Professional Documents
Culture Documents
Statutory Compliance
Welcome Onboard!
(Declaration by a person taking up employment in any establishment on which EPF Scheme, 1952 and for EPS, 1995 is applicable)
Inward No.
1 2 3 4 5 6
Umer Shaikh 350 Spouse 01/12/1995
Ghorpade
peth near
Arabia tours
and travels
mohammadiya
apartment,
Pune -42
1. *Certified that I have no family as defined in Para 2(g) of the Employees’ Provident Funds Scheme,
1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.
2. *Certified that my father/mother is / are dependent upon me.
Signature or thumb impression of the subscriber
Part-B (EPS)
Part 18
I hereby furnish below particulars of the members of my family who would be eligible to receive
Widow/Children Pension in the event of my death.
Sr. Name & Address of the family Date of Birth Relationship with
No. member the member
Name Address
1 2 3 4 5
Ayzal Shaikh 350 Ghorpade 27/06/2021 Child
peth near Arabia
tours and travels
mohammadiya
apartment, Pune
-42
* Certified that I have no family as defined in Para 2 (vii) of the Employees’ Pension Scheme, 1971 and
should acquire a family hereafter I shall furnish particulars thereon in the above form.
I hereby nominate the following person for receiving the monthly window pension(admissible under para
16(2) (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension
Name & Address of the family member Date of Birth Relationship with the
member
7. Permanent: 350 Ghorpade peth near Arabia tours and travels mohammadiya apartment, Pune
-42
8. Temporary:
Part A (EPF)
I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s),
mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the
event of my death:
Name of the Address Nominee’s Date of Total amount If the Nominee is a
nominee relationship Birth or share of minor, name &
with the accumulation relationship & address
member s in Provident of the guardian who
Fund to be may receive the
paid to each amount during the
nominee minority of nominee
1 2 3 4 5 6
Umer Shaikh 350 Ghorpade Spouse 01/12/1995
peth near
Arabia tours
and travels
mohammadiya
apartment,
Pune -42
3. *Certified that I have no family as defined in Para 2(g) of the Employees’ Provident Funds Scheme,
1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.
4. *Certified that my father/mother is / are dependent upon me.
Signature or thumb impression of the subscriber
Part-B (EPS)
Part 18
I hereby furnish below particulars of the members of my family who would be eligible to receive
Widow/Children Pension in the event of my death.
Sr. Name & Address of the family member Date of Birth Relationship with
No. the member
Name Address
1 2 3 4 5
* Certified that I have no family as defined in Para 2 (vii) of the Employees’ Pension Scheme, 1971 and
should acquire a family hereafter I shall furnish particulars thereon in the above form.
I hereby nominate the following person for receiving the monthly window pension(admissible under para
16(2) (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension
Name & Address of the family member Date of Birth Relationship with the
member
NOMINATION
2. I hereby certify that the person(s) mentioned is/are a member(s) of my family within the meaning of clause (h)
of Section 2 of the Payment of Gratuity Act, 1972.
3. I hereby declare that I have no family within the meaning of clause (h) of Section 2 of the said Act.
NOMINEE(S)
DECLARATION BY WITNESS
Nomination signed/thumb-impressed before me
Name in full and full address of witnesses. Signature of Witnesses.
1. 1.
2. 2.
Sub: Application for regularising membership/Provident Fund Contributions deducted on Salaries over & above Rs.
6500/- per month or at higher rate.
Sir,
I the undersigned Shri/Smt. Eram Shaikh bearing Account Number
PU/PUN/121598/ , employee of M/s Ventura(India) Private Limited hereby declare that I
have been contributing Provident Fund on my entire salary @ 12% with effect from (DOJ). 23/05/2022
I am/am not an `EXCLUDED EMPLOYEE’ within the meaning of para 2(f) of the EPF Scheme, 1952
I request that;
1. I may be enrolled as member of the Employees’ Provident Fund voluntarily with effect from (DOJ). 23/05/2022
2. I may be permitted to contribute voluntarily on my entire salary exceeding Rs. 6500/- per month w.e.f. (DOJ)
3. I may be permitted to contribute @ __nil______% instead of the statutory rate of 12% with effect from
(DOJ). 23/05/2022
Yours Faithfully,
________________________________
(Member’s signature)
We M/s Ventura(India) Private Limited, bearing Employer’s Code No. PU/PUN/121598_______ hereby
declare that;
1. We have voluntarily enrolled Shri/Smt. Eram Shaikh as member of the EPF Scheme, 1952, w.e.f. (DOJ) and
his/her Account Number is ____________.
2. We have been deducting contribution on his/her entire pay w.e.f. ______________________
3. We have been making matching contribution on pay upto Rs. 6500/- per month / on entire pay w.e.f.
______________.
4. We have been deducting Provident Fund contribution voluntarily @ 12% of pay and making matching
contribution @ 12% of pay.
5. We have paid Administrative Charges and submitted all the Returns in respect of the above Member accordingly
and will continue to do so.
We request that this case be regularised by permitting voluntary membership and contribute on entire salary @ 12%
of pay as stated above.
Yours Faithfully,
Authorized Signatory
CAPITA
Date of Joining
Employee No : 50080848 (dd/mm/yyyy) 23/05/2022
Email ID : erum1996.21@gmail.com
Undergraduate Graduate Post graduate Diploma
If married and spouse is employed give his/her Employer Name, Office Address and telephone numbers
Academic /Profession Qualification : (To be given in revers chronological order) (10th till highest qualification)
Degree Branch of College/Institute University Start Date End Date Percentage/Class
study /Grade
SSC Crescent High Pune 28/05/2011 13/06/2012 63.80
school
HSC Poona college Pune 27/07/2013 14/02/2014 63.85
Professional Training programs/ Courses Attended / Professional Certification (Give this in reverse Chronological order).
Name of Organization Designation held Start Date End date Exp. in Last Salary Reason
Yrs. Drawn for
leaving
Concentrix Representative, 29/08/2017 10/12/2018 1year 2 11000 as a Was
operations months part timer getting
married
Capita Senior customer 10/10/2019 21/04/2022 2years 6 31000 Process
care executive months ramp
down
_______Eram 23/05/2022___________________________
Employee’s Signature & Date of Joining (DD/MM/YYYY):
CAPITA
I hereby nominate person/s mentioned below to receive the amount, in the event of my death and direct the said amount shall be
distributed among the said person/s in the manner shown below against their name.
Share to be paid to
Nominee/s Relation with the Age of each nominee/s (%)
Name and Address of the Nominee employee Nominee (*)
(*) This column should be filled so as to cover the whole amount that may stand to the credit of the member
(Total of all should be 100%)
______________________________________
Signature of Employee & Date of Joining (DD/MM/YYYY):
Declaration of Resignation
To,
Manager - Human Resource
Ventura (India) Pvt Ltd
Commerzone, Yerwada, Pune – 411006.
(Reliving letter – mention “0” days and resignation acceptance letter – mention
no.of days when reliving letter will be received)
Signature : Eram
Currently I do not have PAN CARD and therefore I am not able to provide the PAN CARD Number to
complete my on-boarding requirement.
I will immediately apply for a PAN CARD by -------------and will submit the details before -------
(Not later than one month from my date of joining)
I have applied for a PAN CARD and will submit the details on or before ------------
On receipt of my PAN CARD I will submit a copy to HR and will update the details on the system
accordingly.
I acknowledge that I will be responsible for the consequences of any tax computation and/or my
salary being kept on hold, in case I do not submit & update PAN CARD Number on the system by
the above mentioned dates.
Employees Name:
Employee ID:
This is to confirm that I have not completed my Aadhaar Card registration; therefore I am unable to
provide my Aadhaar Card number.
Herewith, I am giving my assurance that I will complete the Aadhaar Card registration at the earliest
possible or whenever EPFO will arrange a camp for Aadhaar Card Registration, I will participate in the
same as per the schedule provided by the Regional PF Commissioner.
Thanking you.
Yours Sincerely,
(Employee’s Signature)
Employee’s Name:
Emp. No.
Mobile No.
Email Id.
AUTHORISATION
Human Resource Dept.
Dear Sir,
and resides at 350 ghorpade peth near Arabia tours and travels,
mohammadiya apartment, pune-42
I hereby confirm that on receiving, reading and fully understanding the standards
expected of me by Capita Code of conduct, I will observe and abide by the ethical
standards, policies, rule and procedures contained within it.
I understand that any breach of the above may lead to disciplinary action,
including dismissal.
Signature : Eram
A violation or imminent threat of violation of computer security policies, acceptable use policy,
or standard Security policies.
Incident is classified as
Please note that should any Capita employee be proved to be actively involved in the
occurrence of any security incident, then disciplinary procedures shall be initiated against the
employee.
For reference, we have categorized the scenarios under ‘Misconduct’ or ‘Gross Misconduct’.
Some of the common information security threat scenarios, which give rise to security
incidents, are mentioned below but not limited to :
I declare that I have read and understood various misconduct and gross misconduct and if I
fail to follow mandatory requirements outlined in the policy, I may be subject to disciplinary
action, dismissal/termination of contracts.
I declare that I have read and understood Capita Information Security Policy relevant to my
job profile. Furthermore, I undertake that I shall:
I agree that by signing this document I am declaring that I have read and understood the
relevant Information Security Policy and that if I fail to follow mandatory requirement outlined
in the policy, I may be subject to disciplinary action / dismissal /termination of contracts.
Signature : Eram
Welcome Onboard!
(Declaration by a person taking up employment in any establishment on which EPF Scheme, 1952 and for EPS, 1995 is applicable)
4 Gender: (Male/Female/Transgender)
Inward No.
4 Sex (Male/Female):
5 Marital Status(Married/Unmarried/Widow/Widower):
6 Account No. PU/PUN/121598
7 Address :
Permanent:
Temporary:
Part A (EPF)
I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s),
mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the
event of my death:
Name of the Address Nominee’s Date of Total amount If the Nominee is a
nominee relationship Birth or share of minor, name &
with the accumulation relationship & address
member s in Provident of the guardian who
Fund to be may receive the
paid to each amount during the
nominee minority of nominee
1 2 3 4 5 6
1. *Certified that I have no family as defined in Para 2(g) of the Employees’ Provident Funds Scheme,
1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.
2. *Certified that my father/mother is / are dependent upon me.
Signature or thumb impression of the subscriber
Part-B (EPS)
Part 18
I hereby furnish below particulars of the members of my family who would be eligible to receive
Widow/Children Pension in the event of my death.
Sr. Name & Address of the family member Date of Birth Relationship with
No. the member
Name Address
1 2 3 4 5
* Certified that I have no family as defined in Para 2 (vii) of the Employees’ Pension Scheme, 1971 and
should acquire a family hereafter I shall furnish particulars thereon in the above form.
I hereby nominate the following person for receiving the monthly window pension(admissible under para
16(2) (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension
Name & Address of the family member Date of Birth Relationship with the
member
Inward No.
4. Sex (Male/Female):
5. Marital Status(Married/Unmarried/Widow/Widower):
6. Account No. PU/PUN/121598
7. Address :
8. Permanent:
9. Temporary:
Part A (EPF)
I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s),
mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the
event of my death:
Name of the Address Nominee’s Date of Total amount If the Nominee is a
nominee relationship Birth or share of minor, name &
with the accumulation relationship & address
member s in Provident of the guardian who
Fund to be may receive the
paid to each amount during the
nominee minority of nominee
1 2 3 4 5 6
3. *Certified that I have no family as defined in Para 2(g) of the Employees’ Provident Funds Scheme,
1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.
4. *Certified that my father/mother is / are dependent upon me.
Signature or thumb impression of the subscriber
Part-B (EPS)
Part 18
I hereby furnish below particulars of the members of my family who would be eligible to receive
Widow/Children Pension in the event of my death.
Sr. Name & Address of the family member Date of Birth Relationship with
No. the member
Name Address
1 2 3 4 5
* Certified that I have no family as defined in Para 2 (vii) of the Employees’ Pension Scheme, 1971 and
should acquire a family hereafter I shall furnish particulars thereon in the above form.
I hereby nominate the following person for receiving the monthly window pension(admissible under para
16(2) (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension
Name & Address of the family member Date of Birth Relationship with the
member
NOMINATION
2. I hereby certify that the person(s) mentioned is/are a member(s) of my family within the meaning of clause (h)
of Section 2 of the Payment of Gratuity Act, 1972.
3. I hereby declare that I have no family within the meaning of clause (h) of Section 2 of the said Act.
NOMINEE(S)
1.
2.
3.
4
STATEMENT
1. Name of employee in full: Yagamurthy Thoomati
2. Sex:
3. Religion:
4. Whether unmarried/married/widow/widower:
5. Department/Branch/Section where employed: TSS
6. Post held with Ticket No. or Serial No., if any: Software Consultant
7. Date of appointment (DD/MM/YYYY):
8. Permanent address:
Place:
Date of Joining (DD/MM/YYYY): Signature/Thumb-impression of the Employee
DECLARATION BY WITNESS
Nomination signed/thumb-impressed before me
Name in full and full address of witnesses. Signature of Witnesses.
1. 1.
2. 2.
Sub: Application for regularising membership/Provident Fund Contributions deducted on Salaries over & above Rs.
6500/- per month or at higher rate.
Sir,
I the undersigned Shri/Smt. Yagamurthy Thoomati bearing Account Number
PU/PUN/121598/ , employee of M/s Ventura(India) Private Limited hereby declare that I
have been contributing Provident Fund on my entire salary @ 12% with effect from (DOJ).
I am/am not an `EXCLUDED EMPLOYEE’ within the meaning of para 2(f) of the EPF Scheme, 1952
I request that;
1. I may be enrolled as member of the Employees’ Provident Fund voluntarily with effect from (DOJ).
2. I may be permitted to contribute voluntarily on my entire salary exceeding Rs. 6500/- per month w.e.f. (DOJ)
3. I may be permitted to contribute @ __nil______% instead of the statutory rate of 12% with effect from
(DOJ).
Yours Faithfully,
________________________________
(Member’s signature)
We M/s Ventura(India) Private Limited, bearing Employer’s Code No. PU/PUN/121598_______ hereby
declare that;
1. We have voluntarily enrolled Shri/Smt. Yagamurthy Thoomati as member of the EPF Scheme, 1952, w.e.f.
(DOJ) and his/her Account Number is ____________.
2. We have been deducting contribution on his/her entire pay w.e.f. ______________________
3. We have been making matching contribution on pay upto Rs. 6500/- per month / on entire pay w.e.f.
______________.
4. We have been deducting Provident Fund contribution voluntarily @ 12% of pay and making matching
contribution @ 12% of pay.
5. We have paid Administrative Charges and submitted all the Returns in respect of the above Member accordingly
and will continue to do so.
We request that this case be regularised by permitting voluntary membership and contribute on entire salary @ 12%
of pay as stated above.
Yours Faithfully,
Authorized Signatory
CAPITA
Date of Joining
Employee No : 50080956 (dd/mm/yyyy)
Pin : Pin :
Mob: Mobile 8125345589
Resi: Mobile 8125345589
Email ID : y.thoomati@gmail.com
Undergraduate Graduate Post graduate Diploma
Qualification :
Qualification : (Mention the highest Qualification)
If married and spouse is employed give his/her Employer Name, Office Address and telephone numbers
Academic /Profession Qualification : (To be given in revers chronological order) (10th till highest qualification)
Degree Branch of College/Institute University Start Date End Date Percentage/Class
study /Grade
Professional Training programs/ Courses Attended / Professional Certification (Give this in reverse Chronological order).
Name of Organization Designation held Start Date End date Exp. in Last Salary Reason
Yrs. Drawn for
leaving
__________________________________
Employee’s Signature & Date of Joining (DD/MM/YYYY):
CAPITA
I hereby nominate person/s mentioned below to receive the amount, in the event of my death and direct the said amount shall be
distributed among the said person/s in the manner shown below against their name.
Share to be paid to
Nominee/s Relation with the Age of each nominee/s (%)
Name and Address of the Nominee employee Nominee (*)
(*) This column should be filled so as to cover the whole amount that may stand to the credit of the member
(Total of all should be 100%)
______________________________________
Signature of Employee & Date of Joining (DD/MM/YYYY):
Declaration of Resignation
To,
Manager - Human Resource
Ventura (India) Pvt Ltd
Commerzone, Yerwada, Pune – 411006.
(Reliving letter – mention “0” days and resignation acceptance letter – mention
no.of days when reliving letter will be received)
Signature :
Currently I do not have PAN CARD and therefore I am not able to provide the PAN CARD Number to
complete my on-boarding requirement.
I will immediately apply for a PAN CARD by -------------and will submit the details before -------
(Not later than one month from my date of joining)
I have applied for a PAN CARD and will submit the details on or before ------------
On receipt of my PAN CARD I will submit a copy to HR and will update the details on the system
accordingly.
I acknowledge that I will be responsible for the consequences of any tax computation and/or my
salary being kept on hold, in case I do not submit & update PAN CARD Number on the system by
the above mentioned dates.
Employees Name:
Employee ID:
This is to confirm that I have not completed my Aadhaar Card registration; therefore I am unable to
provide my Aadhaar Card number.
Herewith, I am giving my assurance that I will complete the Aadhaar Card registration at the earliest
possible or whenever EPFO will arrange a camp for Aadhaar Card Registration, I will participate in the
same as per the schedule provided by the Regional PF Commissioner.
Thanking you.
Yours Sincerely,
(Employee’s Signature)
Employee’s Name:
Emp. No.
Mobile No.
Email Id.
AUTHORISATION
Human Resource Dept.
Dear Sir,
and resides at
I hereby confirm that on receiving, reading and fully understanding the standards
expected of me by Capita Code of conduct, I will observe and abide by the ethical
standards, policies, rule and procedures contained within it.
I understand that any breach of the above may lead to disciplinary action,
including dismissal.
Signature :
A violation or imminent threat of violation of computer security policies, acceptable use policy,
or standard Security policies.
Incident is classified as
Please note that should any Capita employee be proved to be actively involved in the
occurrence of any security incident, then disciplinary procedures shall be initiated against the
employee.
For reference, we have categorized the scenarios under ‘Misconduct’ or ‘Gross Misconduct’.
Some of the common information security threat scenarios, which give rise to security
incidents, are mentioned below but not limited to :
I declare that I have read and understood various misconduct and gross misconduct and if I
fail to follow mandatory requirements outlined in the policy, I may be subject to disciplinary
action, dismissal/termination of contracts.
I declare that I have read and understood Capita Information Security Policy relevant to my
job profile. Furthermore, I undertake that I shall:
I agree that by signing this document I am declaring that I have read and understood the
relevant Information Security Policy and that if I fail to follow mandatory requirement outlined
in the policy, I may be subject to disciplinary action / dismissal /termination of contracts.
Signature :
Welcome Onboard!
(Declaration by a person taking up employment in any establishment on which EPF Scheme, 1952 and for EPS, 1995 is applicable)
1 Name of the member (Name as per Pan Card) MD Ghulam Nabi Ansari
4 Gender: (Male/Female/Transgender)
Inward No.
4 Sex (Male/Female):
5 Marital Status(Married/Unmarried/Widow/Widower):
6 Account No. PU/PUN/121598
7 Address :
Permanent:
Temporary:
Part A (EPF)
I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s),
mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the
event of my death:
Name of the Address Nominee’s Date of Total amount If the Nominee is a
nominee relationship Birth or share of minor, name &
with the accumulation relationship & address
member s in Provident of the guardian who
Fund to be may receive the
paid to each amount during the
nominee minority of nominee
1 2 3 4 5 6
1. *Certified that I have no family as defined in Para 2(g) of the Employees’ Provident Funds Scheme,
1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.
2. *Certified that my father/mother is / are dependent upon me.
Signature or thumb impression of the subscriber
Part-B (EPS)
Part 18
I hereby furnish below particulars of the members of my family who would be eligible to receive
Widow/Children Pension in the event of my death.
Sr. Name & Address of the family member Date of Birth Relationship with
No. the member
Name Address
1 2 3 4 5
* Certified that I have no family as defined in Para 2 (vii) of the Employees’ Pension Scheme, 1971 and
should acquire a family hereafter I shall furnish particulars thereon in the above form.
I hereby nominate the following person for receiving the monthly window pension(admissible under para
16(2) (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension
Name & Address of the family member Date of Birth Relationship with the
member
Inward No.
4. Sex (Male/Female):
5. Marital Status(Married/Unmarried/Widow/Widower):
6. Account No. PU/PUN/121598
7. Address :
8. Permanent:
9. Temporary:
Part A (EPF)
I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s),
mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the
event of my death:
Name of the Address Nominee’s Date of Total amount If the Nominee is a
nominee relationship Birth or share of minor, name &
with the accumulation relationship & address
member s in Provident of the guardian who
Fund to be may receive the
paid to each amount during the
nominee minority of nominee
1 2 3 4 5 6
3. *Certified that I have no family as defined in Para 2(g) of the Employees’ Provident Funds Scheme,
1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.
4. *Certified that my father/mother is / are dependent upon me.
Signature or thumb impression of the subscriber
Part-B (EPS)
Part 18
I hereby furnish below particulars of the members of my family who would be eligible to receive
Widow/Children Pension in the event of my death.
Sr. Name & Address of the family member Date of Birth Relationship with
No. the member
Name Address
1 2 3 4 5
* Certified that I have no family as defined in Para 2 (vii) of the Employees’ Pension Scheme, 1971 and
should acquire a family hereafter I shall furnish particulars thereon in the above form.
I hereby nominate the following person for receiving the monthly window pension(admissible under para
16(2) (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension
Name & Address of the family member Date of Birth Relationship with the
member
NOMINATION
2. I hereby certify that the person(s) mentioned is/are a member(s) of my family within the meaning of clause (h)
of Section 2 of the Payment of Gratuity Act, 1972.
3. I hereby declare that I have no family within the meaning of clause (h) of Section 2 of the said Act.
NOMINEE(S)
1.
2.
3.
4
STATEMENT
1. Name of employee in full: MD Ghulam Nabi Ansari
2. Sex:
3. Religion:
4. Whether unmarried/married/widow/widower:
5. Department/Branch/Section where employed: TSS
6. Post held with Ticket No. or Serial No., if any: Senior Software Consultant
7. Date of appointment (DD/MM/YYYY):
8. Permanent address:
Place:
Date of Joining (DD/MM/YYYY): Signature/Thumb-impression of the Employee
DECLARATION BY WITNESS
Nomination signed/thumb-impressed before me
Name in full and full address of witnesses. Signature of Witnesses.
1. 1.
2. 2.
Sub: Application for regularising membership/Provident Fund Contributions deducted on Salaries over & above Rs.
6500/- per month or at higher rate.
Sir,
I the undersigned Shri/Smt. MD Ghulam Nabi Ansari bearing Account Number
PU/PUN/121598/ , employee of M/s Ventura(India) Private Limited hereby declare that I
have been contributing Provident Fund on my entire salary @ 12% with effect from (DOJ).
I am/am not an `EXCLUDED EMPLOYEE’ within the meaning of para 2(f) of the EPF Scheme, 1952
I request that;
1. I may be enrolled as member of the Employees’ Provident Fund voluntarily with effect from (DOJ).
2. I may be permitted to contribute voluntarily on my entire salary exceeding Rs. 6500/- per month w.e.f. (DOJ)
3. I may be permitted to contribute @ __nil______% instead of the statutory rate of 12% with effect from
(DOJ).
Yours Faithfully,
________________________________
(Member’s signature)
We M/s Ventura(India) Private Limited, bearing Employer’s Code No. PU/PUN/121598_______ hereby
declare that;
1. We have voluntarily enrolled Shri/Smt. MD Ghulam Nabi Ansari as member of the EPF Scheme, 1952, w.e.f.
(DOJ) and his/her Account Number is ____________.
2. We have been deducting contribution on his/her entire pay w.e.f. ______________________
3. We have been making matching contribution on pay upto Rs. 6500/- per month / on entire pay w.e.f.
______________.
4. We have been deducting Provident Fund contribution voluntarily @ 12% of pay and making matching
contribution @ 12% of pay.
5. We have paid Administrative Charges and submitted all the Returns in respect of the above Member accordingly
and will continue to do so.
We request that this case be regularised by permitting voluntary membership and contribute on entire salary @ 12%
of pay as stated above.
Yours Faithfully,
Authorized Signatory
CAPITA
Date of Joining
Employee No : 50080951 (dd/mm/yyyy)
Pin : Pin :
Mob: Mobile 8928125528
Resi: Mobile 8928125528
Email ID : ANSARINABI05@GMAIL.COM
Undergraduate Graduate Post graduate Diploma
Qualification :
Qualification : (Mention the highest Qualification)
If married and spouse is employed give his/her Employer Name, Office Address and telephone numbers
Academic /Profession Qualification : (To be given in revers chronological order) (10th till highest qualification)
Degree Branch of College/Institute University Start Date End Date Percentage/Class
study /Grade
Professional Training programs/ Courses Attended / Professional Certification (Give this in reverse Chronological order).
Name of Organization Designation held Start Date End date Exp. in Last Salary Reason
Yrs. Drawn for
leaving
__________________________________
Employee’s Signature & Date of Joining (DD/MM/YYYY):
CAPITA
I hereby nominate person/s mentioned below to receive the amount, in the event of my death and direct the said amount shall be
distributed among the said person/s in the manner shown below against their name.
Share to be paid to
Nominee/s Relation with the Age of each nominee/s (%)
Name and Address of the Nominee employee Nominee (*)
(*) This column should be filled so as to cover the whole amount that may stand to the credit of the member
(Total of all should be 100%)
______________________________________
Signature of Employee & Date of Joining (DD/MM/YYYY):
Declaration of Resignation
To,
Manager - Human Resource
Ventura (India) Pvt Ltd
Commerzone, Yerwada, Pune – 411006.
(Reliving letter – mention “0” days and resignation acceptance letter – mention
no.of days when reliving letter will be received)
Signature :
Currently I do not have PAN CARD and therefore I am not able to provide the PAN CARD Number to
complete my on-boarding requirement.
I will immediately apply for a PAN CARD by -------------and will submit the details before -------
(Not later than one month from my date of joining)
I have applied for a PAN CARD and will submit the details on or before ------------
On receipt of my PAN CARD I will submit a copy to HR and will update the details on the system
accordingly.
I acknowledge that I will be responsible for the consequences of any tax computation and/or my
salary being kept on hold, in case I do not submit & update PAN CARD Number on the system by
the above mentioned dates.
Employees Name:
Employee ID:
This is to confirm that I have not completed my Aadhaar Card registration; therefore I am unable to
provide my Aadhaar Card number.
Herewith, I am giving my assurance that I will complete the Aadhaar Card registration at the earliest
possible or whenever EPFO will arrange a camp for Aadhaar Card Registration, I will participate in the
same as per the schedule provided by the Regional PF Commissioner.
Thanking you.
Yours Sincerely,
(Employee’s Signature)
Employee’s Name:
Emp. No.
Mobile No.
Email Id.
AUTHORISATION
Human Resource Dept.
Dear Sir,
and resides at
I hereby confirm that on receiving, reading and fully understanding the standards
expected of me by Capita Code of conduct, I will observe and abide by the ethical
standards, policies, rule and procedures contained within it.
I understand that any breach of the above may lead to disciplinary action,
including dismissal.
Signature :
A violation or imminent threat of violation of computer security policies, acceptable use policy,
or standard Security policies.
Incident is classified as
Please note that should any Capita employee be proved to be actively involved in the
occurrence of any security incident, then disciplinary procedures shall be initiated against the
employee.
For reference, we have categorized the scenarios under ‘Misconduct’ or ‘Gross Misconduct’.
Some of the common information security threat scenarios, which give rise to security
incidents, are mentioned below but not limited to :
I declare that I have read and understood various misconduct and gross misconduct and if I
fail to follow mandatory requirements outlined in the policy, I may be subject to disciplinary
action, dismissal/termination of contracts.
I declare that I have read and understood Capita Information Security Policy relevant to my
job profile. Furthermore, I undertake that I shall:
I agree that by signing this document I am declaring that I have read and understood the
relevant Information Security Policy and that if I fail to follow mandatory requirement outlined
in the policy, I may be subject to disciplinary action / dismissal /termination of contracts.
Signature :
Welcome Onboard!
(Declaration by a person taking up employment in any establishment on which EPF Scheme, 1952 and for EPS, 1995 is applicable)
4 Gender: (Male/Female/Transgender)
Inward No.
4 Sex (Male/Female):
5 Marital Status(Married/Unmarried/Widow/Widower):
6 Account No. PU/PUN/121598
7 Address :
Permanent:
Temporary:
Part A (EPF)
I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s),
mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the
event of my death:
Name of the Address Nominee’s Date of Total amount If the Nominee is a
nominee relationship Birth or share of minor, name &
with the accumulation relationship & address
member s in Provident of the guardian who
Fund to be may receive the
paid to each amount during the
nominee minority of nominee
1 2 3 4 5 6
1. *Certified that I have no family as defined in Para 2(g) of the Employees’ Provident Funds Scheme,
1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.
2. *Certified that my father/mother is / are dependent upon me.
Signature or thumb impression of the subscriber
Part-B (EPS)
Part 18
I hereby furnish below particulars of the members of my family who would be eligible to receive
Widow/Children Pension in the event of my death.
Sr. Name & Address of the family member Date of Birth Relationship with
No. the member
Name Address
1 2 3 4 5
* Certified that I have no family as defined in Para 2 (vii) of the Employees’ Pension Scheme, 1971 and
should acquire a family hereafter I shall furnish particulars thereon in the above form.
I hereby nominate the following person for receiving the monthly window pension(admissible under para
16(2) (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension
Name & Address of the family member Date of Birth Relationship with the
member
Inward No.
4. Sex (Male/Female):
5. Marital Status(Married/Unmarried/Widow/Widower):
6. Account No. PU/PUN/121598
7. Address :
8. Permanent:
9. Temporary:
Part A (EPF)
I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s),
mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the
event of my death:
Name of the Address Nominee’s Date of Total amount If the Nominee is a
nominee relationship Birth or share of minor, name &
with the accumulation relationship & address
member s in Provident of the guardian who
Fund to be may receive the
paid to each amount during the
nominee minority of nominee
1 2 3 4 5 6
3. *Certified that I have no family as defined in Para 2(g) of the Employees’ Provident Funds Scheme,
1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.
4. *Certified that my father/mother is / are dependent upon me.
Signature or thumb impression of the subscriber
Part-B (EPS)
Part 18
I hereby furnish below particulars of the members of my family who would be eligible to receive
Widow/Children Pension in the event of my death.
Sr. Name & Address of the family member Date of Birth Relationship with
No. the member
Name Address
1 2 3 4 5
* Certified that I have no family as defined in Para 2 (vii) of the Employees’ Pension Scheme, 1971 and
should acquire a family hereafter I shall furnish particulars thereon in the above form.
I hereby nominate the following person for receiving the monthly window pension(admissible under para
16(2) (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension
Name & Address of the family member Date of Birth Relationship with the
member
NOMINATION
2. I hereby certify that the person(s) mentioned is/are a member(s) of my family within the meaning of clause (h)
of Section 2 of the Payment of Gratuity Act, 1972.
3. I hereby declare that I have no family within the meaning of clause (h) of Section 2 of the said Act.
NOMINEE(S)
1.
2.
3.
4
STATEMENT
1. Name of employee in full: Dipesh Kumar
2. Sex:
3. Religion:
4. Whether unmarried/married/widow/widower:
5. Department/Branch/Section where employed: TSS
6. Post held with Ticket No. or Serial No., if any: Assistant Technical Manager
7. Date of appointment (DD/MM/YYYY):
8. Permanent address:
Place:
Date of Joining (DD/MM/YYYY): Signature/Thumb-impression of the Employee
DECLARATION BY WITNESS
Nomination signed/thumb-impressed before me
Name in full and full address of witnesses. Signature of Witnesses.
1. 1.
2. 2.
Sub: Application for regularising membership/Provident Fund Contributions deducted on Salaries over & above Rs.
6500/- per month or at higher rate.
Sir,
I the undersigned Shri/Smt. Dipesh Kumar bearing Account Number
PU/PUN/121598/ , employee of M/s Ventura(India) Private Limited hereby declare that I
have been contributing Provident Fund on my entire salary @ 12% with effect from (DOJ).
I am/am not an `EXCLUDED EMPLOYEE’ within the meaning of para 2(f) of the EPF Scheme, 1952
I request that;
1. I may be enrolled as member of the Employees’ Provident Fund voluntarily with effect from (DOJ).
2. I may be permitted to contribute voluntarily on my entire salary exceeding Rs. 6500/- per month w.e.f. (DOJ)
3. I may be permitted to contribute @ __nil______% instead of the statutory rate of 12% with effect from
(DOJ).
Yours Faithfully,
________________________________
(Member’s signature)
We M/s Ventura(India) Private Limited, bearing Employer’s Code No. PU/PUN/121598_______ hereby
declare that;
1. We have voluntarily enrolled Shri/Smt. Dipesh Kumar as member of the EPF Scheme, 1952, w.e.f. (DOJ) and
his/her Account Number is ____________.
2. We have been deducting contribution on his/her entire pay w.e.f. ______________________
3. We have been making matching contribution on pay upto Rs. 6500/- per month / on entire pay w.e.f.
______________.
4. We have been deducting Provident Fund contribution voluntarily @ 12% of pay and making matching
contribution @ 12% of pay.
5. We have paid Administrative Charges and submitted all the Returns in respect of the above Member accordingly
and will continue to do so.
We request that this case be regularised by permitting voluntary membership and contribute on entire salary @ 12%
of pay as stated above.
Yours Faithfully,
Authorized Signatory
CAPITA
Date of Joining
Employee No : 0 (dd/mm/yyyy)
Pin : Pin :
Mob: Mobile 9970650638
Resi: Mobile 9970650638
Email ID : kumardipesh@hotmail.com
Undergraduate Graduate Post graduate Diploma
Qualification :
Qualification : (Mention the highest Qualification)
If married and spouse is employed give his/her Employer Name, Office Address and telephone numbers
Academic /Profession Qualification : (To be given in revers chronological order) (10th till highest qualification)
Degree Branch of College/Institute University Start Date End Date Percentage/Class
study /Grade
Professional Training programs/ Courses Attended / Professional Certification (Give this in reverse Chronological order).
Name of Organization Designation held Start Date End date Exp. in Last Salary Reason
Yrs. Drawn for
leaving
__________________________________
Employee’s Signature & Date of Joining (DD/MM/YYYY):
CAPITA
I hereby nominate person/s mentioned below to receive the amount, in the event of my death and direct the said amount shall be
distributed among the said person/s in the manner shown below against their name.
Share to be paid to
Nominee/s Relation with the Age of each nominee/s (%)
Name and Address of the Nominee employee Nominee (*)
(*) This column should be filled so as to cover the whole amount that may stand to the credit of the member
(Total of all should be 100%)
______________________________________
Signature of Employee & Date of Joining (DD/MM/YYYY):
Declaration of Resignation
To,
Manager - Human Resource
Ventura (India) Pvt Ltd
Commerzone, Yerwada, Pune – 411006.
(Reliving letter – mention “0” days and resignation acceptance letter – mention
no.of days when reliving letter will be received)
Signature :
Currently I do not have PAN CARD and therefore I am not able to provide the PAN CARD Number to
complete my on-boarding requirement.
I will immediately apply for a PAN CARD by -------------and will submit the details before -------
(Not later than one month from my date of joining)
I have applied for a PAN CARD and will submit the details on or before ------------
On receipt of my PAN CARD I will submit a copy to HR and will update the details on the system
accordingly.
I acknowledge that I will be responsible for the consequences of any tax computation and/or my
salary being kept on hold, in case I do not submit & update PAN CARD Number on the system by
the above mentioned dates.
Employees Name:
Employee ID:
This is to confirm that I have not completed my Aadhaar Card registration; therefore I am unable to
provide my Aadhaar Card number.
Herewith, I am giving my assurance that I will complete the Aadhaar Card registration at the earliest
possible or whenever EPFO will arrange a camp for Aadhaar Card Registration, I will participate in the
same as per the schedule provided by the Regional PF Commissioner.
Thanking you.
Yours Sincerely,
(Employee’s Signature)
Employee’s Name:
Emp. No.
Mobile No.
Email Id.
AUTHORISATION
Human Resource Dept.
Dear Sir,
and resides at
I hereby confirm that on receiving, reading and fully understanding the standards
expected of me by Capita Code of conduct, I will observe and abide by the ethical
standards, policies, rule and procedures contained within it.
I understand that any breach of the above may lead to disciplinary action,
including dismissal.
Signature :
A violation or imminent threat of violation of computer security policies, acceptable use policy,
or standard Security policies.
Incident is classified as
Please note that should any Capita employee be proved to be actively involved in the
occurrence of any security incident, then disciplinary procedures shall be initiated against the
employee.
For reference, we have categorized the scenarios under ‘Misconduct’ or ‘Gross Misconduct’.
Some of the common information security threat scenarios, which give rise to security
incidents, are mentioned below but not limited to :
I declare that I have read and understood various misconduct and gross misconduct and if I
fail to follow mandatory requirements outlined in the policy, I may be subject to disciplinary
action, dismissal/termination of contracts.
I declare that I have read and understood Capita Information Security Policy relevant to my
job profile. Furthermore, I undertake that I shall:
I agree that by signing this document I am declaring that I have read and understood the
relevant Information Security Policy and that if I fail to follow mandatory requirement outlined
in the policy, I may be subject to disciplinary action / dismissal /termination of contracts.
Signature :