Background Verification Form
(Please read carefully before filling up the form)
Please note the following while filling up the form:
All details asked have to be furnished
Dates need to be mentioned in dd/mm/yyyy format wherever asked. Please
note, Dates of employment need to be mentioned in full.
Contact Nos. of employers and supervisors are mandatory
Please mention details of companies Previous to Capgemini, details of last five
years employment from todays date is mandatory.
If you were on contract or deputed through another company; please specify
the details of the parent company where the payroll was processed
Supporting Documents to be submitted:
Relieving letter and Experience Letter from the Current Company OR Offer
Letter along with Resignation Acceptance and first & last 3 salary slips.
Relieving letter and Experience Letters from the Previous Organization
Highest Degree Mark sheet and Degree Certificate OR Provisional Certificate
from the college/university declaring the Student ID and Duration of Course.
All semester mark sheets of your highest degree
Background Verification Form
Name
: Shekhar Mahadik
Date: 02/02/2016
Date o Birth
: 18/05/1988
Marital Status: Single
Maiden Name
: V Mahadik
Gender: Male
Email Id
: [email protected]
ContactNo: +919930664770
Address of Communication:
47/3, Wing B, Mitra Mandal Society, Near Salunkhe Hospital Ganesh
Nagar, Wadgaon Sheri, Pune 411014.
Employment Details
Mention date of joining Capgemini-________________________________
Sr.
Require
Details
Employer Name
and full address
Office Landline
Numbers
previous
company 1
Lionbridge
Technologies,
Pvt. Ltd.
3rd Floor,
Reliable Tech
Parl, Off.
ThaneBelapur Road
Airoli, Navi
Mumbai
400 708
previous
compan
y2
previous
company
3
previous
company
4
previous
company
5
From
From
From
From
Till
Till
Till
Till
+91224000
7000
From
11/10/2012
Dates Employed
Job Title /
Designation
Gross Salary
Supervisor
Name & Contact
Number
Reason for
Leaving
Employee Code
8
9
Agency Details
Till
11/04/2016
Senior
Software
Engineer
445000
Prajakta Keer
+919920897
677
Career
Growth
E05488
(For Contractual
/ Temporary
Employees)
Education Qualification
Institution 1 [Highest Degree
Obtained]
Sr.
1
Exam Passed/ highest
degree Obtained.
B.E.I.T.
ICOER JSPM
Institution/College
Name and Address
Institution/College
Landline Numbers
+91 20 6733 5100
Year of Passing
2011
Seat Number
B3518540
Period : From / To
Aug 2009 to Aug 2011
Stream/ Main
Subjects
I.T.
Percentage
60
Gate No:720 (1&2), pune nagar road, Wagholi,
Maharashtra 412207, India
Name:_ Shekhar Mahadik