Joining Form
Joining Form
Previous company details (Mandatory for experience joiner/not applicable for freshers)
Joining in DXC as Fresher/Experienced Experienced
Previous company name
Joining date in previous company
Previous employment designation
Date of leaving/LWD in previous company
Resignation submitted to (HR/Manager)
Resignation submitted on
Have received the LWD confirmation letter No
Reason for if not receiving the relieving letter
ESIC details (mandatory for candidates whose Annual Fixed Pay is less than or equal to INR 280000)
ESIC Insurance No. (If available previously)
Employer’s Code No (If available)
Name & address of the Employer E-mail Address
(If available and applicable)
Name & Address of the Employer (DXC entity
name and Address)
Details of Nominee u/s 71 of ESI Act 1948/Rule 56(2) of ESI (Central) Rules, 1950 for payment of cash benefit in the event of death.
Name Relationship Address
KYC Details:
6
a) Bank Account No. & IFS Code
7
First EPF MemberEnrolled First Employment EPF Are you EPF Member If Yes, EPF Amount After Sep 2014 earned EPS
If Yes, EPS (Pension) (Pension) Amount Withdrawn
Date Wages before 01/09/2014 Withdrawn?
Amount Withdrawn? before Join current Employer?
7
No
I, the undersigned, hereby certify and confirm that the information provided above are true to the best of my
knowledge and have reported to work on the above date.
Place
Date
Signature of Employee
New Form No.-11 — Declaration Form
(To be retained by the employer for future reference)
EMPLOYEES' PROVIDENT FUND ORGANISATION
Employees' Provident Funds Scheme, 1952 (Paragraph 34 & 57) & Employees' Pension Scheme, 1995 (Paragraph 24)
(Declaration by a person taking up employment in any establishment on which EPF Scheme, 1952 and /or EPS, 1995 is
applicable)
1 Name of the member (Aadhar Name)
Father’s Name ✔ Spouse's Name
2 (Please tick whichever applicable)
3 Date of Birth: (dd/mm/yyyy)
4 Gender: (Male / Female / Transgender)
5
Marital Status: (Single/Married/Widow/Widower/Divorcee)
(a) eMail ID:
6
(b) Mobile No (Aadhar Registered) +91
7 Whether earlier member of the Employees' Provident Fund Scheme, 1952
8 Whether earlier member of the Employee's Pension
Scheme, 1995 ?
Previous employment details: (If yes, 7 & 8 details above)
(a) Universal Account Number (UAN)
(b) Previous PF Account Number
No
UNDERTAKING
1) Certified that the particulars are true to the best of my knowledge.
2) I authorize EPFO to use my Aadhar for verification / authentication / eKYC purpose for service delivery.
3) Kindly transfer the funds and service details, if applicable, from the previous PF account as declared above to the present P.F. Account.
(The transfer would be possible only if the identified KYC detail approved by previous employer has been verified by present employer using his Digital Signature Certificate)
4) In case of changes in above details, the same will be intimated to employer at the earliest.
Place
Date
Signature of Member
DECLARATION BY PRESENT EMPLOYER
A. The member Mr./Ms./Mrs. …………………………………. Has joined on ………………………… and has been allotted PF Number …………………………
B. In case the person was earlier not a member of EPF Scheme, 1952 and EPS, 1995: ((Post allotment of UAN) Then UAN alloted of the member is
Please Tick the Appropriate Option:
□ Have not been uploaded
C. In case the person was earlier a member of EPF Scheme, 1952 and EPS, 1995:
□ The KYC details of the above member in the UAN database have been approved with Digital Signature Certificate and transfer request has
been generated on portal
□ As the DSC of establishment are not registered with EPFO, the member has been informed to file physical claim (Form-13) for transfer of funds from his
previous establishment
Name:
Address: ,
Date of Birth:
Gender:
Nominee Details
(If more than One Nominee is there, please use the Back of the page to record the same)
Name:
Address:
Name
This Website contained herein are confidential and Proprietary to the company. Unauthorized reproduction or distribution of this
website content or any portion of it will result in severe civil and criminal penalties, and will be prosecuted to the maximum extent
possible under the law.
Declaration of the Member
I declare that all the information given by me in this application is true and I have not withheld any material fact, which is within my
knowledge. I consent to Bajaj Allianz Insurance (the “insurer”) seeking medical information from any doctor who has
attended me at any time concerning my mental or physical health or seeking information from the Company / Group above named
for verification of these details given above and I authorize the giving of such information or any changes in the same.
I agree and confirm that these statements and this declaration are the basis of the contract between the insurer and the Company /
Group. If any untrue statements are contained herein or there has been any non-disclosure of any material fact, the Policy to be
issued by the Insurer in the name of the Company / Group may be treated as void as far as I am concerned.
I confirm that I have read and understood, the Rules of the Group Term Insurance Scheme and the Standard Policy Provisions that
govern the Policy to be issued by the Insurer in the name of the Company / Group and on my life, and I agree and confirm that the
same shall be binding on me.
I authorize the Company / Group to disclose to the Insurer such particulars as they may require including the details given above and
any changes to the same, pay the premium payable on my behalf / collected from me to the Insurer, to file claims on behalf of my
nominee/s, to receive and give valid discharge for the amounts paid by the Insurer to the Company / Group on behalf of my nominee/s
towards Claim and to distribute the amounts received by the Company / Group to my nominee/s.
Place :
Date : (Signature of Member)
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In case the life to be insured is an illiterate:
His/her thumb impression should be attested by a person of standing whose identity can be easily established, but unconnected
with the Insurer and this declaration should be made by him.
‘I hereby declare that I have explained the contents of this form to the life to be insured in language and that the life to be insured
has fixed the thumb impression above after fully understanding the contents thereof.’
Prohibition of Rebates
1. No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or
continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of
the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or
continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectus
or tables of the Insurer.
2. Any person making default in complying with the provisions of this section shall be punishable with fine which may extend
to five hundred rupees.
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This Website contained herein are confidential and Proprietary to the company. Unauthorized reproduction or distribution of this
website content or any portion of it will result in severe civil and criminal penalties and will be prosecuted to the maximum extent
possible under the law.
General Nomination Form
I, Mr./Ms.……………………………………………………………
S/D/H of Mr./Ms.………………………………………... Working with EIT Services India Private Limited
(formerly known as Hewlett-Packard Globalsoft Private Limited),
since…............................... and residing at ,
....................................................................................................................................................................................
Do hereby nominate the person(s) mentioned below to receive any dues including unpaid salary, leave
encashment, incentives, bonus, insurance benefits, any voluntary contributions from company or it’s employee’s
and final settlements etc., payable to me after my death, be paid to the nominees in the proportion indicated against
their name(s) here below.
I also, hereby authorize the Company to make necessary adjustments of dues payable by me in my absence from
my final settlement and pay the dues if any pay able to me, to my nominees as indicated.
Nominee Details
Share % age of
Relationship
Name & Address of the Nominee (In case of Age in accumulation/dues
S.No. to the
minor, indicate Guardian name) Years payable to each
Employee
nominee
1 ,,
2 ,,
3 ,,
Location:
Date: Employee Signature:………………………………………
Attestation by Witness:
Certified that the particulars of the above nomination have been verified and recorded in this establishment
This Website contained herein are confidential and Proprietary to the company. Unauthorized reproduction or distribution of this
website content or any portion of it will result in severe civil and criminal penalties and will be prosecuted to the maximum extent
possible under the law.
Payment of Gratuity (Central) Rules FORM 'F'
See sub-rule (1) of Rule 6
Nomination
(Give here name or description of the establishment with full address)
To,
I, Shri/Shrimati/Kumari 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 hereby certify that the person(s) mentioned is/are a member(s) of my family within the meaning of clause
(h) of Section 2 of the Payment of Gratuity Act, 1972.
3. I hereby declare that I have no family within the meaning of clause (h) of Section 2 of the said Act.
Nominee(s)
S.No Name in full with full address of nominee(s) Relationship with the Age of Proportion by which the
employee nominee gratuity will be shared
1.
2.
3.
4.
Statement
1. Name of employee in full
2. Sex
3. Religion
4. Whether unmarried/married/widow/widower
5. Department/Branch/Section where employed
6. Post held with Ticket No. or Serial No., if any
7. Date of appointment
8. Permanent address: ,
Village Thana Sub-division
Post Office District State
Place:
Signature/Thumb-impression of the
Employee
Date:
Declaration by Witnesses
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2. 2.
Place:
Date:
Certified that the particulars of the above nomination have been verified and recorded in this establishment.
Employer's Reference No., if any Signature of the employer/Officer authorised
Designation
Received the duplicate copy of nomination in Form 'F' filed by me and duly certified by the employer.
5. Marital
Status
6. Account
No.
,
Present Home
Address
,
Permanent Home
Address
8. Date of
joining
PART – A (EPF)
I hereby nominate the person(s) /cancel the nomination made by me previously and nominate the person(s) mentioned below to
receive the amount standing to my credit in the Employees’ Provident Fund in the event of my death :
1 ,
2 ,
3 ,
5
1 * Certified that I have no family as defined in para 2(g) of the Employees’ Provident Fund Scheme, 1952 and should I acquire a Family hereafter,
the above nomination should be deemed as cancelled.
2 * Certified that my father/mother is/are dependent upon me.
I hereby furnish below particulars of the members of my family who would be eligible to receive widow/children pension in the event of my death.
** Certified that I have no family, as defined in para 2(vii) of Employees’ Pension Scheme, 1995 and should I acquire a family hereafter I shall furnish
particulars there on in the above form.
I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 2(a)(i) and (ii) in the event of my death
without leaving any eligible family member for receiving Pension.
S.No Name and address of the nominee Date of Birth Relationship with the
member
1 2 3
1
Date :
Signature or thumb impression of the subscriber
Certified that the above declaration and nomination has been signed/thumb impressed before me by
entries/entries have been read over to him/her by me and got confirmed by him/her.
Designation
Dated the
Name & Address of the Factory/
Establishment or Rubber Stamp Thereon
DECLARATION FORM
Form-1 Emp id :
To be filled in by the employee after reading instructions overleaf. Two Postcard size photographs are to be attached with this form. This form is free of cost
6 Sex
7 Present Address 8 Permanent Address 12 In case of any pervious employment please fill up the details as
under : -
a) Previous Ins. No.
1
2
ESI Corporation Temporary Identity Card (Valid for 3 months from the date of appointment)
Name
Employee id
Ins No.
Dispensary
(Space for Photograph)
Date of Appointment
Branch office
Employer's Code No. & Address
Validity :
❖
Dated : Signature / T.I. of I.P Signature of B.M. with seal
U.S. Export Controls on Technology Transfer: EIT Services India Private Limited Employee Letter of Assurance
Instructions: If the person you are hiring is NOT a VTH Restricted Country national, you must ask the employee
to sign the following “Letter of Assurance”. If the person you are hiring is a VTH Restricted Country National, follow
the instructions in the VTH Hiring process.
I acknowledge that during my work for EIT Services India Private Limited I may, directly or indirectly receive or
access software and/or technical data which EIT Services India Private Limited has classified according to the
U.S. Commerce Control List (CCL) as eligible for export under license exemption “Technology and Software Under
Restriction” (TSR) to all destinations except those listed below.
I agree not to export or re-export this software and/or technical data or any direct product based on this software or
technical data without proper U.S. government authorization to destinations not eligible for exports under license
exemption TSR.
According to current U.S export regulations the following countries are not eligible for exports under license exemption
TSR. This list is subject to change without notice.
Armenia
Azerbaijan
Belarus
Cambodia
Cuba
Georgia
Iran
Iraq
Kazakhstan
Kyrgyzstan Republic
Laos
Libya
Macao (Macau)
Moldova
Mongolian People's Republic
North Korea
People's Republic of China (PRC)
Russia
North Sudan (Khartoum)
Syria
Tajikistan
Turkmenistan
Ukraine
Uzbekistan
Vietnam
This Website contained herein are confidential and Proprietary to the company. Unauthorized reproduction or distribution of this
website content or any portion of it will result in severe civil and criminal penalties, and will be prosecuted to the maximum extent
possible under the law.
U.S. Export Controls on Technology Transfer: EIT Services India Private Limited Letter of Assurance
Instructions: If the person you are hiring is NOT a VTH Restricted Country national, you must ask the employee
to sign the following “Letter of Assurance”. If the person you are hiring is a VTH Restricted Country National, follow
the instructions in the VTH Hiring process.
I acknowledge that during my work for EIT Services India Private Limited I may, directly or indirectly receive or
access software and/or technical data which EIT Services India Private Limited has classified according to the
U.S. Commerce Control List (CCL) as eligible for export under license exemption “Technology and Software Under
Restriction” (TSR) to all destinations except those listed below.
I agree not to export or re-export this software and/or technical data or any direct product based on this software or
technical data without proper U.S. government authorization to destinations not eligible for exports under license
exemption TSR.
According to current U.S export regulations the following countries are not eligible for exports under license exemption
TSR. This list is subject to change without notice.
Armenia
Azerbaijan
Belarus
Cambodia
Cuba
Georgia
Iran
Iraq
Kazakhstan
Kyrgyzstan Republic
Laos
Libya
Macao (Macau)
Moldova
Mongolian People's Republic
North Korea
People's Republic of China (PRC)
Russia
North Sudan (Khartoum)
Syria
Tajikistan
Turkmenistan
Ukraine
Uzbekistan
Vietnam
EMPLOYEE COPY
This Website contained herein are confidential and Proprietary to the company. Unauthorized reproduction or distribution of this
website content or any portion of it will result in severe civil and criminal penalties, and will be prosecuted to the maximum extent
possible under the law
EIT Services India Private Limited Compliance with Export and Import Regulations
Because EIT Services India Private Limited is a U.S.-based international company, our products and services are
subject to the export and import laws and regulations of all countries in which we do business. It is EIT
Services India Private Limited’s policy to comply with these laws, to actively pursue business opportunities within
these rules, or to work within the system to change them. Ultimately we depend on each employee to protect the
trading privileges that our company currently enjoys.
Each EIT Services India Private Limited employee is responsible for complying with U.S. export regulations and other
national export laws. Processes must be in place to ensure that EIT Services India Private Limited does not
conduct any business transaction with an unacceptable risk for diversion. Such risks include exporting or re-
exporting to an embargoed and sanctioned country, an individual or company on the Government Restricted Parties
List, or to a proliferation activity.
It is also the responsibility of each employee to comply with the national import laws of the countries into which EIT
Services India Private Limited imports material. This includes laws administered by U.S. Customs and Border
Protection as well as those of other government agencies that regulate imported goods.
Each supervisor and manager must ensure that employees understand and comply with export and import regulatory
requirements that impact their responsibilities. EIT Services India Private Limited employees engaged in export or
import compliance related activities are required to complete the Export CBT or Customer CBT as appropriate to their
specific job functions. EIT Services India Private Limited managers are expected to identify employees with trade-
related job functions and ensure that these employees take the training within three months of assuming their
export and/or customs compliance-related job. As a refresher, employees should retake this training at least once
every three years. Further information can be obtained by reviewing the Global Trade Export and Customs
Training (Minimum Requirements) guidelines. Failure to comply with the export and import laws may result in fines,
loss or restriction of export or import privileges, adverse publicity for the company, or termination of employment.
Further, intentional violation of these laws may be a criminal offense. Any appearance of non-compliance with the
trade laws should be reported promptly to local management and Global Trade.
……………………………….
Signature
Date………………………….
This Website contained herein are confidential and Proprietary to the company. Unauthorized reproduction or distribution of this
website content or any portion of it will result in severe civil and criminal penalties, and will be prosecuted to the maximum extent
possible under the law.
UNDERTAKING ON COMPLIANCE WITH PRIVACY OBLIGATIONS AND SHARING OF INFORMATION
I acknowledge and fully understand that EIT Services India Private Limited is committed towards safeguarding the
privacy and personal information of all its employees, customers and any other individual that it may be engaged with
and that EIT Services India Private Limited has in place suitable policies towards securing this compliance. I hereby
unconditionally confirm to comply with and abide by the requirements of these policies.
I hereby authorize EIT Services India Private Limited, including its subsidiaries, affiliated companies, officers,
directors, managers, shareholders, agents, employees, attorneys, representatives and assignees, and the
employees, agents, attorneys, officers and directors of each of them (collectively “Authorized Parties”), and any other
third party acting on the Authorized Parties behalf in accordance with local laws, to request and receive information
and records concerning me, in either hard copy or electronic formats, which may include, but will not be limited to,
identification, criminal history, driving, employment, military, educational records or other information required by
EIT Services India Private Limited’s policies or consistent with EIT Services India Private Limited's regular
background screen processes and procedures.
I further acknowledge that any personal or sensitive personal information or data provided by me to the Authorized
Parties in the course of my employment at EIT Services India Private Limited, may be used by EIT Services India
Private Limited for the activities and purposes relating to my employment at EIT Services India Private Limited. I
authorize EIT Services India Private Limited to transfer such personal or sensitive personal information or data to a
third-party in India or abroad to the extent required to enable such third-party to perform employment-related services
for EIT Services India Private Limited.
Signature:
Name:
Date:
This Website contained herein are confidential and Proprietary to the company. Unauthorized reproduction or distribution of this
website content or any portion of it will result in severe civil and criminal penalties, and will be prosecuted to the maximum extent
possible under the law.
DECLARATION
To
The Manager-HR
This is to bring to your notice that I am familiar with the nature of the business of the company and understand
that my job might involve working in different shifts, which includes night shifts (from 6:00 PM on the day to 8:00
AM on the next working day).
This was covered to me in the appointment letter whose terms I have read and understood and have agreed to by
affixing my signature.
Signature: …………………………………...
Name: ………………………………………..
Date: …………………………………………
This Website contained herein are confidential and Proprietary to the company. Unauthorized reproduction or distribution of this
website content or any portion of it will result in severe civil and criminal penalties, and will be prosecuted to the maximum extent
possible under the law.
Employee Name:
To
The Manager – Human Resource
EIT Services India Private Limited (formerly known as Hewlett-Packard Globalsoft Private Limited)
India.
reasons. I hereby undertake to furnish a copy of the Relieving Letter to you immediately upon receipt of the same.
I am not in direct or indirect employment with any other company / organization and I am not bound by
any agreement/bond restricting me to undertake any other employment and I am entitled to undertake a full-
time employment, as per the terms and conditions of employment dated with
EIT Services India Private Limited (formerly known as Hewlett-Packard Globalsoft Private Limited).
Employee No allotted:
This Website contained herein are confidential and Proprietary to the company. Unauthorized reproduction or distribution of this
website content or any portion of it will result in severe civil and criminal penalties, and will be prosecuted to the maximum extent
possible under the law.