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Get LexisNexis Consent And Indemnity Form 2018

Watermark Number Consent and Indemnity Form Company Information The Company Consultant to complete Company Name Agent Name E-Mail Phone Fax Individual Information Surname Applicant to complete ID Number Other ID / Passport Date of Birth Mandatory if ID No. is not provided Physical Address Checks / Request Criminal Record Qualification Credit Profile Institution Academic Qualification City Year Completed Student No. Employment in a position that requires trust and honesty and that entails the handling of cash or finances Verifying educational qualifications and employment Fraud detection and fraud prevention services Indemnity I hereby authorize The Company / The Company s duly authorized verification agent LexisNexis Risk Management LNRM to forward my personal information including but not limited to my name surname identity number and fingerprints to verification suppliers acting on behalf of LNRM including but not limited to SAPS the Government of RSA any educational training credit bureau and fraud prevention organisation. I authorize LNRM to conduct all verification checks including but not limited to credit bureau searches drivers licenses employment history and any other relevant checks in the pre- and post employment vetting process. Company. I unconditionally indemnify LNRM and its verification information suppliers against any liability which results or may result from furnishing information in this regard. I authorize LNRM to conduct all verification checks including but not limited to credit bureau searches drivers licenses employment history and any other relevant checks in the pre- and post employment vetting process. Company. I unconditionally indemnify LNRM and its verification information suppliers against any liability which results or may result from furnishing information in this regard. I understand that it is a condition of the South African Police Service and Tertiary Education Institutions that The information is furnished solely for the purpose of my proposed employment / continuation of employment Any information furnished to The Company and LNRM will be disclosed to me for comment before a decision is made on my employment / application and Signed at / / date Applicant Signature Consultant Signature PLEASE COMPLETE AND FAX TO LEXISNEXIS RISK MANAGEMENT 27 0 866 888 711 Updated November 2008. I authorize LNRM to conduct all verification checks including but not limited to credit bureau searches drivers licenses employment history and any other relevant checks in the pre- and post employment vetting process. Company. I unconditionally indemnify LNRM and its verification information suppliers against any liability which results or may result from furnishing information in this regard. Company. I unconditionally indemnify LNRM and its verification information suppliers against any liability which results or may result from furnishing information in this regard. I understand that it is a condition of the South African Police Service and Tertiary Education Institutions that The information is furnished solely for the purpose of my proposed employment / continuation of employment Any information furnished to The Company and LNRM will be disclosed to me for comment before a decision is made on my employment / application and Signed at / / date Applicant Signature Consultant Signature PLEASE COMPLETE AND FAX TO LEXISNEXIS RISK MANAGEMENT 27 0 866 888 711 Updated November 2008.

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