Employee Code Name Date of Birth (DD-MIM-YY) Age Month Of Birth Gender Business (OSP/ISP/O & M) Function (Fibre, Wrast, Quality, Real Estate, P&C tel On Roll / FTC / Off Roll Company (RUIL, HFCL, RIL, TDS Etc) Role oy (DD-Miv-yy) Designation Qualification (BE, .COM, MBA Ete) ‘Specilization (Civil, ‘Mechanical, Accounts, HR etc) Reliance Exp. (Yrs) Non Reliance Exp. (Yrs) Total Exp. (Vrs) Previous Organisation State City (location of posting) Zone (NHQ, South, East, west| and North) Position Type (NHQ,State, City, City Cluster,Spread, coP,| bP) Status (Active, Resigned Etc) LL E Code Li Name LE code L2.NameFunctional Head Mail ID Contact No Alternative Contact No Emergency Contact No: Date Of Marriage Month Of Marriage Permanent Location Blood Group Employment From Employment To Source Induction Date Present Address Land Mark Residence (Own / Rented) Permanent Address Land Mark ID Car Request Sent on 1D card N Bank Account No Branch Name IFSC Code Spouse Name Spouse DOBTDS Management Consultant Private Limited Chek List for Documents to be submitted at the time of Joining CHECK LIST Pla Tike Photograph (6 Req) Dully Filled in Personal Data Form PF Nomination Form (2) ESI Dec Form Copies of Educational Qualification ‘Age Proof certificate (SSCI/Birth certificate/Passport Copy) Identity Proof (Pan Card/Passport/Voter’s Identification Card/Driving Lenience ‘Address Proof (Electricity Bill/Telephone Bill/Rental Agreement/Ration Card Relieving Letter or Resignation acceptance letter & Experience letter From Previous Employer Salary Certificate From Previous Employer Photocopy of Pan Card w Offer Letter Acceptance ‘Other Joining DocumentsTDS Management Consultant (P) Ltd. (A Unit Of TOS Group) To Dear Congratulations! ‘We welcome you as our valuable assest in our "TDS Group”. We wish you a bright future ahead. ‘TOS Group is one of the India's leading Professional Organization dedicated to Outsourcing, Recruitinent and Placement for entire functional spectrum, TDS Group is a group having a turn over of over 50 crores. Its one of the Fastest Growing Business Process Outsourcing Concern in, INDIA with its vast & varied experience of over ten years, We provide manpower recruitment in all industrial segments like - Telecom, Pharma, Real Estate, Information Technology, Engineering, Automobile, FMCG, Construction, Chemical and Petroleum. We consist of a core team of around 150 members and a family of over 10,000 employees spread around 28 states in India. We are associate member of various Industrial Associations, Wishes from our Managing Director - “The power ofthe future isthe power of the mind.” ~ Winston Churchill |, Arvind Baloni, Managing Director feel proud for you to be a part of my family that consist of over 10,000 employees (outsourced to various firms and corporate in india). Further, I wish you all the best for future endeavors. Looking forward to build a lifetime relationship with you, For TDS Management Consultant Private Limited, Guo Arvind Baloni Managing Director Please, feel free to contact our customer care 0172-5090668 for any query or write us at contract@tdseroup.in Visit our website www tdsaroup in, ‘Wishing you Good Luck & long time relationship with us Tread Office SCF 81, Phase-6, S.A.S, Nagar (Mohali) 160055 Phone No: 0172-5090668, 2222790, 2263589 ‘Telefax: 91-172-3243790 Web Site: www.tdsgroup.in E-mail: hr@tdsgroup.in; ‘YAN TA DECLARATION FORM art-1/Formt BESTS) Steen vr ata arr er eT en mre car mre ah wa oA ea ee eh a se te yes ve & eRe a ae ar ae | ae wank FTE FH To be tiled by employee after reading instruction overlest. Two Postcard Size phtographs tobe altached with the form. This form Is tee of cos. () ange ata & fra (@) Pritwe & favor (A) _ INSURED PERSON'S PARTICULARS (©)_ EMPLOYER'S PARTICULARS 1. Atar eATAnsurance No. js. Prato ot ae wear = Enpoyers Cove No. a lait roa @ ate me | a] at Name in lock eters Date of Apponment ay | mon | Year js. Frama ar aT Fathoratvebancts Narn 1. Raia 3 aT sity Wal/Name & Address of the Employer 4. a a falar ‘fea | ween | ae | 5. atta [aba SEE —. Date of Birth Day|wontr|vead fers |afearea SSS = Marat | fuer = — Status | MUM | Faroe gee Ra A aT pe ASS ST ST GRRVSoxfEA IME | _ vets ctany proteus employment eae pte dt ab ce fs sav Prosort Address Jo. te anv Pormanent Accoss | | Rom fo n = “ (a) Previous ins. No. — fa) wg a —— I) Employers Code No fe fae Pa cote T_T TO | Fncate fa Fas a am wa [eefrats eae tt ea aii seared ter Ge {(c) Name & Address of the Employer fear water “aor s [Brach Office Dispensary iia ad aa Ha vee es ra fay TTA, OATS, 1 a ee rit, (st) Po, 1950 Few 562) ker ae we (6) Deals of Nomineo u's 71 of ESI Act 1948/Rule-56(2) of ESI (Cental) Rule, 1950 for payment of cash benef nthe event of ath ED waa Rolaionsh Ww Adsreas ¢gure eat er a Free Pee Bc he Res ee wh ae are ae ae a 1s Fon Maem eh ee MM Ea eh \nereby declare that he paricular given by me are corect tothe best of my knowledge and bell | undertake to imma he corporation any changos inthe mombersip of my fry within 15 days of such change, Priors # aftr stooge aft & cere sip Ret (Counter signature bythe employer ‘Signature Lot tis afta some Signature wih soa! (2) op me a or Rae (0) Farsi Pariculars of rsured parson aH 7 wmdae | awtimaat | «alee aaa sere IN. name anyssata | Rolaionship win ne Fr ea aa ea a pate of Bintage as on employee wneiner esting | Ir No’ state Place of date of ing fem th inher Residence Wes Ee ST ‘sa fre send gear (Pager es 8 9 HA we ) Si Corporation Temporary Monily Cart (Vals fc 3 month rom the date of appoinmont) Fwhame ar Wevne. No, Tighe eer Oate of appointment caer wee eae are 3 fay et Branch Ofice Dispensary (Space for photegrapn) eer ae der eo Empoyers Code No. & Addoss om Valty ster dog an & ree sige a Pe he af ren gee & ea Bato ‘Signatue/ of, ‘Signature of AM. wih salFIT INSTRUCTIONS copt-s at deer seal, (Brae) Pare, 1950 2B farm 11 12 ken Fe Frere ‘Submission of Forn| is governed by regulation 11 & 12 of ESI (General) Regulations, 1950 gga” & ah Ata anes & Freafattes ae ear aE aren afk wey (1) Fem (2) tarp eer re one aE er eer OTE omer are, (5) at TAT at eA ART 2 oad we phe: nar & ar ott Cw) fave ret we wer, See a1 ae aL OM Tat ae aT aH (a) a faenfe EA, (6) ne ae teh tea sear res ere ar te a ase fara # wer arian ce eS TERT & arb oe phe: sant &, (6) ony Arata, (ait Bg axa, sara, 1998 a arr 2S es 11 az)! Family’ means all or any of the following relatives of an Insured Person namely:- (i) spouse (i) a minor legitimate or adopted child dependant upon the LP; (i) child who is wholly dependant on the earnings ofthe LP. and who Is (a) receiving education, tl he or she attains the age of21 years (b) an unmarriod daughter, (i) a child whois intr by reason of any physcial or mental abnormality or injury andis wholly dependant onthe earings ofthe IP. so long as the infirmity continues: (v) dependant parents (Please see Section 2 clause 11 of the ESI Act 1948 for dotals Weare seTaTaTO & Idontity Card is Non-Transferable, wearer yy BF at Rea Petree wets at are afer Pa Ty Loss of Identity Card be reported to Emplayer/Branch Manager immaciately. frat were Sh orm eT 2H a fay Fa, cafe, toss oH oneese BS em aE areas At a waht Bi ‘Submission of false information tracts penal action Under Section 84 of ESI Act. 1948, cag Peer oA Ref ony oer go ae ont Fagan ee Rew ate eter ae aa ara ee fra ort anf Perr aft Rafe a Pritoas & fre ares @ cee arp ardor at ar aac #1 This form duly filed in must reach the concemed Branch Office within 10 days of appointment of an Employee. Delay atacts penal action under Section 85 ofthe Act, against employer orga ais BT aa oe a a ware saree Fe era wer wae AEA ore ae fee &, (1) eet ‘ear (a) seth srr Fee (3) wah ee arr (a) sir free (5) srg errr (rer eet & fee) 1 'As an insured person you and your dependant family membes are entitle to ful medical care. The other benefits in cash include (1) Sickness Beneft (2) Temporary Disablement benefit (3) Permanent disabloment Benefit (4) Dependants bonotit and (5) Maternity Benefit (in case of woman employees) subject of fulilment of contributory cnitions sis orrertt & ft rar ror Saenger aman raf ar Aten ara eine gt For more details please contact website of ESIC at www. esic.0rg in. or contact Regional Office or Branch Otic. ‘ba aren arate mat By, For Branch Ofice Use only 1, eam avrdca ot anfter = Date of allotment of Ins. No 2 aerdh gear ser fh ome oA etter Data of Issue of TLC. 38. aware ar aren : [Name /No, of Dispensary 4. Bar ore fier are oar 82 aft wi, ah sett aE Whether reciprocal Medical arrangements involved. it yes, please indicate aren wee B Te Signature of Branch Manager ae a widete | aateaswe | ee ae wae tae No, Name at enysreata | Relationship wth he weer amt ‘a ea ct osteo ertAge as on Employee mother residing | If No, state Place of dale oiling lor wih hier Residence. Wie ata | we own | SeForm-2(Revised) tert after Peer ye ater ert wate seers eho arta rl Nomination and declaration form for unexempted/exempted establishments (ware after Ptr eae 1952 B thr 39 site 6 (1) Ua BURT ers TH 1995 aT Aer 18) (Paragraph 22 & 61 (1) of the Employaes Provident Fund Scheme, 1952 & Paragrah 18 of the Employees pension Scheme, 1998) 4 are (eae erat Name In Bock Leters) 2 e/a a aT FathorslHusband’s Name 3 oH Rar Date of Binh 4 fi Sex 5 tanita fee Marital Status 6 wr wan ‘Account No 7 va Adress 8 we Permanent 9 seme Temporary art — & (werent after Frfe) PART- A (ePF) ery eee afr (at) area aT ote HEAT Hey AT OTA aH ee A AS AR afer (A) a nt are A rar ater aoa ART aR ret ape B fore aR aA EL | 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 the my death. afta /artct | oat weet & ore HE] ae aM ort ate aaa Grer & am ate ar are Address sara | Dateof | fen PRY RH a | eer ee Ue AP aT Rancoine add | wate afta wt ater | gar ot aftr Bt wet og Norineet Nominee's far ory ara wr |B ahr ta aT ET reaionship Total amt. of sare of | the Nominee i amino, foal accumulations in Name & relationship & address: member Provident Fund to he | of the guardian wha may aldo each nominee | receWve the amount during the minoriy of nominee i 2 3 a 5 6 1 wenfOrer fear corre & fa arrteet afSer PAR eats i952 A ofdafta 2 (e) & orga Ae wg gare aét ait gad overd af& ate aan dar & at Sead ae MEE TART GT) “Certified that | have no family as defined in Para 2 (g) of Employees Provident Fund Scheme, 1952 and should | acquire a family hereafter the above nomination should be deemed as canceled, 2 weer Fler ear & 5 AR e/a Gere AP #1 “Certiied that my fatnermotnerisare dependent upon me. “Strike out whichever isnot applicable. S ary ae tare 21 Signature or thumb impression of the subscriber aftarn & secre sera ahs a Pretsam — ex (artaret often Fe) (Para 18) eG GIT A UA Rare Berea a on Aer we ET LT A ey TA A eT A rd / aro es ew as | hereby furnish below particulars of the memivers of my family who would be eligible to recelve widow/children Pension in the event of my death, Borie | Rare F wees wae she var | oer a far weet oa aa INo, |Name & Address if the Family | Address Date of Binh | Relationship with member member i 2 3 4 5 1 2 3 “Cerifed that [Rave no family a8 defined in Para 2 (Vil) of Employees Provident Fund Scheme, 1952 and should | acquire a family hereafter | shall furnish particulars. refer frat ore & fs ante ft FAY ete too Ff 27) oh one Aer a fare aE ste Ge eT TA aah aftere ere @ ch outer wrt & geen iter BR wT] | hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 2(a)() & A ery er A EY BA AH. cer er 16) () she (11) B ser RW ere Bers BAL Ah Aaya area eT tet era rer we re oRRore we wtf ERT AE #1 Rar & ware or ary ate gor | sy fae Waal @ ary eae Name & Address ifthe Family Date of Binh Relationship with member member —_ ees Saal & wae Gee ahs wT PT Date: ‘Signature or thumb impression of the subscriber at any a8 st are 2) * Ske out whichever is not applicable CERTIFICATE BY EMPLOYER (Prater grer wener 3) Geritied that the above declaration and nomination has been signedithumb impressed before me by ShrifSmt/Kum employed in my establishment after hreishe has read the entries/entries have been read over to him/her by me and got confirmed by hime. sete ear nar & fy a She era TART AY A/S / BO a 398 AR ce A oe BA oe eee a Pe sre By we wea war By wAReaT weed ows Aer alg ae et A gE AA {tis further certified that following information are correct in respect of above sald member as per our records. ta A sone Par et AS eae Rear ese wear ee a we | Fy Pe Peer eh B= 1 Date of joining EPF, 1952. (ma. storar # ereract ah ft) 2 Date of joining EPF, 1971 (ws aha 9 aera 3) fa 1 Date of joining EPF, 197 1(e51F%, aha A reece FO) wert emer & Phar seer safer ena eee Place Signature of the Employer of other authorised officer ofthe establishment erie Date Designation (eer) Name & Address of the Factory Establishment (of Rubber Stamp thereof sere / gh a ATH she rT oT easReliance Jio Infocomm Ltd. 4th Floor, chandrika chambers, eee te ae 082 0 ste of Toone 7092073] RICIDCAS REQUISITION FOR ISSUE OF PHOTO-ID SMART CARD FOR AGENCY STAFF (TO BE FILLED IN BLOCK CAPITALS & ALL FIELDS ARE MANDATORY) Paste one recent DD MM yyyyY Color Passport Date Of Requistion size photograph, First Name 09 Characters only — | any form with a Last Name 09 Characters only | Photo that does criteria as listed Date of Birth in the note below Date of Joining rurac: Yin [shallbe retuned ‘Agency Name Department ‘Agency SAP Code (Optional) Location: Gender MIF Blood Group: Identification Mark Height (in cms) Present Residential Address city State Pin Code Phone # Emergency Contact Person & Address. City State Pin Code Phone # Sign OFHR Co-Ordinator —_—-(Dale & sign of Site Security) Signature of Agency Staff Name OfHR:___JOSE K K Date: “¥81.9995893254 Guidelines for acceptability of photographs for Photo ID Smart Cards 1. The photograph should be a genuine passport size image (not more than 6 months old). A cutting from family or group photographs shall not be acceptable. ‘The photograph should be taken in welliluminated indoor / studio environment with studio blue background, 3, The face should be straight with both ears being visible. Side postures are not acceptable. For complete specification and instruction on photograph kindly refer to the doc no. CIDC-2010-BE-012 on Photo ‘Specification for Agency Staff. Reasons for Rectification of Requisition Form sano | Date ‘Comments Signature FOR USE BY CENTRAL IDENTITY CARD CELL FORM RECEIVED ON ISSUED TO DATE OF ISSUE CARD NUMBER: ISSUED BYJOINING REPORT (PILL IN BLOCK LETTERS) To, ‘The HR Department, In pursuance of my appointment as a My details are as follows: ‘Name (in capital letters) Date of Joining Name ofthe Agency Funetion Place of Posting ‘otal Work Experience (in years) Contact Number Residence Previous Employers: Qualification (Specifically mention Post Graduation and Graduation Degree) (Signature of Employee)@. TDS Management Consultant Private Limited Personal Information Form 1. Employee's Name . 2 Date of Birth Date of Birth (As per Certificate) (Actual) 3. Date of Marriage Anniversary if Married ‘4 Employer's (Company) Name 5 circle Location 6 Father's Name 7 Mother's Name. 8 Spouse's Name& Date of Birth 9 Children’s Name & Date of 10 Address (Correspondence) bE 41 Address (Permanent) 12 Qualification, Passing Year, 13° Mobile No. E-Mail 14 Land Line No (Mandatory) 15 Reference Name (Mandatory) . 16 Reference Phone No. (Mandatory) _- 17 Bank A/c. No. Bank Name. 18 Branch ity Employee's Signature lease send the Personal information form with copy of Appointment Letter ASAP.Declaration Form (To be retained by the Employer for future reference) Employees’ Provident Fund Organization ‘THE EMPLOYEES’ PROVIDENT FUNDS SCHEME, 1952 (PARAGRAPH-34 & 57) ‘THe EMPLOYEES’ PENSION SCHEME, 1995 (PARAGRAPH-24) (PLEASE GO THROUGH THE INSTRUCTIONS) 2) DATE oF BiRTH djo[M|M|Y|Y|yv]y¥ 3). Farvensy 7 Huseano's NAME 4) Revaronsiar mnesrecr oF (3)asove [Fare [HUSBAND | (PLEASE TICK) 5) GENDER MALE. FEMALE, “TRANSGENDER (PLEASE Tick) 6) Most NUMBER (any) 7) Emam. 1D (IF any) 8) WHETHER EARLIER A MEMBER OF THE EMPLOYEES’ PROVIDENT FUNO SCHEME, 19527 (PLEASE TICK) YES NO 9) WHETHER EARLIER A MEMBER OF THE EMPLOYEES! PENSION SCHEME, 1995? (PLEASE Tick) ‘YES NO IF RESPONSE TO ANY OR BOTH OF (8) & (9) ABOVE 1S YES, THEN MANDATORILY FILL UP THE PREVIOUS EMPLOYMENT DETAILS Av (10,1182): Page 1 of 3[Ay PREVIOUS EMPLOYMENT DETAILS +10) THE DETAILS OF THE UNIVERSAL ACCOUNT NUMBER (VAN) OR PREVIOUS PF MEMBER 1D: vn [TI OR Previous PF MEMBER ID Resion Cone | Orrice Cope | ESTABLISHMENT ID EXTENSION | ACCOUNT NUMBER 11) Dareor Exrrorerevious [ D |] D | M [MY | ¥ Memaer ID (DD/MM/YYYY) 12) (A) IF soneme cexriFICaTE ISSUED FOR PREVIOUS EMPLOYMENT, THEN SCHEME CERTIFICATE NUMBER: (8) IF PENSION PAYMENT ORDER (PPO) ISSUED FOR PREVIOUS EMPLOYMENT, THEN PPO NUMBER : 1B. OTHER DETAILS ES vena 13) INTERNATIONAL WoRKER. Yes No. (Puzase Tie) IF THE REPLY TO (13) ABOVE IS YES, THEN ENTER THE DETAILS IN 13(A), 13(8) & 13(c): 13(a) CounTRvOF ORIGIN (Please Tick) TNDIA ‘OTHER THAN INDIA IF YES, PLEASE EWTION NAW OF THE COUNTRY) 13(6) PassPoRT NUMBER - 13(c) PassPORT VALID FROM oT OM eye 7 To D[D|M[M|Y]yY|yY]¥ 14) EovCATIONAL Non SewioR Posr TECHNICAL QuattricxTion MTERATE | yerric | MATRIC | seconpaay | SMOURTE | Grapuare | OCCT | proressionAL (Pusase Tick) 15) ManrraL STATUS Maakico | plinenued | Winow/Wipower | DivorceE (PuzAseTicK) 16) SPEciALLY aBLeD Yes No TF YES, TICK THE CATEGORY (Pusase Tick) Locomonive | visuaL Heaunc Page 2 of 317) kyC Dems [YC Docume Tee | Nane son KYC Docume Noma Rewnis, FAW] BaucAccounet™ | TSC Cooe* NPR/AADHAAR PeRvawenT ACcOuNT Nunaex (PAN) PassPORT tmyowre | Driv Licence ‘Bera Dave Fuecrion Cato Tarion Camo ESIC Ono = Mandatory Field (NOTE; Bank AccounT NUMBER (aon win IFSC cope) 15 MANDATORY. YOU Axe HOWEVER ROVISCD TO PROMDE AL KYC DOCUMENTS AVAILABLE WITH OU IN ADDITION TO RANDATORY RYO AIM BETTER SeWICES. SELF-ATTESTED PHOTOCOPIES OF THE DOCUMENTS MUST ATTACHED VT TS FORM COUNDERTACNG: ‘A. CERTIFY THAT ALL THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. B. IN CASE, EARLIER A MEMBER OF EPF SCHEME, 1952 AND/OR EPS, 1995, (1) THAVE ENSURED THE CORRECTNESS OF MY UAN/ PREVIOUS PF MEMBER ID. (it) THIS MAY ALSO BE TREATED AS MY REQUEST FOR TRANSFER OF FUNDS AND SERVICE DETAILS IF APPLICABLE FROM ‘THE PREVIOUS ACCOUNT AS DECLARED ABOVE TO THE PRESENT P.F. ACCOUNT. (THE TRANSFER WOULD BE POSSIBLE ONLY IF THE IDENTIFIED KYC DETAILS APPROVED BY PREVIOUS EMPLOYER HAS EEN VERIFIED BY PRESENT EMPLOYER USING HIS DIGITAL SIGNATURE CERTIFICATE). (IIT) TAM AWARE THAT I CAN SUBMIT MY NOMINATION FORM THROUGH UAN BASED MEMBER PORTAL. SIGNATURE OF MEMBER DECLARATION BY PRESENT EMPLOYER A THE MEMBER Mr./MS.MIS. sever " 1» HAS JOINED ON 4» AND HAS BEEN ALLOTTED PF MEMBER ID. IN CASE THE PERSON WAS EARLIER NOT A MEMBER OF EPF SCHEME, 1952 AND EPS, 199: + (Post ALLOTMENT OF UAN) THE UAN ALLOTTED FOR THE MEMBER IS. PLEASE Tick THE APPROPRIATE OPTION: ‘THE KYC DETAILS OF THE ABOVE MEMBER IN THE UAN DATABASE HAVENT BEEN UPLOADED [D)_ HAVE BEEN UPLOADED BUT NOT APPROVED 'D___HAVE BEEN UPLOADED AND APPROVED WITH DSC CIN CASE THE PERSON WAS EARLIER A MEMBER OF EPF SCHEME, 1952 AND EPS, 1995: ‘+ THE ABOVE MENBER 1 OF THE MEMBER AS MENTIONED In (A) ABOVE HAS BEEN TAGGED WITH KIs/HeR UAN/PREVIOUS "Meer 1D As DECLARED BY MEMBER. ‘+ PLEASE TICK THE APPROPRIATE OPTION: (OTHE 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 ‘SIGNATURE OF EMPLOYER WITH SEAL OF ESTABLISHMENT Page 3 0f 3References only for Telecom Related No. Name Contact Number Company Designation 1 10 it 2 3B 4 ccs 16 7 18 18 20