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JOINING DOCUMENTS

NAME: __________________DOJ : __________________

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(Paste your

Photograph here)PERSONAL DATA FORM

Name:

Date of Joining: Entity: .

Designation: Department: ......

Band: Location:

Date of Birth: Fathers/Husbands Name: Present Address: Permanent Address: .Email ID: Mobile No.: Tel. No.: .Gender: Blood Group: PAN No.: Marital Status:

Emergency Contact Name & No.Declaration of Legal Nominee in case of Death

Nominee Name

Relationship with the Retainer

Nominee DOB

Nominee Address

Signature of the Retainer_______________________________Date_______

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Academic Qualifications (Please start by listing the highest qualification first):

Year Degree University / Institute Subject %age /Division

Technical / Other Qualifications:Year Degree / Diploma University / Institute Subject %age /Division

Work Experience (Please start by listing the latest experience first):Total Experience: __________________ Profile Relevant Experience: ______________

Tenure

Annual Reason forOrganization Designation From To CTC Leaving

(Month & Year) (Month & Year)

I hereby certify that the information furnished by me in this form is true and correct.________________ _______________________Date Signature of the Associates

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IDENTITY CARD FORM

Associates Name:(IN CAPITAL LETTERS)Associates Code:Department:Entity:Residential Address:Residential Phone No.:

Personal Mobile No.:Blood Group:

(Paste your

photograph here)

________________________ ______________________Signature of the Associate HR Approval

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ENROLLMENT & DECLARATION FORM FOR RETAINER GROUP HEALTH

INSURANCE POLICY

I the undersigned would want to avail the Group Mediclaim Policy Cover

YES NO

Associate Code

Date & Place of Bir th

PARTICULARS OF

RETAINERSl. No.

Name Relationship Date of Birth Age (in years) Gender1

Self

*The Group Mediclaim Policy of Ful Time Retainers, shall be applicable to all Active Retainers, for Self(individual). Dependents are not included in the Group Mediclaim Policy. On termination of contract or in case ofseverance, the retainer shall cease to be part of the Group Mediclaim Policy.

Acceptance:

I here in with agree to be covered under the Group Mediclaim Policy of Full Time Retainers andconsent that the cost incurred for mediclaim policy shall be borne by me. I also acknowledge of havingunderstood the coverage criterion and accept them.

______________________(Signatur e of the Ass oci ate) Place __________________________ Date ______________________

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Credentials Submission Checklist

Name:.

Date & Place of Joining:.

Sl. No. List of Documents1. Copy of Accepted Retainership Contract Letter Attached2. Three Passport size Photographs Attached3. Copy of Accepted Resignation Letter / Relieving Letter from Attached

Last Employer (as applicable)4. Copy of Last Salary Slip Attached5. Attested Copies of Educational Certificates & Degrees(Attested by Gazetted Government Officer) Attached6. Work Experience Letters from previous employers Attached7. Photo ID Proof Attached8. PAN Card Attached9. One Cancelled Cheque of your Bank Account Attached

_______________ ______________________Date: Signature of the Associate* * You a r e r eq ues t ed t o subm i t a l l t h e cr e d en t i a l s a l on g w i t h t h e j oi n i n g r e p o r t

(du l y f i l l ed -i n ) im med i a t e l y on you r j o i n i n g . Pl ease no t e t h a t i n t h e absence o f

n on -r e cei p t o f t h e jo i n i n g r e p or t & t h e c r e d en t i a l s b y u s , y ou r i n v o i ces w i l l n o t

be processed. Academ i c Deg ree / cer t i f i c a t e needs t o be subm i t t ed ce r t i f i e d byGaze t t ed Governm en t Of f i ce r . I n case o f absecence of d eg r ee pr ov i s i ona l d eg ree

cer t i f i c a t e needs t o be subm i t t ed w i t h H R a t I nd i a Can (HO).

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ICHRichr is the single stop shop for all IndiaCan Associates tointeract and avail the back-end support for all transactions.Please send e-mail to ichr@indiacan.com for all people-relatedqueries.

Always mention your Associate/ Employee Code and Location to helpyou faster.