Employee Declaration on Related Persons

Name of the Employee Designation: _ _ / _ _ / 20__

Employee code SBU: Division/Entity:

Any relatives working in

Feedback Group
Yes (tick) No (tick)

If yes, please provide details of relationship:

Name of the Employee Designati Entity /
Relationship Relation Location
Relative Code on Division

Spouse or spouse equivalent.

Father including step-father.

Mother including step-mother.

Son including step-son.

Son’s wife.

Daughter including step-daughter.

Daughter’s husband.

Brother including step-brother.

Sister, including the step-sister.

Children of Brother/Sister and their

spouse

Father in law

Mother in law

Brother in law (spouse’s brother)

OR Sister's / Step Sister’s husband
Sister in law (spouse’s sister) OR
Brother's /Step Brother's wife
Brother/sister of Father or Mother
and their spouse
Children of brother/sister of
Father/Mother
Spouse's brother's wife

Spouse’s sister's husband

Others if any

The details provided above are true and accurate to the best of my knowledge. If anything found
untrue in future, company will reserve the right to take appropriate action as defined in the policy.
(Hiring of Related Persons)

Name: Signature: Date: