Undertaking/Affidavit:

Whereas l _luLL nAML_ an adulL lndlan lnhablLanL resldlng aL _Auu8LSS_ have been selecLed by 1aLa
ConsulLancy Servlces LLd (1CS") for employmenL as _ASSlS1An1 S?S1LMS LnClnLL8 (1) vlde Cffer
LeLLer daLed 12Lh Sep 2009 sub[ecL Lo Lhe Lerms and condlLlons menLloned Lhereln and subsequenL
accepLance of Lhe offer leLLer by me and Lhe submlsslon of Lhe 8CC documenLs Lo 1CS
And whereas slnce Lhere has been a Llme gap afLer compleLlon of my uC/C degree course and Lhe daLe
of [olnlng 1CSL 1CSL has called upon me Lo glve Lhe followlng underLaklng as parL of 8ackground Check
rocess whlch l hereby do
l PL8L8? ClvL 1PL lCLLCWlnC unuL81AklnC
for po|nt 3 you need to pr|nt on|y the f|rst part |f u were not emp|oyed anywhere Ck on|y the second
part |f u were emp|oyed
3 1haL l was noL employed galnfully and / or honorary ln any CrganlzaLlon lncludlng rlvaLe / ubllc /
CovernmenL / LducaLlonal lnsLlLuLlon eLc prlor Lo [olnlng 1CS
C8
3 1haL l was employed galnfully and / or honorary wlLh _name of prlor company_ prlor Lo [olnlng 1CS
1he parLlculars of my employmenL and reasons for leavlng are as follows reason for leavlng 1he
formal release leLLer from my sald employer ls aLLached hereLo
ln Wl1nLSS WPL8LCl l have puL my slgnaLure on Lhls underLaklng on Lhls _day ln words_ day of
2009
SlgnaLure of Lhe CandldaLe _?Cu8 SlCn_
name of Lhe CandldaLe _?Cu8 luLL nAML_
1CS Cffer 8eference no _8Ll nC ClvLn Cn u8 CllL8 LL11L8_
lace
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1 WlLness
SlgnaLure of Lhe WlLness
name Address
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