Indusind Bank

DECLARATION OF FAMILY MEMEBERS/CLOSE RELATIVES EMPLOYED AND PRIOR EMPLOYMENT WTH

INDUSIND BANK LIMITED

1. Ihereby declare that as of date, none of my family member/s or close relative/s; such as below are
employed with Induslnd Bank Limited or it's associate or group concerns or with the agencies
associated with Indusind Bank Limited:

Father Wife Sister's husband Step Son

Mother Husband Brother's wife Step Daughter

Son Brother in-law Son's Wife (daughter in-law) Step Brother

Daughter Sister in-law Daughter's husband (son in-law) Step Sister

Brother Father in-law Brother's son or daughter Step Mother

Sister Mother in-law Sister's son or daughter Step Father

Father's Sister Father's Brother Son's Son Grand Children
Mother's Sister Mother's Brother Son's Daughter Step Grand Children
|2. I hereby undertake toinformto the Human Resources Department and senior management of Indusind
Bank Limited in writing under acknowledgment or by email, if and when any of the persons falling in
the above categories of family member/s or close relative/s, takes up any employment with Indusind
Bank Limited, any time in future. I hereby undertake to immediately inform to my higher authorities
and the Human Resources Department, as stated above, within 10 days of such employment.
|3. Ialso undertake to inform to the above stated authorities about any of the family member/s or close
relative/s who are already employed with Induslnd Bank Limited for the time being becoming or
deemed to have become my family member/s or close relative/s, by virtue of marriage/birth etc.
4. Ihereby declare that I was never employed in lndusind Bank Limited, any time earlier.
i.Yes, Iwas never employed. V
ii.No, Iwas employed.
(If Answer is No, please give the information as below)
Ihereby declare that Iwas earlier employed with Induslnd Bank Limited, the tenure and the
role/location thereof is given herein.
From To ECN No and Department/ Reason for leaving
dd/mm/yy dd/mm/yy designation Branch/Business
1
2
3

Ihereby declare that if any of the contents of this declaration is found to be false or distorted or if l fail
to adhere to the terms of this undertaking, Iwill be liable for disciplinary action leading to punishment
or termination without any notice depending upon the discretion of the authority.
Signature: Dipahas
Name of the candidate: Dipoehas
Date: 5|||2u
Place: l«0LuATA

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