TATA BACKGROUND CHECK FORM Guidelines /Checklist Your Job Offer is subject to successfitl completion of Background Verification Fill-up the BGC Form completely and accurately with copies ofall 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 te bares be before submuiing the BGC sors, ensuing ) No BCC forms wil be accepted i the ahsence ofan of i required document rire documents as aientcsél below Mandatory General Requirements: 11 Signed & Attached Document on General Consent to Background Investigation Letter (BGC Consent Letter enclosed within the BGC form) 11 My recent Passport size photograph pasted atthe appropriate place Address Check & Criminal Check Requirements: 1 Compiete & Correct Adress filled-in as required in BGC Form with FlavRoom No. clearly mentioned 1 Prominent landmark near the address mentioned for easy location C1 settattested & signed - Document for Address Proof submitted + What could be submitted for Address Proof? ‘© Proof for Present & Permanent Address o 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 () Landline Telephone Bill (Mobile ph bill not acceptable) (4) House Lease Agreement © Ifyour 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: C1 ci Forms applicable forthe location ~Filled-in with all details TO 2 Photos with my name written at the back of each photo D1 Address Proof (any one of the following) - Copy of Ration card / Electricity bill Landline Telephone bill © Address Proof — For House Lease Agreement 1 Copy of Agreement submitted (Agreement signed berween you and Owner) C1 copy of Agreement + Declaration Letter in Stamp Paper from Agreement Holder (Blood Relation) stating that [am residing in the same address as mentioned in the Agreement (if Agreement signed between your Family Member (Blood Relation) and Owner) D Letter from Society ofthe address (If Agreement signed between any other person (%on-blood Relation) or you are staying in Bachelor's Accommodation) Note: For all House Leave Agreements, vou should have stayed atleast 6 months ie the Address mentioned and the Agreement should be valid and within the expiry date ‘TCS Confidential Background Check Form ~ Experienced Professi Ensure consistency with information furnished by you initially nals (EP) Version 3.4 Page 1 of 11 TCS Application FormTATA C1 Separate C1D Form filled in & attached for each different address (For Applicants from Mumbat, Thane City, Thane Rural & Pune - Full Addresses and Signature given in each) Note: Forms not signed by the Applicant are not accepted by the Police fo Applicants to report at Police sation when called for as purt of ver) sification, cation process by Police 1D Cheek Requirements 1 Setteattested & signed - Document for ID Proof submitted + What could be submitted for 1D proof? (@) Valid Passport (b) Driving License (c) PAN Card (¢) Voter's ID card Reference Check Requirements — For each Reference 11 References provided are either Supervisor/HOD / Professor / TPO:Person holding Responsible Position ps in a reputed Organization ‘© No Relatives/Friends to be mentioned © Reference to know Applicant for a minimum period of 2 years Fut Name & Address of References provided legibly 1 Contact email 1D & telephone numbers of References provided © Provide atleast wo contact numbers Educational Check Requirements TZ sctratested & signed — copies of Highest Degree ‘Provisional Degree submitted C1 scttattested & signed ~ copies ofall Highest Degree mark sheets attached Previous Employment Check Requirements: 1 settattested & signed - Documents forall Previous Employment Proof submitted ‘© What could be submitted for Previous Employment Proof? © Relieving Certificate from your Previous Employer(s) - Mandatory © Experience Certificate & Salary Certificates ~ Last 3 months - Mandatory If Current Employment is Active at the time of submitting this BGC form, submit (i). Salary Certificates — Last 3 months Subsequent to resignation from Current Employer, submit (i)_ Relieving Certificate(s) (ii) Experience Certificates(s) Note: Your BGC Status will be Positive only after successful completion of employment checks Including your Current Employer ps during Education / Emplovment Check Requirements: C1 seitatiested & 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 TCS Confidential Background Check Form — Experienced Professionals (EP) Version 3.4 Page 2 of 11 Ensure consistency with information furnished by you initially in TCS Application FormTATA Experienced Professionals (EP) BACKGROUND CHECK FORM TCS Applicant ID: TCS Employee # Paste your recent Passport Size Photo here ‘Are you relieved from the services of the current Company (Immediate Last | Employer) at the time of submitting this form to TCS? Yes / No _ Ht EH | TCS Offer Ref No./Date: | TCS Recruitment Branch’ f Designation: | Date of joining: Name of the Applicant (Full name expanding initials): ‘Contact Landline Phone no.: Mobile Phone no. | email id: Faiher’s Name Date of birth (Attach Proof): Marital Status: Single /Married | Nationality: is A. Present Residential Address : (Attach ] Period of Stay | From : Landmark: City/Town: State Pin code: ‘B Other Residential Address: [Furnish other adc ses 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: Siate: Pin code: Pin code: Pin code: Landmark: Landmark Landmark Attach Additional Sheet, if you have stayed in more than 3 Other Residential addresses (locations) ©. Permanent Address: (Attach Proof) Z Period of Stay | From To: “[Landmari City/Town: State: Pin code: ‘Contact Landline Phone no.: [ Mobiie Phone no. TCS Confidential Background Check Form ~ Experienced Professionals (EP) Version 3.4 Page 3 of 11 Ensure consistency with information furnished by you initially in TCS Application FormTATA A) Is any case pending against you in any court of Law at the time of filling up this Background Check Form? Yes / No B) Is any case pending against you in any University or any other educational authority / institution at the time of filing. up this Background Check Form ? Yes / No C) 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 (No Relatives/Friends to be given as Reference) Title & Designation: (Supervisor/Person holding responsible Position in a Reputed Organization.) Ts the above mentioned Reference/ Supervisor from the current Compan Yes / No Yes / No Full Address (with Company Name): 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): (i) Name as in Passport: ii) PassportNo : Gii) Place of Issue (iv) Date of Issue : (v) Date of Expiry ‘TCS Confidential Background Check Form — Experienced Professionals (EP) Version 3.4 Page 4 of 11 Ensure consistency with information furnished by you ini TCS Application Formtuuod wonanddy sou, a Hyessiea pe worss9, (qa) ste no iq paysqusny worreusosuy Jorg PoouDLadN-f ~ WLAO YOY punoA reg wHuspyu0.> SI, 1 Kouaysysuo> aans an go aPRID /STELD HUE JO 9 Iss JO.AEOK Apmis jo poriog IN Ue PUNPUET AYO. 7 pyeupuey emupuey] - ; ____9p09 ule _ = s 19po9 Wig Heer z areig sg van sumo AID, _ MMOL /A armnsyy | (ssaappy arqduio ast) SS890PPV :Aypsa9arog) /99q}0D / aan suy Jo ouIEN | T rspoolgng urepy wopezeysodg uonwonpa Jo 9pory, ‘9aidaq] aqui OF jon WOR BUTEA, Ea IsaaT WORRIED, ViVi EIYI}I9;) UI Se OMEN, Goorg yoeny) suoHayrENd jeuonLonp |yt nox Sq poystuany uoreuisosu yas Kouapstsuos asnstig Jd patoqsadyey —wu4od 0H.) punoadyoeg ebu9pHw0 SO $130 9 980 rg woYSI9,A (qq) sTeUOT ON 7 S8K_ Barwonsuny Siasinns Raines Bauonstny Masiins Kees | sony g AuvdexOS enua naoW spHexdoaog [ Tt IN a SUNPUET SRIO mg — 281g /unoy, Lary /amoy, | es PEE Qpeupury = eee Seer ceE ee quoururord ‘9poo is a | jeisog pur ssaxppy a ssnsetes i arajdurog aarp) cee :SSupPV sq roweyy 1940pdurgy sohoydurgy :Buravay 30) suosvay ee Bream Eee Eee [oN Wa *nGOW sped son og | : ON Wd *HAOW PINOT You OG | fuonwudisaq sostaradng sqrei9q_ i a 3 i MWEN sostaradng sostaradng = - wN a [oN wa aR SPORTING | [oN MaaON sPHO ION oG | —_ Fen ua sanpEeT aamIO suonwudisog 4H sprig i eae oreo # UN UH 4H | __ [sg ahora SeI9q "uORvUB ISOC soxordurg fies i toy, ‘dura jo eq, | # ie roxosy “dura yo ae. ponag won diss § focoiduig snorssag | Si 10y Bano kpaLMs f o8og Urpapiaord aouaI—;9y SIPS redo.) 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L : ssasppy a1aqduso3 aarp) sssauppy seg rawen sokojdug sokopdursy juLAvOq 305 SUOSEDY, LD Uawesp 1st] E oe zi z sews Hi ON wa HAO SPRON iow OG oN ud anaORE spina OH OG Fon ud Soe DH joneUstsag sosiodng spree: ure JostADdng sosraradng ae atta ew] @Nad aigoW apisosdiou og ON Ud *NqOW Spread tou og. NI Ud SUHpEeT Dm neUsISOG WH E ON AHL _| sera wH aakojdury spe é neuBisog, ~ | aakordurg, ‘dua jo eq quae Koda = org dua jo neq Jo ponag “[ wondisssq saxo dung siorseag |TATA Declaration to be signed by the Applicant In connection with my application to render services to Tata Consultancy Services Ltd (the "Company"), | hereby agree as follows: GENERAL CONSENT TO BACKGROUND INVESTIGATION | certify that the information furnished in this form as well as in all other forms filled-in by me in conjunction with my employment is factually correct and subject to verification by TCS. | 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 false, misleading, deliberately omitted/ suppressed, failure to disclose information required or material change in the information provided which is not reported to TCS. As a condition of Company's consideration of my application for employment with the Company , | 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 employment history,. | understand that this background investigation will include, but not be limited to, verification of all information given by me to the Company. | confirm that the Company is entitled to share such investigation report with its clients to the extent necessary in connection with the Services, which | may be required to provide to such clients. | 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. Signature Name Place Date TCS Offer No./ Date ‘TCS Confidential Background Check Form — Experienced Professionals (EP) Version 3.4 Page 9of 11 Ensure consistency with information furnished by you initially in TCS Application FormTATA Gaps during Education/Employment (Attach Proof): 1 certify that the information furnished in this form is factually correct and complete in all respects to the best of my knowledge and belief. Place Signature of Applicant Date Name ‘TCS Confidential Background Check Form ~ Experienced Professionals (EP) Version 3.4 Page 10 of 11 Ensure consistency with information furnished by you initially in TCS Application FormTATA Please attach the following documents along with this Background Check Form: (@) Your recent Passport size photograph pasted at the appropriate place (b) Self-attested & Signed Copy of Identity Proof document © Valid Passport / Driving License / PAN Card / Voter's ID card (©) Self-attested & Signed Copy of Address Proof document: © Ration card / Electricity bill / Landline Telephone bill / © House Lease Agreement + Related Documents as required (@) Self-attested & Signed Copy of Educational Certificates: © Highest Degree Centificate(s) /Provisional Degree Certificate(s) © Highest Degree Mark sheets of all exams (©) Self-attested & Signed Copy of Employment documents: © Previous Employment (i) Relieving Certificate(s) i) Experience Certificates(s) (ii) Salary Certificates — Last 3 months () Self-attested & Signed - Documents to explain gaps during Education/Employment © Attach Affidavit with Notary Authorization for gaps (Please refer Background Check Form Guidelines/Checklist in Sheet 1& 2 for more details) ‘or Office Lise On Verified the following: BGC Consent Letter ~ signed & attached Recent Passport size photo pasted atthe 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 ofall exams copies selfattested, signed & attached Previous Employment documents ~ Relieving Certificates, Experience Certificates, Salary Certificates COCEECEE Documents to explain gaps during Education/Employment - attached HR Recruitment Representative: Name: _ Emp # Date: ‘TCS Confidential Background Check Form — Experienced Professionals (EP) Version 3.4 Page 11 of 11 Ensure consistency with information furnished by you initially in TCS Application Form