Joining Report

Section 1: PERSONAL DETAILS

Employee Code:

First Name Middle Name Last Name

Employee Name:

(Please mention your name in block letters as mentioned in your PAN card in the same order )

Date of Joining: / /
DD / MM / YYYY
Designation: _________________________________________ Gender: M F

Role Band: Department/ Division:

Head Quarter: Business Unit:

Birth Date (DD/MM/YY) / /

DD / MM / YYYY

Date of Marriage (if married) / /

DD / MM / YYYY

Father’s Name: ………………………………………..Date of Birth…………….……………

Mother’s Name: ……………………………………….Date of Birth…..…………………….

Spouse’s Name:………………………………………..Date of Birth……………………..……

Section 2: Bank Account Details (Mandatory)

Bank Name & Address: Name as on Account Number
Account Number
IFSC Number

Section 3: Permanent Address

Section 4: MEDICLAIM POLICY (for In-patient treatment)

Dr. Reddy’s Laboratories Ltd offers medical insurance policy for covering the expenses related
to hospitalization of the employee/ dependent family members.

The medical insurance coverage will continue to be Rs.3,00,000 for FY’15-16. There is no
contribution for self coverage. You will have an option to cover your spouse, children and
dependent parents/in-laws (upto age of 80 years) by making a subsidized contribution towards
the premium. In case you have claimed medical insurance for a parent/in-law in the last cycle
there will be an additional contribution for the particular parent.

The salient features of the policy will be :

• Maximum permissible limit of INR 2 Lacs for the dependent parent /in- Law within the
overall coverage of INR 3 Lacs
• Co-payment of 10% of the expenses incurred towards the treatment of dependent
parent/in -Law
• Insurance coverage applicable from Day One of enrollment
• Policy will cover :
 Pre-existing diseases
 Maternity benefits
 Hospitalization exceeding 24 hours at a stretch

The premium for availing this Mediclaim policy during the period 1st Sep’15 – 31st Aug’16 is as
mentioned below. Please tick for the members you wish to get cover under this policy.

 Contribution for the self - Nil

 Contribution for the spouse - Rs. 1,500/-
 Contribution per child - Rs. 1,500/- each [ One Two ]
 Contribution per parent * - Rs. 5,500/- each [ Father Mother ]
(OR)
 Contribution per In Law * - Rs. 5,500/- each [Father-In-Law Mother-In-Law ]

I hereby authorize the company to recover the premium from my salary as per the company
policy.

Father’s Name: ………………………………..Date of Birth…………….……………Age:…

Mother’s Name: …………… …………………Date of Birth…..……………………. Age:…

Spouse’s Name :……………………………….Date of Birth……………………..……Age:…

Child 1 - Name & Gender …………………………………Date of Birth……………………..

Child 2 - Name & Gender ……………………………………..Date of Birth…………………..

Father -In-Law’s Name: ………………………Date of Birth…..…………………….Age:…

Mother-In-Law’s Name:………………………Date of Birth…..…………………….Age:….

In case of any clarifications/queries, please write to sumansg@drreddys.com/ 8008555112

* Contribution per Parent/ in- law if claimed in last one year will be INR 6,500/- each
Section 5: CONTRIBUTIONS

(a) EMPLOYEE’S BENEVOLENT FUND: The employees of Dr. Reddy’s Laboratories

Ltd would contribute an amount of Rs.30/-per month towards the benevolent fund. A sum of
Rs.3, 00,000/- (Rupees three lakh) will be paid from the fund to the nominee of the deceased
employee. This amount is directly deducted from the salary and is remitted to Dr. Reddy’s
Laboratories Ltd. Employees’ Benevolent Fund Scheme.

(b) SALARY DEDUCTION TOWARDS Naandi : Naandi is an organization which is

making efforts to alleviate poverty from the lives of over 350 million extremely poor citizens of
India. www.naandi.org. Your contribution of Rs 10 can assure free, quality healthcare to
underprivileged children. It can feed a child, or multiples of Rs 10 - Rs 100, 1000, 10,000 or
1,00,000 can change the face of a village's drinking water problem. There is more to charity than
just financial help. We are actively looking for volunteers in Hyderabad to help with our Child
Rights portfolio. Email csc@naandi.org if you want to volunteer. www.naandi.org

Please indicate your choice of deduction below

Do not wish to donate
Rs.10/- (Rupees ten only) every month.
Rs. _____/- (Rupees _________________________________only) every month.
In addition to the above, I would like to contribute more to the foundation. The concerned
foundation official may get in touch with me.

Section 6: POLICIES
Code of Business Conduct and Ethics (COBE)
Ombudsperson Procedure

The Chief Compliance Officer

Dr.Reddy’s Laboratories Limited,
Door No.8-2-337, Road No.3, Banjara Hills,
Hyderabad - 500034. Andhra Pradesh

This is to acknowledge that I have received a copy of the of the Company’s Code of Business
Conduct and Ethics along with Ombudsperson Procedure.

I understand that the Company is committed to a work environment free of discrimination,

retaliation or harassment of Employees who have reported violation or potential violation of
Code of Business Conduct and Ethics to the company.

I certify that I am not now in violation of any of the principles set forth in the Code of Business
Conduct and Ethics nor I am aware of any such violations.

I further agree that if I have any concerns that are related to a violation or potential violation of
the Code of Business Conduct and Ethics, I will immediately report the same to my supervisor
or the manager or the Chief Compliance Officer of the Company in accordance with the
provisions of Ombudsperson Procedure.
Conflict of Interest

I am please to affirm that I have read the Policy on “Conflict of Interest” of our Company and
have thoroughly discussed its contents with my department head. I fully understand and shall
adhere to this Policy.
I have no knowledge of any violation of the Conflict of Interest policy other than those
mentioned, if any, which I have already disclosed to my superior.
If I should acquire knowledge of any violation of the Conflict of Interest policy, I shall
immediately report to the department / division head of the Company.

I understand that the failure on my part to adhere to the Conflict of Interest policy will subject
me to reprimand, demotion or dismissal

Undertaking for Non poaching

I as an employee of Dr. Reddy’s Laboratories Limited in the event of separation with the
company for whatsoever reasons should not directly or indirectly, through alliance or partnership
and/or proxy, make any attempt to solicit or offer employment to any of the employees of Dr.
Reddy’s Laboratories Limited recognizing the fact that such soliciting will break the teamwork
causing loss of substantial revenues which otherwise would result in creation of the said
proprietary rights to the company.
I further undertake and confirm that I shall abide by the undertaking stated here in above
voluntarily and without limitations, whatsoever, which has been given under my free will.

Personal Information As required under INFORMATION TECHNOLOGY ACT 2000

I__________________________________________, confirm that I am voluntarily sharing my

Personal Information with Dr.Reddy’s Laboratories Limited for the following purposes:

a) Validating my Curriculum Vitae and retaining records on the same for any future
reference/verification;
b) Processing my job application including background verification checks and medical
checks;
c) Employment-rated actions including record keeping, processing compensation and
benefits and any action required in the context of my employment with Dr.Reddy’s
Laboratories Limited.

In this context, I also agree to the retention of such Personal Information by Dr.Reddy’s
Laboratories Limited for any future reference/verification and authorize Dr.Reddy’s
Laboratories Limited to transfer the same to a third party.

I understand that Personal Information means any information relating to me that is available to
Dr.Reddy’s Laboratories Limited and is capable of identifying me.
Declaration by the Employee
I certify that the information given above in support of my joining Dr. Reddy’s Laboratories Ltd on _____________ is
true to the best of my knowledge. I hereby agree to the Code of Business Conduct and Ethics, Conflict of Interest, Non-
Poaching Undertaking, Personal Information and Contribution to the funds mentioned in Section 5 authorizing the
company to make the necessary deductions as per the information provided above.
Name: …………………………………………. …………..Place ………………………

Date……………… Signature …………………………..

Signature of the HR Representative

Section 7: Emergency Contact Information

Employee Name : ______________________

IN CASE OF AN EMERGENCY:

Primary Contact:_________________________ Relationship:_____________________

Primary Address:_________________________________________________________

Phone No. ______________________________________________________________

Home Work Cellular

Secondary Contact:________________________ Relationship:___________________

Secondary Address:_________________________________________________________

Phone No. ______________________________________________________________

Home Work Cellular

Section 8: Pan Details

PAN Details:

If you are not having PAN/ not yet applied for the same, please apply for PAN and submit
your PAN along with a copy of your PAN card to HR at the earliest.
As per section 206AA introduced by Finance (No. 2) Act, 2009 effective April 01, 2010, PAN is
mandatory for Processing any Payment. In case any Payment is processed without PAN, TDS
@20% will be recovered and then paid. Hence effective 1st, April 2010 onwards TDS @ 20%
would be deducted while Processing Salary of employees without PAN. Pl. note that any such
deduction once made cannot be adjusted against the future tax and the employee would have to
claim refund of such amount at the time of filing Income Tax returns.
I have read and understood the above para regarding the requirement of PAN for processing any
payment. I will apply for the same and will inform to HR.

Signature: Date:

Name:
Section 9: Nomination

[vide rule 6(1) of A.P. Payment of Gratuity Rules & Payment of Gratuity (Central) Rules, 1972]

To
Dr. Reddy’s Laboratories Limited
7-1-27, Ameerpet
Hyderabad – 500 016.

1. I, Sri / Smt / Kum ___________________________________________________

whose particulars are given in the statement below, hereby nominate the person(s)
mentioned below to receive the gratuity payable after my death as also the gratuity standing
to my credit in the event of my death before that amount has become payable, or having
become payable has not been paid and direct that the said amount of gratuity shall be paid in
proportion indicated against the Name(s) of the nominee(s).
2. I here by certify that the person(s) mentioned is a/are member(s) of my family within the
meaning of clause (h) of section 2 of the Payment of Gratuity Act, 1972.
3. I here by declare that I have no family within the meaning of clause (h) of section 2 of the
said Act.
4. (a) My father/mother/parents is/are not dependent on me.
(b) My husband’s father/mother/parents is/are not dependent on my husband.
5. I have excluded my husband from my family by a notice dated the ____________ to the
Controlling Authority in terms of the proviso to clause (h) of section 2 of the said Act.
6. Nomination made here in invalidates my previous nomination.

NOMINEE (S)

Name in full with full address of Relationship with Age of Proportion by which
nominee (s) the employee nominee Gratuity will be shared

(1) (2) (3) (4)

 STATEMENT

1. Name of the employee in full…………………………………………………….

2. Sex …………………………………………………….
3. Religion …………………………………………………….
4. Whether
unmarried/married/widow/widower…………………………………………………….
5. Department/Branch/Section where employed ………………………………..…………...
6. Post held with Ticket or Serial No. if any ………………………………………………….
7. Date of Appointment ………………………………………………….
8. Permanent Address:
Village ……………………………………………. Thana …………….…………
Sub-division ……………………………………… Post Office
…………………………………
District ……………………………………………. State
…………………………………………

Place :
-------------------------------------------------------
Date : Signature / Thumb impression of the employee

DECLARATION BY WITNESSES
Nomination signed / thumb impressed before me.
Name in full and full address of witnesses Signature of Witnesses
1.

2.

Place :
Date :

CERTIFICATE BY THE EMPLOYER

Certified that the particulars of the above nomination have been verified and recorded in this

establishment. Employer’s Reference No. if any, Sign.

Of the employer/officer authorized.

Date: _____________________ Designation___________________

Name and address of the establishment or Rubber stamp there of

ACKNOWLEDGEMENT BY THE EMPLOYEE

Received the duplicate copy of nomination in form ‘F’ filed by me duly certified by the employer.

Date: _____________________
-----------------------------------
Signature of the employee
Resignation Letter W.e.f. / /2010
 Resignation Letter W.e.f ___________

From,

__________________________

__________________________

To,

Reporting Manager’s Name _______________________________________

Designation____________________________________________________

Mobile No. _____________________ Email Id. _____________________

Company address ________________________________________________

______________________________________________________________

Company phone no. ___________________ Company fax no. ___________________

Sub: Resignation from the services.

Dear Sir,

With reference to above subject, I would like to inform you that due to some personal
reason I am not in a position to continue my services in your organization and here by submit
my resignation from the company. Please relieve me from the services.

Thanking you,

Yours Faithfully,

_________________

Date: ___/___/____