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Agency Validation Form
Employer Details
Legal Name of the Company (Inc/LLC/Partnership):
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Company Fed Id:
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Account Manager / Recruiter's name:
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Company Address:
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Contact No (prefixed with country code)
Eg: +1-248 285 5660:
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Account Manager email ID:
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Candidate Full Name:
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Candidate Skill set:
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Candidate Phone No:
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Candidate Email ID:
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If the consultant is on H1B Visa, Name of the firm holding H1B (Valid I-797 need to be shown as proof)
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Will the consultant be available for in-person interview?
Desired Hourly/Monthly(Corp-to-Corp) Rate:
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Invoicing : Payment Terms (30: 30)?
Do you have Workers Compensation & Employers Liability Insurance?
Do you have General Liability Insurance ?
By submitting this form, I certify information provided above is true and complete and I authorize verification of all information..*
   
* mandatory fields
 
 
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