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AT&T Waiver v2.0

The document is a vendor company information form for AT&T, specifically for Convergys, requiring details from applicants regarding their previous employment with AT&T. It includes sections for personal information, employment history, and a declaration of understanding regarding employment terms. The form emphasizes the importance of accurate information and the consequences of misrepresentation.

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Sabrina Joan
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97 views1 page

AT&T Waiver v2.0

The document is a vendor company information form for AT&T, specifically for Convergys, requiring details from applicants regarding their previous employment with AT&T. It includes sections for personal information, employment history, and a declaration of understanding regarding employment terms. The form emphasizes the importance of accurate information and the consequences of misrepresentation.

Uploaded by

Sabrina Joan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1 *Required AT&T - Vendor Company Information

1.a Vendor/Company Convergys 1.c Applicant Name _______________________

1.b Site Name Alabang 1.d Applicant SSS No. _______________________

1.e Applicant DOB _______________________

If you were an employee of any Vendor working on an AT&T contract or were a previous AT&T Employee, you would have been
issued an ATTUID. The existing ATTUID for any former AT&T Non Payroll Worker (NPW) or AT&T Employee must always be used.
Only one ATTUID should ever be issued to any AT&T NPW or Employee at anytime.

2 *Required

1.a Are you a former AT&T Employee: YES NO

1.b AT&T Organization:


1.c Start Date:

1.d End Date:


Former employees should provide their actual SSN as AT&T will reactivate the original ATTUID

3 *Required
Have you ever worked on any AT&T Project at any time?
3.a YES NO
Please take note that any training attended counts, no matter how brief.
3.b Do you remember your AT&T Agent ID? YES NO

3.c If Yes, please provide ATTUID/Agent ID:

3.d Vendor/Company Name:

3.e Center/Location name:

3.f Product/Service supported Uverse/Mobility/DSL, etc:

3.g Start Date:


Please provide Day/ Month /Year
If unknown: Please provide Month and Year
3.h End Date:

4 *Required Vendor Representative – (HR ,Recruitment, Training Manager, etc)

4.a Printed Name: Ian Garcia 5.c Date:

4.b Signature:

I understand that falsification, misrepresentation, or omission of requested facts will result in denial of employment or, if
employed, will result in dismissal. I understand and agree that, if hired, my employment will be for no definite period and
may, regardless of the date of payment of wages, be terminated at any time without previous notice and with or without
reason, at the will of wither myself or Convergys Corporation. I agree that any oral representations made by Convergys
Corporation are not binding, and that it would be unreasonable for me to rely on any such representations. I also
understand and agree that no one has the opportunity to promise me job security or continued employment, except the
President or CEO of Convergys Corporation in a written agreement signed by both of you.

By my signature below, I certify that I have read, fully understand and accept the terms of the foregoing statement.

________________________
Signature over Printed Name

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