The above mentioned report will include information, such as Criminal Record, NHIF, NSSF, National Identity and any other applicable public record information.
I further authorize the Company and Peleza to disclose a copy of this authorization to any person(s), government institutions, business entity(ies) or public body(s) (“Third Party”) and for this authorization to act as my specific consent to any such Third Party for the disclosure to the Company/ Peleza of any personal data about me.
I hereby release the Company, 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 Company or Peleza arising directly or indirectly out of or in connection with the provision of the background screening report, save where such claim arises directly as a result of the gross negligence or intent of the Company or Peleza. This authorization given in this Consent Form expires automatically if my application is rejected or following termination of engagement with the Company in the event that my application is successful.
I certify that the information provided in my application is true and correct and that my application might be terminated based on any false or misleading information subject to local law provisions and jurisdiction.