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Work-Authorization and Employer Attestation

Supplier: HEXAWARE TECHNOLOGIES

Name of Supplier's Personnel:


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Citi GEID (if available): NA

Address of Citi office or supplier location where Hexaware Technologies (BPS) Limited,
personnel provides services: Q 1, Loma IT Park Developers Limited,
Plot No Gen-4/1, TTC Ind. Area, Thane-Belapur Road,
Ghansoli, Navi Mumbai - 400710 (Maharastra, India)
Is the resource employed by a subcontracting NO
firm/4th party (Yes/No)? If yes, please specify the
name of the subcontracting firm/4th party.

If the resource is employed by a subcontracting firm/ 4th party, the following is needed

The SOW must state subcontracting is permitted


Supplier representative is responsible for identifying the resource as a sub-contractor in Fieldglass when creating
the Work Order. If the Staffing Office is creating the work order, the supplier representative must identify the
resource as a sub-contractor on the onboarding template.
It is the Citi Business Activity Owner's (BAO) responsibility to ensure compliance to Citi standards for 4th party
subcontracting.

Suppliers authorized representative certifies that he/she understapds that subcontracting is not permitted unless the
above conditions have been met.

Supplier also certifies, represents and warrants that the above-named personnel is authorized to work in the country of
assignment and that all information provided above is accurate.

For more detail on Citi's policies outlined for suppliers, please refer to the Citi Requirements for Suppliers found using
this link

https://www.citigroup.com/citi/suppliers/policy-and-standards.htm

Signature of Supplier-Authorized Representative

(Name ofHR)-LeadHR

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Name/ Title of Supplier-Authorized Representative

Date

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