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1. Personal Information: Employee/candidate's full name, contact details, and other identifying information as required by Philippine law
2. Authorization Statement: Clear and explicit statement authorizing the potential employer to conduct reference checks
3. Scope of Authorization: Details of what information can be verified (employment dates, position, performance, etc.)
4. Data Privacy Notice: Statement acknowledging compliance with the Data Privacy Act of 2012 and how information will be used and protected
5. Duration of Authorization: Timeframe for which the authorization remains valid
6. Declaration and Signature: Statement of truth and signature block for the candidate, including date
1. Special Authorizations: Additional authorizations for sensitive positions (e.g., financial sector, security clearance requirements)
2. International Reference Checks: Additional provisions for cross-border reference checks if applicable
3. Release of Liability: Optional waiver releasing previous employers from liability for providing information
4. Specific Exclusions: List of specific information or previous employers that should not be contacted
1. List of References: Appendix containing names and contact information of references provided by the candidate
2. Approved Verification Points: Checklist of specific information points that can be verified with each reference
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