I certify that the information contained above is correct, and completed to the best of my knowledge and belief. I hereby consent and authorize the company to conduct reference check(s) with my previous employer(s) or other institutions stated in this form as may be necessary in arriving at an employment decision. I also understand that if I wilfully give false information or withhold any material information, it will render me liable to disqualification for appointment to the service of the company or to dismissal without any compensation, if already in service of the company.
Upon successful submission, an acknowledgement page will display. If you do not see the acknowledgement page, please send an e-mail to email@example.com.
The communication regarding your application will be through email / telephone, please check your email regularly.