BOZ Vetting Request Form 1

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
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