I, hereby, authorize Confiz to contact directly or through some other agency. The person I have listed above as reference, to disclose any information they may have regarding my qualification for employment, including but not limited to employment dates description of jobs performed, salary and wage rates and personal attributes.I agree to release and discharge Confiz., its successor, employees, officers, partners and any agency as well as any personu I have listed as reference for all claims, liabilities and cause of action, known or unknown, fixed or contingent for providing or receiving any information regarding my qualification for employment. The release includes, but is not limited to claims of defamation, libel, slander, negligence of interference with contact or profession.I realize that any falsification in this application form holds me liable for disqualification / dismissal from the employment.
