Self Declaration/Authorization

Dear Sir/ Madam:

I am currently seeking employment with Alorica. As part of Alorica’s procedure of processing my application, an investigative report about my background may be made. I,
therefore, authorize Alorica to investigate information concerning my education, employment and all other aspects of my background relevant to my proposed employment. I
also certify that all information supplied in conjunction with my application are true and correct in all aspects and I have not willfully suppressed any fact. Your assistance in
providing Alorica the information requested will be highly appreciated as it would help facilitate the processing of my application.

I further acknowledged that all personal information provided herein will be used for purposes of my proposed employment application. Thus, I hereby authorize the processing
of my personal information including but not limited to the collection, recording, organization, storage, updating or modification, retrieval, consultation, disclose, and use of
information contained herein, including supporting documents, necessary for the administration of this application.

Signature Over Printed Name Date

“This form and its content are copyright of ALORICA. All rights reserved. Any redistribution or reproduction of part or all of the contents in any form is prohibited. You may not,
except with the expressed written permission from Human Resources, distribute or commercially exploit the content; nor this form be taken out of the company premises.”

Self Declaration/Authorization
Dear Sir/ Madam:

I am currently seeking employment with Alorica. As part of Alorica’s procedure of processing my application, an investigative report about my background may be made. I,
therefore, authorize Alorica to investigate information concerning my education, employment and all other aspects of my background relevant to my proposed employment. I
also certify that all information supplied in conjunction with my application are true and correct in all aspects and I have not willfully suppressed any fact. Your assistance in
providing Alorica the information requested will be highly appreciated as it would help facilitate the processing of my application.

I further acknowledged that all personal information provided herein will be used for purposes of my proposed employment application. Thus, I hereby authorize the processing
of my personal information including but not limited to the collection, recording, organization, storage, updating or modification, retrieval, consultation, disclose, and use of
information contained herein, including supporting documents, necessary for the administration of this application.

Signature Over Printed Name Date

“This form and its content are copyright of ALORICA. All rights reserved. Any redistribution or reproduction of part or all of the contents in any form is prohibited. You may not,
except with the expressed written permission from Human Resources, distribute or commercially exploit the content; nor this form be taken out of the company premises.”