, criminal, civil and bankruptcy background and other details.
I authorize all persons who may have information relevant to this enquiry to disclose it to BNP Paribas India Solutions Private Limited or the Service
Provider or such person authorized by BNP Paribas India Solutions Private Limited or the Services Provider, as the case may be. I release all persons from
liability on account of such disclosure.
I am willing that a photocopy of this authorization be accepted with the same authority as the original.
I acknowledge that the information, including any personal data, obtained from or in connection with such enhanced background check will be used for
purposes connected with my candidature for employment or my subsequent employment with the BNP Paribas Group including, without limitation, for the
purposes of assessing and confirming my integrity, suitability and eligibility for employment or performing certain roles.
I am willing for BNP Paribas India Solutions Private Limited to disclose information to its external consultants or advisors as may be necessary.
I further acknowledge that BNP Paribas Group may be required under any law or regulation governing such BNP Paribas Group entity or pursuant to a court
or regulatory or statutory order in the relevant jurisdiction (Order) to disclose any information collated or collected in the course of the background
check. I hereby authorize BNP Paribas Group to, and BNP Paribas Group may without any liability, disclose such information, as may be required by such
law, regulation or pursuant to any Order in the relevant jurisdiction.
Yours Sincerely,
Signature
Name
Date
BNPP Entity
Have you ever been known by
another name?
If Yes, Kindly provide us with the relevant details below