下面是小编为大家整理的背调信息收集表范文（精选文档）,供大家参考。
Personal Information/个人信息
*Position Applied( 应聘职位 )：
*Name (in local language) 姓名 ：
Gender( 性别 )
Date of Birth (dd/mm/yy)
Nationality( 国籍 )
*Types of Identity(Identity card/Passport)
*Identity Card No.
In order for the Company to obtain a complete and accurate background history please provide full details below. 为便于取得完整并准确的背景历史，请详细填写以下资料.
Have you lived or worked in the United States during the past 7 years? If yes, Please provide your US Social Security Number, and if no, please indicate “no〞 in the space provided: 〞No〞
US SSN:
Have you lived or worked in Canada during the past 7 years? If yes, Please provide your Canadian Social Insurance Number, and if no, please indicate “no〞 in the space provided: 〞No〞
Canadian SIN:
Have you lived or worked in Singapore during the past 7 years? If yes, Please provide your Singapore NRIC/FIN, and if no, please indicate “no〞 in the space provided: 〞No〞
Singapore NRIC/FIN:
For PRC Candidates: Please attach a copy of your PRC ID card
For Other Candidates: Please attach a legible copy of your passport which was used when travelling to China
Note for Korean Residents/Citizens: In accordance with the Article 24 of the Personal Information Protection Act in South Korea, please DO NOT PROVIDE US WITH YOUR Korean Resident Registration Number (RRN) in any form of communication or documentation. 朝鲜居民注意/公民: 按照?个人信息保护法?第二十四条的韩国,请不要以任何形式
Educational Qualifications
Please provide details of your completed top tertiary academic qualification(s).
Educational institutions will be approached to verify your qualifications.
Indicate the exact name under which any education qualifications were attained.
Please provide full and clear names and addresses for each institution attended. Do not use abbreviated terms or initials.
If you don’t have any tertiary academic award, please check this box:
:
*College / University (1)
*Year of Study (month/year) 就学时间(月/年)
From
To
College / University Address
*Certificate Number
*Type of degree attained
*Major
Is this qualification archived from a Chinese-Foreign cooperation program? If yes, please fill out below: 所取得的学历学位是否为中外合作教育工程？如果是，请提供以下信息: Chinese University Name
Foreign University Name: 外国大学名称：
Professional Qualifications/专业资质经历
Professional Qualification bodies will be approached to verify your qualifications.
Indicate the exact name under which any professional qualifications were attained.
Please provide full and clear names and addresses for each body attended. Do not use abbreviated terms or initials. 。
If you don’t have any tertiary academic award, please check this box: :
Please attach copies of your Professional Qualification Certificate
Issuing Body Name: 机构名称:
Qualification Awarded: 获得资质:
Qualification ID:
Year of Award: (month/year) 颁发日期:
Employment History/工作经历
If you do not have any working experience, please check this box:
如果您没有任何工作经历，请勾选此框:
Please list details of your lastemployers. Please state your current or most recent employment. The employer will be contacted to verify your employment history. Provide full names, addresses and, where possible, the telephone number of the employer. Do not use initials or abbreviations.
请填写您最近段的工作经历.请提供您当前或者最近的雇用经历。此雇主将会被联系以便求证于您的雇佣经历。请提供公司全称，地址以及，如可能，此雇主的联系
。请不要使用缩写或简写。
1 *Company Name( 公司名称)
Company Address( 公司地址 ) :
*Branch / Department( 就职部门 ) :
*Job Title( 职位 ) :
Dates of Employment( 就职时间 ) : From( 从 )
Employee ID() :
*HR Information 人事部信息
Name( 姓名 ) :
Job Title( 职位 ) :
Contact Detail( 联系
及邮箱 ) :
*Supervisor Information 主管信息 : Name( 姓名 ) :
Job Title( 职位 ) :
Contact Detail( 联系
及邮箱 ) :
*Colleagues information 同事信息
Name( 姓名 ) :
Job Title( 职位 ) :
Contact Detail( 联系
及邮箱 ) :
*Reason for Leaving 离职原因
Additional Remarks( 补充说明 ) :
*Can we contact this employer immediately to conduct a Background Screening now?
(Please ): 我们现在能否立即与此雇主联系并开展背景调查 (请选择)
If no, please specify the earliest date we can contact this employer to complete a Background Screening 如否，请提供最早我们可以与此雇主核实的日期 12/04/2021(DD/MM/YYYY)
Please state your pervious employments in descending order.
请倒叙提供您之前的雇用经历. 2 *Company Name( 公司名称 ) :
Company Address( 公司地址 ) :
*Branch / Department( 就职部门 ) :
*Job Title( 职位 ) :
*Dates of Employment( 就职时间 ) : From( 从 )
Employee ID() :
*HR Information 人事部信息
Name( 姓名 ) :
Job Title( 职位 ) :
Contact Detail( 联系
及邮箱 ) :
*Supervisor Information 主管信息 : Name( 姓名 ) :
Job Title( 职位 ) :
Contact Detail( 联系
及邮箱 ) :
*Colleagues information 同事信息
Name( 姓名 ) :
Job Title( 职位 ) :
Contact Detail( 联系
及邮箱 ) :
*Reason for Leaving 离职原因
Additional Remarks( 补充说明 ) :
*Please complete below if you were employed through an agency (e.g. you signed labor contract with FESCO or CIIC)
如果您是以劳动派遣方式被此雇主雇佣，请完成以下问题 ( 例如您与 FESCO 或中智签署的劳务合同 )
Name of Agency( 派遣机构 ) :
Agency Address( 派遣机构地址 ) :
Agency Contact Person( 派遣机构联系人 ) :
Telephone No( 派遣机构联系
) :
3 Company Name( 公司名称 ) :
Company Address( 公司地址 ) :
Branch / Department( 就职部门 ) :
Job Title( 职位 ) :
Dates of Employment( 就职时间 ) : From( 从 )
To( 至 ) Employee ID() :
HR Information 人事部信息
Name( 姓名 ) :
Job Title( 职位 ) :
Contact Detail( 联系
及邮箱 ) :
Supervisor Information 主管信息 : Name( 姓名 ) :
Job Title( 职位 ) :
Contact Detail( 联系
及邮箱 ) :
Colleagues information 同事信息
Name( 姓名 ) :
Job Title( 职位 ) :
Contact Detail( 联系
及邮箱 ) :
Reason for Leaving 离职原因
Additional Remarks( 补充说明 ) :
*Please complete below if you were employed through an agency (e.g. you signed labor contract with FESCO or CIIC)
如果您是以劳动派遣方式被此雇主雇佣，请完成以下问题 ( 例如您与 FESCO 或中智签署的劳务合同 )
Name of Agency( 派遣机构 ) :
Agency Address( 派遣机构地址 ) :
Agency Contact Person( 派遣机构联系人 ) :
Telephone No( 派遣机构联系
) :
Please use blank paper to provide details of additional employers, if necessary. 如您还有额外的雇用经历需要补充，请另附纸张 .
Are you currently engaged in any other business either as a proprietor, partner, officer, director, trustee, employee, agent or otherwise?
(您目前在其它单位担任任何职务，如所有人，股东，政府官员，企业董事，企业托管人，雇员，代理或其它职务吗？)
If yes, please give details.
( 如答复是，请具体说明. )
Have you ever been arrested for or convicted of a criminal offence?
( 您是否被拘留过，或曾经被判有罪？ )
If yes, please give details.
(如答复是，请具体说明.)
Do you know or are you related to anyone who works for the company? (您是否与目前申请的公司的员工认识或有关系？)
If yes, please give details. (如答复是，请具体说明.)
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