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    TCS Confidential Page | 2

    Note: The originals of these documents along with one set of attested photocopy needs to provided

    on joining for ILP. No provision for attestation would be provided at the joining place. The original

    documents stated above will be returned to you after scrutiny. You should have completed all

    course formalities, including project work and viva from your respective institute before you report

    for the ILP. No leave is permissible during the ILP.

    Service Agreement (Refer Page #5 to 9)

    Only one Surety is required to complete the formalities in your Service Agreement. The Service

    Agreement (enclosed) needs to be duly completed, bearing your Suretys signature on the bottom

    part of all pages and at the designated places on the last page. A Surety can be a person who is an

    income tax payee or who possesses land property.

    Please print or type the first page of the Service Agreement on a 100 Rs. stamp paper and attach

    the same to the remaining pages of the service agreement as given, on plain paper. If 100 Rs.

    stamp paper is not available, please use two 50 Rs. stamp papers. The stamp paper should be

    purchased in your name.

    The Service Agreement needs to be duly completed, bearing your Surety's signature on all pages

    (that is. At the bottom of the pages) and at the designated places on the last page. A surety can

    be a person who is an Income Tax payee or who possesses landed property. Clause No. 3 in the

    second page needs to be filled only if you are submitting a Fixed Deposit Receipt of Rs. 50,000/-

    to TCS.

    At the beginning of your agreement, the agreement made date should be mentioned as your ILPstart date. In the second page, duration of your training should be mentioned as Twelve

    months and minimum period of service should be mentioned as Two years.

    You are required to produce the following documents of Suretys as an annexure to the Service

    Agreement. Only attested copies would be accepted.

    Photocopy of Pan Card along with IT Returns/Saral /Form 2D/ Form 16/ Form 12B

    OR

    Original/attested photocopy of the Land Deed or Land Passbook (for those having

    agriculture as occupation) along with a recent valuation certificate of the property (in

    English only) from the competent authority, duly signed and sealed. The present market

    estimate of the property should not be less than Rs.50,000.

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    TCS Confidential Page | 3

    Surety Verification (Refer Page #10)

    Surety Verificationform (enclosed) must be completed by your Surety, attested by a competent

    authority, and submitted along with your Service Agreement. You may get the completed form

    attested by any one of the following officials:

    Manager of a nationalised bank where the Surety holds an account

    District collector of the district in which the Surety resides

    Gazetted officer

    Tehsildar of the village in which the Surety resides

    Employer of the Surety, if the Surety is an income tax payee. In this case, attach a

    photocopy of Form 16, which has been issued to the Surety and signed by the Employer

    Alternatively, (instead of the Surety Verification Form) you may attach an attested photocopy of the

    Surety's valid passport, to the Service Agreement.

    Note: Ensure that the signatures of the Surety affixed on the Service Agreement, Surety Verification

    form, Passport and other supporting documents (IT returns/PAN card) match.

    Alternatively, in lieu of the Surety you may bring a fixed deposit taken in either of the following

    formats:

    - Joint account between Tata Consultancy Services Ltd and you

    OR

    - In your name either assigned to Tata Consultancy Services Ltd or Lien noted in favor of

    Tata Consultancy Services Limited

    The submission of these documents and your fulfilment of all requirements stated therein are

    absolute pre-requisites on joining TCS, as well as to continued services in the company thereafter.

    Note: Service Agreement and Surety Verification will only be applicable to candidates offered in Y

    Grade.

    Affidavit/Notarized Undertaking (Refer Page #11 to 12)

    There is no criminal offense registered / pending against you.

    There is no disciplinary case pending against you in the university.

    If you were employed, a formal release letter from your previous employer.

    The detailed undertaking is required to be printed on a Rs. 100 stamp paper and needs to be

    notarized.

    Medical Certificate (Refer Page # 13 to 14)

    You are required to submit a medical certificate (in a format prescribed by TCS) which needs to be

    verified by a registered medical practitioner with minimum qualification as M.B.B.S. You need to

    submit the certificate to the induction team at the time of your joining ILP.

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    TCS Confidential Page | 4

    Background Check Verification (Refer page #15 to 23)

    Your association with TCSL will be subject to a background check in line with TCSLs background

    check policy. A specially appointed agency will conduct internal and external background checks.

    Normally, such checks are completed within one month of joining.

    If the background check reveals unfavourable results, you will be liable to disciplinary action

    including termination of traineeship / service without notice

    Note: The required documents mentioned in the BGC Form are in addition to those mentioned

    under Other Relevant Documents/Requirements clause (Refer page #1)National Skills Registry

    We request you to complete the registration and bio-metric process of NSR before joining ILP

    (please visit site www.nationalskillsregistry.com). If, under certain circumstances you are not able to

    complete the registration, the same will be taken care of at the time of joining.Dress Code

    We follow a formal dress code on all business occasions but allow business casuals for Friday and

    Saturday. Gents may wear full sleeved formal shirts, trousers, tie and black leather shoes. Ladies

    may wear salwar kameez, formal trouser and top or Sari.

    Acceptance of Joining

    We would like you to confirm your acceptance of joining this batch by clicking on the 'Accept' button

    online. In the event of us not receiving an update on the same, please be informed that TCS reserves

    the right to withdraw the offer.

    Contact Us

    You may contact us on the toll-free number (1800-22-01-00) or by email ([email protected]) for

    further clarifications.

    mailto:[email protected]:[email protected]:[email protected]:[email protected]
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    TCS Confidential Page | 5

    THIS AGREEMENT made at Mumbai on this _______ day of ___________________, Two thousand

    and ___________________ between TATA CONSULTANCY SERVICES LIMITED, a companyincorporated under the Companies Act 1956 (hereinafter referred to as TCS) and having its

    Corporate Office at TCS House, Corner of Hazarimal Somani Marg & Raveline Street, Near Sterling

    Cinema, Fort, Mumbai 400 001 of the First Part and ___________________________________ an

    Indian Inhabitant, residing at _________________________________________________________

    and having permanent address at ______________________________________________________

    _________________________________________________________ (hereinafter referred to as

    Mr./Ms. _________________________) of the Second Part AND _________________________

    (hereinafter referred to as The Surety) which expression shall be deemed to include his/her

    executor, heir and administrator of the Third Part.

    WHEREAS TCS is involved in the business of problem solving or consultancy and as of present and

    the foreseeable future specifically in the business of Computer and Management Consultancy -

    offering services and products both in India and abroad.

    WHEREAS the possession of the above problem solving techniques and effective use of high

    technologies equipment can be acquired mainly through special training and / or specific on the job

    training (Training).

    WHEREAS the said Training is of a duration of twelve months and is liable to be extended by a

    further duration based on the performance of Mr./Ms.____________________________________

    during the Training, of which TCS shall be the sole judge.

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    TCS Confidential Page | 6

    WHEREAS the above mentioned Training involves considerable expenditure - both direct and

    indirect, financial and unliquidated - related to faculty, computer time, support facilities, salary of

    Mr./Ms.___________________________________________ while under Training.

    WHEREAS this Training substantially improves the professional standing of

    Mr./Ms.__________________________________ and it has been imparted by TCS at considerable

    expenditure as an investment, TCS expects a commitment (elaborated below) from the employee to

    recover its expenditure or seek a penalty for non-fulfillment of the same.

    WHEREAS the expenditure involved in imparting the said Training to

    Mr./Ms._____________________ is several times in excess of the penalty demanded from him/her.

    IT IS NOW HEREBY AGREED AS UNDER:

    1. In consideration of the Training to be imparted by TCS, Mr.

    _________________________________, undertakes irrevocably to serve TCS or any of its

    associated or affiliated companies to which he/she may be transferred for a minimum period of

    2 (two) years from the date of joining TCS. Mr./Ms._________________________________ is

    giving this undertaking in view of the considerable expenditure incurred by TCS on him/her.

    2. Mr./Ms.____________________________________ agrees not to take employment with any

    other person, firm or company during the period of applicability of this agreement.

    3. By way of guarantee for due performance of all the terms and conditions contained in the

    Agreement, Mr./Ms._____________________________ has deposited in the name of TCS a sum

    of Rs. 50,000/- (Rupees Fifty Thousand only) with the__________________________________

    Bank/ __________________________________________________for a period of Two Years

    and bearing interest as applicable, and the relative Bank receipt is attached. If she/he faithfully

    serves TCS in accordance with the terms of this agreement TCS shall refund the deposit amount

    of Rs. 50,000/- (Rupees Fifty Thousand only) with interest thereon to him/her.

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    TCS Confidential Page | 7

    4. By way of guarantee for due performance of all terms and conditions contained in this

    agreement, Mr./Ms.____________________________________ provide herein below the

    name of his/her near relative / person in order of preference and who have consented by

    signing herein below to stand as Surety on his/her behalf to ensure compliance of the aforesaid

    covenant, and that in the event of failure/neglect by Mr./Ms.____________________________

    to fulfill any of the terms of this undertaking of which TCS shall be the sole judge the Surety shall

    be liable to pay TCS Rs. 50,000/- (Rupees Fifty Thousand only) as compensation with interest

    thereon as applicable and the Surety hereby agree, confirm and accept that the Surety shall be

    liable jointly and severally with Mr./Ms.__________________________to pay the same to TCS.

    Name Address Occupation

    ____________________ __________________ _______________

    ____________________ __________________ _______________

    ____________________ __________________ _______________

    _________________________ _______________________ ___________________

    5. In the event of any dispute or disagreement over the interpretation of any of the terms herein

    above contained or any claim of liability of any part including the Surety the same shall be

    referred to a person to be nominated by TCS whose decision shall be final and binding upon the

    parties hereto. Such references shall be deemed to a submission to arbitration under The

    Arbitration and Conciliation Act, 1996 or of any modification or re-enactment thereof. The

    venue of arbitration shall be Mumbai.

    6. During the period of 2(two) years from the date of joining , if

    Mr./Ms.________________________ leaves/resigns/ abandons the services or violates the

    terms of this Agreement, Mr./Ms.______________________________ will have to pay

    liquidated damages amounting to Rs. 50,000/- (Rupees Fifty Thousand only) and give one

    calendar months written notice or salary in lieu thereof.

    Mr.___________________________________ agrees that the said amount of Rs. 50,000/- can

    be recovered / adjusted by TCS from the legal dues, if any, payable to him. On being absorbed

    as an Employee of TCS, after completion of the said Training period, TCS would be entitled to

    terminate the services of the Employee with one calendar months written notice during the

    tenure of service agreement. The provisions stated herein for breach by

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    TCS Confidential Page | 8

    Mr./Ms.________________________________________ of the provisions of this agreement

    shall be without prejudice to other remedies available to TCS.

    ADDRESS FOR THE PURPOSE OF SERVICE:

    7. All communications between Mr./Ms._____________________________________ or TCS and

    Surety shall be deemed to have effectively served if addressed to the following address :

    TCS (TATA CONSULTANCY SERVICES LIMITED) at:

    TCS House, Corner of Hazarimal Somani Marg & Raveline Street, Near Sterling Cinema, Fort,

    Mumbai 400 001

    (Dr. / Mr. / Miss/ Mrs.) _______________________________________________at) ________________________________________________

    ________________________________________________

    Surety (Dr. / Mr. / Miss/ Mrs.) ________________________________________________

    at) ________________________________________________

    ________________________________________________

    ________________________________________________

    Any change in the above addresses of any of the concerned parties i.e. TCS,

    Mr./Ms.____________________________________ or Surety, shall be intimated to the other

    parties by the party whose address has changed within a period of seven days of such change.

    If no such change has been intimated or received, the addresses mentioned above shall be

    deemed to be the addresses of the concerned parties.

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    TCS Confidential Page | 9

    As a token of his/her consent, he/she has signed this agreement as Surety:

    )

    )

    Dated this____________________________________________

    Signed and delivered by Mr./Ms._____________________________ )

    )

    )

    Accepted for and behalf )

    of TATA CONSULTANCY SERVICES LIMITED )by their Constituted Attorney )

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    TCS Confidential Page | 10

    Surety Verification

    This is to certify that I, ____________________________________________________________

    (Name of the Surety) am standing surety for ____________________________________ (name of

    the candidate) who is my ______________________________________ (Relationship).

    Mr./Ms.__________________________________________(name of the candidate) has joined Tata

    Consultancy Services Ltd on ________________________________________ (candidates date of

    joining) and executed an agreement on _____________________ ( candidates date of joining ).

    In the event that Mr./Ms. ______________________________________________(name of the

    candidate) does not fulfill the terms of the agreement, I stand guarantee and will be liable to the

    liquidated damages of Rs. 50, 000/-.

    My permanent address is as follows:

    Name: ____________________________________________

    Address : ____________________________________________

    ____________________________________________

    ____________________________________________

    ____________________________________________

    ____________________________________________

    Phone: ____________________________________________

    (With country and area code)

    (Signature of the Surety)

    (Signature verification by competent authority)Office Seal: Signature: Designation:

    Date: Name: Office:

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    TCS Confidential Page | 11

    Whereas I, ., an adult Indian Inhabitant, residing at

    ...., have been selected by Tata Consultancy

    Services Ltd. (TCS), , for employment as ., vide Offer Letter dated , subject to

    the terms and conditions mentioned therein and subsequent acceptance of the offer letter by me

    and the submission of the BGC documents to TCS.

    And whereas since there has been a time gap after completion of my UG/PG degree course and the

    date of joining TCSL. TCSL has called upon me to give the following undertaking as part of

    Background Check Process, which I hereby do:

    I HEREBY GIVE THE FOLLOWING UNDERTAKING:

    1. That I am not involved in any Civil / Criminal / case / proceedings / charges / enquiry prior

    to joining TCS.

    2. That I am not involved in any Disciplinary / malpractices and / or any other charges /

    proceedings / enquiry / case pending against me in any University or any other

    educational authority / institution prior to joining TCS.

    3. .That I was not employed gainfully and / or honorary in any Organization, including Private

    / Public / Government / Educational Institution etc., prior to joining TCS.

    OR

    3. That I was employed gainfully and / or honorary with ., prior to joining TCS. The

    particulars of my employment and reasons for leaving are as follows.

    . The formal release letter from my said employer is attached

    hereto.

    4. That whatever is stated above is true to my knowledge and belief and that no part of it is

    false. I shall be fully responsible and liable for all my acts or omissions.

    5. That in case the above undertakings are found to be false, TCS shall be within its rights toforthwith terminate my services without any liability and take such legal recourse / actions

    against me as it may be advised.

    6. That I shall fully indemnify and protect TCS from and against any acts or omissions

    attributable to me for breach hereof or otherwise, including, but not limited to, any loss,

    damage, or liability suffered by TCS and / or civil or criminal action against TCS for reasons

    hereof.

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    TCS Confidential Page | 12

    IN WITNESS WHEREOF, I have put my signature on this undertaking on this day of .,

    2009.

    Signature of the Candidate: _____________________________________

    Name of the Candidate: ______________________________________

    TCS Offer Reference No: ______________________________________

    Place: ______________________________________

    Date: ______________________________________

    1. Witness:Signature of the Witness: _____________________________________

    Name: _____________________________________

    Address: _____________________________________

    _____________________________________

    Place: _____________________________________

    Date: _____________________________________

    2. Witness:Signature of the Witness: _____________________________________

    Name: _____________________________________

    Address: _____________________________________

    _____________________________________

    Place: _____________________________________

    Date: _____________________________________

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    TCS Confidential Page | 13

    Please hand over the completed form to your Induction Coordinator

    Medical Certificate of Fitness

    Please fill in the complete from and sign it.

    Mr./Mrs./Ms./Miss/Dr First Name: ______________________ Last Name: _____________________

    Gender: Male Female Date of birth (DD/MM/YY) ___/___/___

    Contact No: (M) __________________ (R) ____________________ Blood Group: ______

    Please affix aPassport size

    photo here andget it attested byyour consulting

    doctor

    Section 1: Candidates Personal Details

    Do you have any congenital defect / abnormality? Yes No. If yes, please provide the details

    _________________________________________________________________________________________________________

    Do you have any physical deformity / handicap or use any mechanical / physical assistance for mobility? Yes No. If yes,

    please provide the details_________________________________________________________________________________________________________

    Have you had any form of serious illness or operation in the last two years? Yes No. Ifyes, please provide the date and

    details of the surgery

    _________________________________________________________________________________________________________

    Have you been treated or hospitalized for cancer, Tumor, Cyst or any other growth? Yes No. If yes, please provide the

    details

    _________________________________________________________________________________________________________

    Has medical grounds been a reason for un-employment or you not performing a specific role in the past? Yes No. If yes,

    please provide the details

    ________________________________________________________________________________________________________

    Have you ever suffered or suffering from any of the following?

    High Blood Pressure Stroke Bronchitis Obesity Diabetes Arthritis

    Blood Spitting Peptic Ulcer Drug abuse Heart Disease Skin Infection Bowels

    Heart Murmur Tuberculosis Epilepsy Thyroid Ailment Arthritis Asthma

    Heart attack Slipped disc Liver disease

    Have you ever suffered or suffering from any other illness or impairment not mentioned above? Yes No. If yes, please

    provide the details

    Are you presently in a medical condition that may require you to be away from work in the next 12 months? Yes No. If yes,

    please provide the details

    _________________________________________________________________________________________________________

    Section 2: Candidate Statement

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    TCS Confidential Page | 14

    Body wt: ______ kgs; Pulse: ______ /min; BP: ___________mm Hg; Height: ______ cms;

    I declare that to the best of my knowledge, the answers to the questions in this form are correct and that I am not suffering

    from any disease/illness, the presence of which I have not revealed. I fully understand that any misrepresentation of this

    declaration could lead to the termination of my offer/appointment. I have no objection to Tata Consultancy Services Ltd.

    seeking further information either directly from me or from my Consulting doctor or other appropriate doctor. In case of any

    discrepancy arising out of my declaration, I will be undergoing the medical check- up by the Companys suggested medical

    clinic/doctor and their findings will be fully binding on me and any action thereon towards my employment will be accepted

    by me.

    Signed: ______________ Date: (DD/MM/YY) ___/___/___

    Declaration

    Full name (as listed on applicable state registry) ______________________________________________________

    Registration ID: ____________________________

    Postal Address: _________________________________________________________________________________

    Contact No: (Day time) ______________________

    Section 3: Medical Practitioners details

    I, certify that I have carefully examined Mr./Mrs./Ms./Miss/Dr ________________________________ son/daughter of Mr.

    ___________________________________________________.

    He/she has no disease or mental or physical infirmity that makes him/her unfit for employment with TCS as

    ______________________________________________ (Please mention the Role here)

    Signed & Sealed:

    _____________________ Date: (DD/MM/YY) __

    Declaration

    Section 4: General Examination

    Section 3 - TheCandidate needs to ensure that a legally qualified and registered medical practitioner with minimum qualification

    as M.B.B.S. completes this form. Additional sheets may be attached if more space is required.

    Note: The candidate is responsible for any costs associated with the preparation of this report.

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    TCS Confidential Page | 15

    Background Check Verification

    Guidelines /Checklist

    Your Traineeship Job Offer is subject to successful completion of Background Verification

    Fill-up the BGC Form completely and accurately with copies of all relevant supporting documents as

    proof

    Unable to Verify due to incorrect or incomplete information furnished by you may lead to delays and/or

    unsuccessful completion of BGC

    Ensure consistency in information furnished by you initially in TCS Application Form

    _____________________________________________________________________________________

    1. Tick on the boxes below to help you ensure all required documents are attached before submitting2. No BGC forms will be accepted in the absence of any of the required documents as mentioned below.Mandatory General Requirements:

    Signed & Attached Document on General Consent to Background Investigation Letter(BGC Consent Letter enclosed within the BGC form)

    My recent Passport size photograph pasted at the appropriate place

    Address Check & Criminal Check Requirements:

    Complete & Correct Address filled-in as required in BGC Form with Flat/Room No. clearly mentioned Prominent landmark near the address mentioned for easy location Self-attested & signed - Document for Address Proof submitted

    What could be submitted for Address Proof?

    Proof for Present & Permanent Address to be attached

    Provide Separate Proof, if address is different

    Attach copy of any one of the following documents as Proof for Address

    (a) Ration Card (b) Electricity Bill (c) Landline Telephone Bill (Mobile ph bill not acceptable)

    (d) House Lease Agreement (e) Valid Passport

    If your Present Address / Address of Longest Stay in the last 7 years / Permanent Address is in Mumbai

    / Thane City / Thane Rural / Pune, submit the following documents:

    CID Form as applicable for the location Filled-in with all details 2 Photos with my name written at the back of each photo Address Proof (any one of the following) - Copy of Ration card / Electricity bill/Landline Telephone bill

    Address Proof For House Lease Agreement

    Copy of Agreement submitted (If Agreement signed between you and Owner) Copy of Agreement + Declaration Letter in Stamp Paper from Agreement Holder (Blood Relation)

    stating that I am residing in the same address as mentioned in the Agreement (If Agreement signed

    between your Family Member (Blood Relation) and Owner)

    Letter from Society of the address (If Agreement signed between any other person (Non-bloodRelation) or you are staying in Bachelors Accommodation)

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    TCS Confidential Page | 16

    Note: For all House Lease Agreements, you should have stayed at least 6 months in the Address

    mentioned and the Agreement should be valid and within the expiry date

    Separate CID Form filled in & attached for each different address (For Applicants from Mumbai,Thane City, Thane Rural & Pane- Full Addresses and Signature given in each)

    Note: Forms not signed by the Applicant are not accepted by the Police for verification

    Applicants to report at Police station when called for as part of verification process by Police

    Demand Draft of Rs.100/- as requested in the CID form need not be attached.

    ID Check Requirements

    Self-attested & signed - Document for ID Proof submitted

    What could be submitted for ID proof?

    (a)Valid Passport (b) Driving License (c) PAN Card (d) Voters ID card (e) College ID Card duly attested by

    HOD/Professor/TPO of the College

    Reference Check Requirements For each Reference References provided are either Supervisor/HOD / Professor / TPO/Person holding Responsible Position in

    a reputed Organization No Relatives/Friends to be mentioned

    Reference to know Applicant for a minimum period of 2 years

    Full Name & Address of References provided legibly Contact email ID & telephone numbers of References provided

    Provide at least two contact numbers

    Educational Check Requirements

    Self-attested & signed - copies of Highest Degree /Provisional Degree submitted Self-attested & signed -copies of all Highest Degree mark sheets attached

    Gaps during Education / Employment Check Requirements:

    Self-attested & signed Documents to explain gaps during Education/Employment

    What could be submitted as Proof for gaps during Education/Employment?

    Medical records for gaps due to medical reasons

    Affidavit with Notary Authorization for gaps due to other Personal reasons

    Applicant to please detach and destroy this checklist while submitting the completed BGC Form

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    TCS Confidential Page | 17

    BBAACCKKGGRROOUUNNDD CCHHEECCKK FFOORRMM CCaammppuuss TTrraaiinneeeess ((CCTT))

    PPaassttee yyoouurr rreecceenntt PPaassssppoorrtt

    SSiizzee PPhhoottoo hheerree

    TCS Applicant ID:DT Reference number:

    TCS Offer Ref No./Date: TCS Recruitment Branch:

    Designation:

    Name of the Applicant (Full name expanding initials):

    Contact Landline Phone no.: Mobile Phone no. email id:

    Fathers Name:

    Date of birth (Attach Proof): Marital Status: Single / Married Nationality:

    A. Present Residential Address : (Attach Proof)

    Period of Stay From : To: Landmark:

    City/Town: State: Pin code:

    B. Other Residential Address: [Furnish other addresses of your residence in the last seven (7) years]

    Other Residential Address 1: Other Residential Address 2: Other Residential Address 3:

    From : To: From : To: From : To:

    City/Town: City/Town: City/Town:

    State: State: State:

    Pin code: Pin code: Pin code:

    Landmark: Landmark: Landmark:

    Attach Additional Sheet, if you have stayed in more than 3 Other Residential addresses (locations)

    C. Permanent Address: (Attach Proof)

    Period of Stay From : To: Landmark:

    City/Town: State: Pin code:

    Contact Landline Phone no.: Mobile Phone no.:

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    TCS Confidential Page | 18

    Is any case pending against you in any court of Law at the time of filling up this Background Check Form?

    Yes / No

    Is any case pending against you in any University or any other educational authority / institution at the time

    of filling up this Background Check Form?

    Yes / No

    If the answer to any of the above mentioned questions is Yes give full particulars of the case /arrest /

    detention/ Fine / conviction / sentence / punishment etc. And / or the nature of the case pending in the

    Court / University /Educational Authority etc., at the time of filling up this form. (Attach additional sheet, if

    required)

    Reference Details:Details Reference 1 Reference 2

    Reference Name:

    Title & Designation: (HOD/Prof/ TPO/Person

    holding responsible Position in a Reputed

    Organization):

    (No Relatives/Friends to be mentioned)

    Full Address:

    Contact Details: Official email ID:

    Landline Telephone No.:

    Mobile Phone No.:

    Period for which the Reference knows the

    Applicant:

    (Minimum 2 years)

    Relationship with the Applicant:

    (No Relatives/Friends)

    Passport Details (Attach Proof):

    Educational Qualifications (Attach Proof):

    (i) Name as in Passport: ________________________________________________________________

    (ii) Passport No: __________________________ (iii) Place of Issue: _________________________

    (iv) Date of Issue: ___________________________ (v) Date of Expiry: ________________________

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    TCS Confidential Page | 19

    Employment Details (Attach Proof): Applicable only to grades other than Y grade.Starting from your Current/immediate Last Employment.

    Previous Employers Description Current/Immediate Last Employment Previous Employment 1

    PERIOD OF EMPLOYMENT

    Date of Employment From:

    Date of Employment To:

    EMPLOYEE DETAILS

    Designation:

    Employee Number:

    HR DETAILS

    HR Name:

    HR Designation:

    Office Landline Phone No.:

    Email:

    (Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)SUPERVISOR DETAILS

    Supervisor Name:

    Supervisor Designation:

    Office Landline Phone No.

    (Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)

    Email:

    Last drawn CTC:

    Reasons for leaving:

    EMPLOYER DETAILS

    Employer Name:

    Address:

    (Give Complete Address including

    Postal code, Prominent Landmark)

    Town/City:

    State:

    PinCode:

    Office Landline Phone No.:(Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)

    Company Status:

    Is company currently functioning?

    Yes __________ No__________

    Is company currently functioning?

    Yes __________ No__________

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    TCS Confidential Page | 20

    Previous Employers Description Previous Employment 2 Previous Employment 3

    PERIOD OF EMPLOYMENT

    Date of Employment From:

    Date of Employment To:

    EMPLOYEE DETAILS

    Designation:Employee Number:

    HR DETAILS

    HR Name:

    HR Designation:

    Office Landline Phone No.:

    Email:

    (Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)

    SUPERVISOR DETAILS

    Supervisor Name:

    Supervisor Designation:

    Office Landline Phone No.

    (Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)

    Email:

    Last drawn CTC:

    Reasons for leaving:

    EMPLOYER DETAILS

    Employer Name:

    Address:

    (Give Complete Address including

    Postal code, Prominent Landmark)

    Town/City:

    State:

    PinCode:

    Office Landline Phone No.:

    (Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)

    Company Status:

    Is company currently functioning?

    Yes __________ No__________

    Is company currently functioning?

    Yes __________ No__________

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    Declaration and General Consent to Background InvestigationTo be signed by the Applicant

    In connection with my application to render services to Tata Consultancy Services Ltd (the "Company"), I

    hereby agree as follows:

    I certify that the information furnished in this form as well as in all other forms filled-in by me in conjunction

    with my traineeship is factually correct and subject to verification by TCS including Reference Check and

    Background Verification.

    I accept that an appointment given to me on this basis can be revoked and/ or terminated without any notice

    at any time in future if any information has been found to be false, misleading, deliberately omitted/

    suppressed.

    As a condition of Company's consideration of my application for traineeship with the Company, I hereby give

    my consent to the Company to investigate or cause to be investigated through any third parties my personal,

    educational and pre or post joining history. I understand that the background investigation will include, but

    not be limited to, verification of all information given by me to the Company. I confirm that the Company is

    entitled to share such investigation report with its clients to the extent necessary in connection with the

    Services, which I may be required to provide to such clients. I confirm and undertake that the Company shall

    incur no liability or obligation of any nature whatsoever resulting from such investigation or sharing of the

    investigation results as above.

    I certify that I am at present in sound mental and physical condition to undertake employment with TCS. I also

    declare that there is no criminal case filed against me or pending against me in any Court of law in India or

    abroad and no restrictions are placed on my travelling anywhere in India or abroad for the purpose of business

    of the company.

    I Agree : Yes

    Signature _____________________________________

    Name _____________________________________

    TCS Applicant ID _____________________________________

    Place _____________________________________

    Date _____________________________________

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    Gaps during Education (Attach Proof):

    DECLARATION (To be signed by the Applicant)

    I certify that the information furnished in this form is factually correct and complete in all respects to thebest of my knowledge and belief.

    Place ______________ Signature of Applicant ___________________________________

    Date ______________ Name __________________________________________________

    From To Reasons for gap

    Gap Period 1

    Gap Period 2

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    TCS C fid ti l P | 23

    Please attach the following documents along with this Background Check Form:

    1.Your recent Passport size photograph pasted at the appropriate place2.Self-attested & Signed Copy of Identity Proof document:

    Valid Passport / Driving License / PAN Card / Voters ID card /College ID Card duly attested byHOD/Professor/TPO of the College

    3.Self-attested & Signed Copy of Address Proof document: Ration card / Electricity bill / Landline Telephone bill / Valid passport

    House Lease Agreement + Related Documents as required

    Hostel Allotment Letter from College, if staying in College Hostel

    4.Self-attested & Signed Copy of Educational Certificates: Highest Degree Certificate(s) /Provisional Degree Certificate(s)

    Highest Degree Mark sheets of all exams

    5.Self-attested & Signed Documents to explain gaps during Education Attach Affidavit with Notary Authorization for gaps

    (Please refer Background Check Form Guidelines/Checklist in Sheet 1& 2 for more details)

    For Office Use Only:Verified the following:

    BGC Consent Letter signed & attached

    Recent Passport size photo pasted at the appropriate place

    BGC Form filled-in with all complete details

    Address & ID Proof documents self-attested, signed & attached

    Highest Degree Certificate(s)/Provisional Degree Certificate(s) - copies self-attested, signed & attached

    Highest Degree Mark sheets of all exams copies self-attested, signed & attached

    Documents to explain gaps during Education/Employment attached

    HR Recruitment Representative:

    Name: ______________________________ Employee Number: _________________

    Signature: ______________________________ Date: _________________