Reference Check Format Form

I have attached reference check format form in word. It is filled by a new employer taking feedback from the ex-employer to check the authenticity of an applicant for job in his company.

Reference Checking Format

Name:  _______________________ Reference Name: ________________________

Company Name/ Address /Phone Number:

_____________________________________________________________________

Dates of Employment: From: ______________ To: ___________________________

Designation: ______________________ Present Salary: _____________________

Emp_Code:________________________

S.No

Particulars

Remarks

1

 Key Responsibility 

2

 Achievement 

3

 Management and Team Player 

4

 Relationship with Seniors and Co-workers 

5

 Integrity 

6

 Reason for leaving 

7

 Overall Assessment 

 

Reference Check Done by:  Verification By:
Signature:  Signature:

 

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Related Sample Formats:

  1. Reference Checking Format