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1. Applicant Information: Personal details of the individual subject to the background check, including full name, date of birth, current address, and contact information
2. Authorization Statement: Clear statement of consent authorizing the company/organization to conduct the background check, with specific reference to Philippine law
3. Scope of Background Check: Detailed list of the types of information that may be verified (e.g., employment history, educational background, criminal records)
4. Data Privacy Notice: Statement explaining how personal information will be collected, used, stored, and protected in compliance with the Data Privacy Act
5. Duration of Authorization: Specification of how long the authorization remains valid
6. Rights of the Data Subject: Explanation of the individual's rights under the Data Privacy Act, including right to access, correction, and withdrawal of consent
7. Certification of Truth: Declaration that all information provided is true and correct, with acknowledgment of consequences for false statements
8. Signature Block: Space for date, signature, and printed name of the applicant
1. International Background Check Authorization: Additional authorization for checks outside the Philippines, needed only if international verification is required
2. Credit Check Authorization: Specific authorization for checking credit history, included only if credit checks are part of the screening process
3. Medical Information Release: Authorization for access to medical records, included only for positions where medical fitness is legally required
4. Social Media Review Consent: Specific authorization for reviewing social media presence, included when social media screening is part of the process
5. Professional License Verification: Authorization to verify professional licenses and certifications, included for regulated professions
1. Types of Background Checks Authorized: Detailed list of specific background checks that may be conducted, with checkboxes for selection
2. List of Authorized Agencies: Names and contact information of agencies authorized to conduct the background checks
3. Required Documentation: List of documents the applicant needs to provide to facilitate the background check
4. Privacy Policy Summary: Summary of the organization's privacy policy as it relates to background checks and data handling
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