Employment

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

Father's/ Husband's Name

Gender

Martial Status

Date of Birth

Place of Birth

Mobile Phone

Email id

Blood Group

Nationality

Signature
Domicile State

PAN Card Number

Passport Number

Aadhar Card Number

Former/Maiden Name

Date of Name Change

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

Type address here

Pin Code

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

Type address here

Pin Code
Type address here
Pin Code
Type address here
Pin Code
Type address here
Pin Code

Contact Person (in case of emergency)

Full Name
Relationship

Have you worked / applied to any of the BNP Paribas

Group Companies before?
If Yes, name of the BNP Paribas Group Company and From
Position
To

Landline
Mobile Phone

Educational and Professional Qualifications (Beginning with the latest)

College / University
or Institution

Name of Degree/Diploma
Attained

Month/ Year of Passing

Seat No./ Roll No.

% of Marks Obtained /
Grade

List any relevant professional qualifications (also provide

Membership details) if any :

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

Coordinates of the HR officials

Coordinates of the Supervisor

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

Coordinates of the HR officials

Coordinates of the Supervisor

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.

Languages Known (indicate degree of fluency on a

scale of 1 <Low> to 4 <High>, please select)

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

Information Release Form :

To Whom It May Concern:

To BNP Paribas India Solutions Private Limited

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