Vista Consult Background Check

Vista Consults Background Check

Employer *

Security Level *

Please indicate (CBG)DepartmentBranch

CBG Branch *

CGB Department *

BOST Branches/Locations *

Section A: Personal Details

First Name *

Middle Name

Surname *

Previous surname (if any)Yes

Previous Surname *

Phone *

Email Address *

Date of birth *

Gender *

Your TIN Number *0 / 12

Passport picture *

No file chosen

Accepted file types: jpeg, docx, pdf, Max. file size: 1 MB.

Section B: ID Details

Your SSNIT Number *Provide Your SSNIT Number

Type of ID

ID Number *

Issued by *

Issued on *

Valid from *

Valid to *

Upload ID File *

No file chosen

Accepted file types: jpeg, docx, pdf, Max. file size: 1 MB.

Section C: Nationality & Work Permit

Nationality *

Permit Number *

Permit issued by *

Permit valid from *

Permit validity ends *

Work permit file *

No file chosen

Accepted file types: jpeg, docx, pdf, Max. file size: 1 MB.

Section D: Schools AttendedProvide Details of Highest Academic Qualification

School name *

Course undertaken *

Student ID No. *

Date admitted *

Date completed *

Upload file *

No file chosen

Accepted file types: jpeg, docx, pdf, Max. file size: 1 MB.

Section E: Work History (be guided by Note 1)Provide details for Last Employer

Company/Institution Name *

Employment status *select your employment status at this company/institution

SSNIT number *

Agency Name *

National Service ID *

Your Job Title *

Employment Start Date *

Employment Exit Date *

Name of contact person at HR *

HR Person's Mobile Number *

HR Person's Email Address *

Name of Line Manager *

Job title of Line Manager *

Mobile Number of Line Manager *

Email of Line Manager *

Why did you leave

Section F: Character Referee (be guided by Notes 4 & 5)

Name of referee *

Company/Institution *

Relationship with named referee *

Position *

Mobile Number *

Email *

Section G: Professional Association/Affiliation

Professional Association or AffiliationYesNoe.g. GBA, ACCA etc.

Name of association *

Membership ID

Association Phone

Association Email

Section H: Residential Status (be guided by Note 8)

House No. *

Street name

Town

Region

Popular Landmark in your Area

GhanaPostGPS/ Digital Address *

Residential Status *HomeownerTenantOther

Other *

Upload proof of address *

No file chosen

Proof of Address provided: a) Rent Agreement (your name and signature should be visible) b) Ownership document (should bear your Name & Address). Accepted file types: jpeg, docx, pdf, Max. file size: 1 MB.

Have you been at your current address for more than 3 yearsYesNo

Previous Address

House No./Digital address *

Street name

Town

Region

Popular Landmark in your Area

GhanaPostGPS/ Digital Address *

Residential Status *HomeownerTenantOther

Other *

Section I: Guarantor Details

Financial Guarantor

Full Name *Guarantor's Full Name

Date of birthGuarantor's date of birth

Guarantor's ID Type *

Guarantor's ID Number *

Upload Guarantor's ID *

No file chosen

Accepted file types: jpeg, docx, pdf, Max. file size: 1 MB.

Family Guarantor (From Hometown)

Full Name *Family guarantor's full name

Date of birthFamily guarantor's date of birth

Family guarantor's ID type *

Guarantor's ID Number *Family guarantor's ID Number

Upload Family guarantor's ID *

No file chosen

Accepted file types: jpeg, docx, pdf, Max. file size: 1 MB.

Section J: Conflict of Interest (Direct & Indirect) - be guided by Note 7

Are you affiliated to any other Company/Organization? *YesNo

Affiliation details

a) What is the name of the entity?

b) What is the Business Registration No. of the entity e.g (BNxxx... or PNxxx...)?

c) What ownership interest do you have in that entity (in percentage of Shares)?

d) What position do you hold in that entity?

e) What are the Objects of the company named in (a)? *

f) Does the entity belong to a parent/Holding Company? *YesNo

Parent/Holding Company details

i. What is the name of Parent/Holding company? *

ii. Provide the names of the other subsidiaries under the Holding Company. *

Are any of your immediate family affiliated to any other entity? *YesNo

Family Member Affiliation

a) Name of Family Member *

b) Your relationship to this person *

c) Person’s TIN *

d) What is the name of the entity? *

e) What is the Business Registration No. of the entity e.g (BNxxx... or PNxxx...)?

f) What position does your relative hold in that entity? *

g) What ownership interest does your relative have in that entity (in percentage of Shares)? *

Does the entity belong to a Parent/Holding Company? *YesNo

Parent/Holding Company details

i. What is the name of Parent/Holding company? *

ii. Provide the names of the other subsidiaries under the Holding Company. *

Section K: Criminality Check

Upload file *

No file chosen

Upload a copy of the Receipt from the Police Fingerprinting unit.

Section L: Consent/Authorization Form (hand-scribbled signature required)

Upload file *

No file chosen

Upload a scanned copy of the completed and signed Authorization/Consent Form

Important Guidelines

All fields marked with asterisk (*) are required/mandatory.

For your current employer, use your employment details and today’s date as your “exit” date for the purposes of the form. You can indicate that you are still at post in the field, “Reason for Leaving”.
Please ensure that you have all supporting documents (such as Certificates, copies of ID etc) in soft copy (be mindful of the file size and type requirements for the uploads) to be uploaded at the appropriate sections.
Please note that if you work(ed) for an Agency/Recruitment Company, then that Agency is your employer, not the host company.
Referees (Section F) should preferably be former line managers and superiors from previous employment if any. Please note that family members cannot be used as referees.
Please notify your referees that you have chosen them to provide your reference and should expect to be contacted. If this is your first employment, former Lecturers could be used.
Please provide your TIN where requested. For our purposes, do not replace it with the Ghana Card Number (as per GRA). Indicate “NA” if you have never been issued a TIN.
Section J – Conflict of interest: Please provide the required details of any company you are interested in. These include Sole Proprietorships, Limited Liability Companies, and Companies Limited by Guarantee/Charities etc, (Registered or Unregistered). The only exception is publicly listed companies that you may have shares in.
Under Section H: Requires address details and GhanaPost GPS. Proof of Address attached should be 1 or more of the following: a. Rent Agreement (your name, address and signature should be visible) b. Ownership document (should bear your Name & Address) c. In case, you are not named on any of the 2 documents above, please show relationship to the named person on the document (e.g. husband/wife; parent etc)
Section K: Upload a copy of the receipt from the Police fingerprinting unit
Section L: Upload a scanned copy of a fully completed and signed Consent Form. A proper hand-scribbled signature is required.
Submit forms