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Letter of Authorization - Background verification

I hereby certify that all the statements made in this Letter of Authorization ("LOA") are true and are
given by me out ofmy own free will.

I hereby confirm and agree that any submission of false or misleading information will ent!tle
Cognizant Technology Solutions India Pvt Ltd ("Cognizant") to terminate my employment forthwith.

I state that Cognizant may request a credit and/or background check from a credit reporting agency or
related service and I understand that I have a right to make a written request within a reasonable time
for the disclosure of the name and address of the credit-reporting agency so that I may obtain a complete
disclosure of the nature and scope of any investigation.

I also hereby authorize Cognizant to disclose the personal information and/or sensitive personal
information ('Personal Information') listed below to its empaneled vendors located in India for
conducting mandatory background checks for employment opportunities with Cognizant.

List of Personal Information (Government issued identity document) collected from me:
l. Passport
2. Aadhar
3. Voter ID
4. Universal Account Number (UAN - Employee Provident Fund)

I understand that the records will be used only for such purposes arising out of my employment and
will not be given to any unauthorized person.

I hereby authorize Cognizant and/or its agents to conduct any reference check, criminal background
check in any jurisdiction across globe and background verification so that the hiring decision may be
evaluated at any point of time.

I hereby agree that during the course of the reference checks and background verifications, my
previous/current employers' details will be verified by Cognizant empaneled vendors on EPFO portal
via UAN. Also, if required my previous employers or such persons contacted for checks and
verifications may be informed that the reference checks and background verification are done on behalf
of Cognizant.

I hereby authorize Cognizant to share the reference checks and background verification reports to such
third party as may be required for audit and other reasonable purposes.

In the that C~gnizant is unable to verify any reference stated in this application, it is my
respons1b1hty to furnish the necessary documentation.
l
I

I understand that this application or subsequent employment does not create a contract of employment
nor guarantee employment for any definite period of time.

I have read and understood the content of the Associate Privacy Notice ('APN') provided to me during
the on boarding process and have accepted the same. I also understand that the APN forms an integral
part of this Letter of Authorization. (Note: Please contact your recruitment manager for assistance in
case you would need to read the APN again before submitting this LOA)

I acknowledge that my above consent is voluntary, and I understand that I have an option to opt-out
from providing my Personal Information or to withdraw my authorization given above, at my own free
will in writing to Cognizant.

*SIGNATURE:

*FULL NAME IN CAPITAL: fl tJU! f\!NI.

Note Instruction:

Kindly do not paste digital signature. Please print this page and sign it.

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