I, [Practitioner Name], authorise Manas360 Mental Wellness Pvt. Ltd. (MyAyushClinic) to conduct background verification as part of onboarding, in accordance with applicable law including DPDPA 2023.
Verification may include: (a) educational and professional qualifications; (b) AYUSH professional registration and licensing (NCISM/CCIM / State AYUSH Board); (c) criminal background via legally accessible records; (d) previous engagement verification; (e) reference checks; (f) identity via Aadhaar, PAN, or government ID.
I understand that verification is mandatory for onboarding; that MyAyushClinic will implement reasonable safeguards; that discrepancy or misrepresentation may result in rejection or termination; that results are kept confidential and used solely for onboarding; and that I may dispute findings within 7 days.
Practitioner Name:
Date: · Signature / Aadhaar OTP:
— DRAFT V1.0 · PENDING LEGAL REVIEW —