DATE:…………25-Dec-2024
HCL Candidate: Statement of Fact
I _____Gaurav Nag____ [Candidate Name] of 356/218/103j Shivajipuram, Rajajipuram Lucknow______
[Address], born on 07 / 08 /1989 hereby declare that during the periods outlined below I was engaged
the activities stated:
Date From Date To Activity/ address details
(mm/yy) (mm/yy)
09/16 12/17 B-82,4th floor gali no 5. Opp delhi profit bazar New Ashok
Nagar, New Delhi - 110096, Delhi
01/18 03/19 C 323 1st cross avenue, alpha 1 1st Cross Avenue, Block E,
Alpha 1, Greater Noida - 201310, Uttar Pradesh
03/19 09/21 D-23 Number 1Road Number 1, Block A, New Ashok Nagar,
Agarwal sweets New Delhi - 110096, Delhi
09/21 03/23 D-32, 4th floor New Ashoknagar, Aggarwal sweets New Delhi -
110096, Delhi
03/23 07/23 Yogananda pg Hanuman Temple, Kasrasai Road, Marunje
Village, Pimpri Chinchwad - 411057, Maharashtra
08/23 11/23 356/218/103j Shivajipuram Rajajipuram, Lucknow
12/23 11/24
A-205, gangubai chauthe appartment Diva Mumbra colony
road, Diva east, Bombay burger thane - 400612, Maharashtra
I hereby declare that during these periods I was not involved in any illegal activities (not including
minor motoring offences) or any activities which would preclude HCL < ENTITY NAME> from engaging
me in service.
I acknowledge and understand that any engagement with [client name] is conditional upon the
information I have given in this declaration being accurate and true and that HCL<Entity Name> will
rely upon the information I have given in this declaration in engaging me in service. Furthermore I
understand and agree that this declaration does not supersede any other declaration made by me in
relation to my application with HCL<Entity>, including that made on my application form.
I hereby confirm that the information contained in this declaration is true and complete to the best of
my knowledge.
I confirm that this statement is true to the best of my knowledge, information, and belief.
Signed by: _____Gaurav Nag_____________________________
Dated: ________25-Dec-2024_____________________________
