421122, 195 PM ‘Statutory Information (VERY IMPORTANT) Statutory Information (VERY IMPORTANT) Please enter all the details accurately and carefully 1. Please enter your name as per Adhaar Card * SUMIT KUMAR SINHA 2. Please select which location are you joining at Concentrix. * Bangalore Chandigarh Chennai Gurugram (NCR) Hyderabad Kolkata Mumbai, Noida Pune Ranchi htpsfformsoffce.comipagesiresponsepage aspx id=1IGeWYwiROOOWR9SWIGpj00_K34/C5 lps) Tim@UNVIyOExRMOIMGOMTEJQWKKMF 7421122, 195 PM ‘Statutory Information (VERY IMPORTANT) Thane Vadodara Varanasi Vizag 3, Please enter your Date of Joining at Concentrix (Please refer your Appointment Letter) * | 21/04/2022 4. Please enter your Mobile number registered with Concentrix * | 9355281265 | 5, Please enter your personal Email ID registered with Concentrix * sumit_sinha@outlook.in | 6.Please enter the NAME of the Bank where you have an account. (If you do not have one, kindly provide your close relative's Bank NAME) The Questions here onwards are only for ESI Statutory Requirement. * KOTAK MAHINDRA BANK | 7. Please enter Bank Account Number of the Above Bank * ea | hitps:tormsoffice.compagesiresponsopage aspx id=1IGeWYwyROOOWRSSWIGpjOO_K241CJ5 lepAsiHTmGUNVIyOEXRMOIMGOIMTEJQWKKME... 2/4421122, 195 PM ‘Statutory Information (VERY IMPORTANT) 8. Please enter the Bank IFSC Code of the Above Bank * KKBK0004257 | 9, Please mention your ESIC Number (if any)? * 6929880005 10. Please add your Nominees Name for the Statutory Forms (Close relative only) The Questions here onwards are only for Statutory Requirements as per_ Government Norms. * | BINOD KUMAR SINHA 11. Please enter the Age of your Nominee * [5 12. Please enter your relationship with the above Nominee (Father, Mother, Brother, Sister, Spouse...) * FATHER 13. Please enter your Religion (Required as Per Government Norms in the Gratuity Form) (Optional) hitps:tormsoffice.comipagesiresponsopage aspx id=1IGeWYwyROOOWRSSWVIGpjOO_K241CJ5 JlepAsiHTmBUNVIyOEXRMOIMQOIMTEJQWKKMF..._ 3/4421122, 195 PM ‘Statutory Information (VERY IMPORTANT) HINDU 14. Please enter your UAN (Universal Account Number), from your previous organization if you have one. (Enter "NA" if you are a Fresher) * 101568793916 15. Please mention the Name of the Person we can contact with in case of Emergency SAURABH KUMAR 16. Please enter the Contact Number of the Person mentioned above * 7991189889 This content is created by the owner of the form. The data you submit wil be sent to the form owner, Microsoft is not responsible forthe privacy or security practices ofits customers, including those of this form owner, Never give out your password Powered by Microsoft Forms | Privacy and cookies | Terms of use, hitps:torms office. comipagesiresponsopage aspx id= 1IGeWYwyROOOWRSSWVIGpjOO_K24/CJ5 lopAsiHTmBUNVIYOEXRMOIMQOIMTEJQWKKME..._ 4/4