2023-01-01

BOZ Vetting Request Form 1

The Bank of Zambia Security Department issues this form for financial institutions and payment service providers to request vetting for prospective employees. Part A requires the requesting institution to provide candidate details including name, date of birth, national registration card number, and previous employment history. Part B is for the Bank of Zambia Security to conduct identity checks, add further employment records, and provide recommendations regarding the candidate's suitability for employment in the financial and payment services industry.

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BOZ/FPS FORM I Strictly Private & Confidential SECURITY DEPARTMENT (FINANCIAL AND PAYMENT SERVICES INDUSTRY EMPLOYEE LISTING) DIRECTOR - SECURITY BANK OF ZAMBIA P O BOX 30080 LUSAKA Re: VETTING REQUEST PART A: (TO BE COMPLETED BY THE INSTITUTION REQUESTING VETTING) The (FINANCIAL INSTITUTION OR PAYMENT SERVICE PROVIDER NAME) Wishes to recruit the under listed candidate. Information is therefore required on the past record of the candidate whose particulars are as tabulated hereunder: No. First Name Middle Name Last Name Sex Date Of Birth NRC Previous Employers Last Job Title 1 2 3 4 5 SIGNATURE:............................................................................................. NAME:...................................................................................................... TITLE:....................................................................................................... DATE:....................................................................................................... PART B: (FOR USE BY THE BANK OF ZAMBIA SECURITY) IDENTITY CHECK: - POSITIVE/NEGATIVE (Delete where not applicable) PREVIOUS EMPLOYERS (In addition to those listed under PART A) a) ……………………………………………………………….......……….…………… c) ................................................................................... b) ……………………………………………………….………….......………………… d) .................................................................................. REMARKS AND RECOMMENDATIONS:…………………………………………………………………..........………................................…………………… ………………………………………………………………………………………........................................................................................................……… SIGNATURE:……………………………………..........................................……….. NAME:…………………….........................................…………..….….……………… TITLE:…………………………………..........................................….…….………….. DATE:.................................................................................................... OFFICIAL STAMP BANK OF ZAMBIA STAMP