Consent Form

I, the undersigned, hereby authorize my employer to whom I have applied for a position, to obtain a pre-employment background screening report on me in order to verify my particulars as provided in my curriculum vitae and self-declaration form for the purpose of my application by and through the employer’s service provider, Peleza International Limited hereinafter referred to as Peleza, in accordance with the employer’s Data Privacy and Peleza Privacy Policy.

The above mentioned report will include information, such as Criminal Record, Driving License, PSV License, National Identity and other applicable public record information.

I further authorize the employer and Peleza to disclose a copy of this authorization to any person(s), educational establishment(s), former employer(s), business entity(ies) or public body(s) (“Third Party”) shown on my curriculum vitae and self-declaration form and for this authorization to act as my specific consent to any such Third Party for the disclosure to the employer / Peleza of any personal data about me.

I hereby release the employer, Peleza and any Third Parties from any claims, costs, expenses or rights of action of any kind whatsoever (“Claims”) which I (or others on my behalf) may have against the employer or Peleza arising directly or indirectly out of or in connection with the provision of the pre-employment background screening report, save where such Claim arises directly as a result of the gross negligence or intent of the employer or Peleza. This authorization given in this Consent Form expires automatically if my application is rejected or following termination of my employment with the employer in the event that my application is successful.

I certify that the information provided in my application for employment is true and correct and that my job application and / or employment might be terminated based on any false or misleading information subject to local law provisions and jurisdiction.

Payments rendered to Peleza International Ltd shall not be refundable under any circumstances, if the checks have already been conducted.