Self-Declaration

(Non-Submission of Documents)
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TO WHOMSOEVER IT MAY CONCERN

I hereby declare that I am unable to produce the following documents to substantiate the
information I have provided to Klaus IT Solutions Private Limited and / or its
representative(s) as part of my job application with a valid reason for non-submission.

I release Klaus IT Solutions Private Limited and / or its representative(s) from any liability
arising out of such non-submission of relevant documentation.

PERSONAL DOCUMENTS REASON FOR NON SUBMISSION

_______________________________ ________________________________

_______________________________ ________________________________

EDUCATIONAL DOCUMENTS REASON FOR NON SUBMISSION

_______________________________ ________________________________

_______________________________ ________________________________

PRIOR EMPLOYMENT DOCUMENTS REASON FOR NON SUBMISSION

_______________________________ ________________________________

_______________________________ ________________________________

I acknowledge that the company has the prerogative to follow its internal pre-defined
process for such non-submission.

Name: _________________________ Signature: _________________________

Email ID: _______________________ Phone: ____________________________

Date: __________________________ Place: ____________________________