Statutory Information (VERY IMPORTANT)

1. Please enter your name as per Adhaar Card

Poorvi Anandan

2. Please select which location are you joining at Concentrix. *

Bangalore

Chandigarh

Chennai

Gurugram (NCR)

Hyderabad

Kolkata

Mumbai

Noida

Pune

Ranchi

Thane

Vadodara

Varanasi

Vizag
 Bhubaneswar

3. Please enter your Date of Joining at Concentrix (Please refer your Appointment Letter) *

31/10/2023

4. Please enter your Mobile number registered with Concentrix *

7738947809

5. Please enter your personal Email ID registered with Concentrix *

poorvianandan@gmail.com

6. Please enter your Father's Name *

A S Mudaliar

7. 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 Bank

8. Please enter Bank Account Number of the Above Bank *

6347082686

9. Please enter the Bank IFSC Code of the Above Bank *

KKBK0000631

10. Please mention your ESIC Number (if any)? *

No
11. 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. *

Pramila Anandan

12. Please enter the Age of your Nominee *

49

13. Please enter your relationship with the above Nominee (Father, Mother, Brother, Sister,
Spouse...) *

Mother

14. Please enter your Religion (Required as Per Government Norms in the Gratuity Form)
(Optional)

Hindu

15. Please enter your UAN (Universal Account Number), from your previous organization if you
have one. (Enter "NA" if you are a Fresher) *

101645082959

16. Please mention the Name of the Person we can contact with in case of Emergency *

Pramila Anandan

17. Please enter the Contact Number of the Person mentioned above *

9867228966

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