Annexure

Documents
On the date of joining, you are compulsorily required to bring the following documents:

I. Academic Records

a) Matriculation and Inter/Higher Secondary marksheets.

b) All semester marksheets for post graduation, graduation and diplomas. If the final
semester marksheet is yet to be issued by the university/institute, you are required to
submit the same before the completion of the ILP.
c) Degree certificate/provisional certificate for post-graduation, graduation and diplomas. If
the same is awaited from the university/institute, you are required to produce the
‘Course Completion Certificate’ issued by your institute head or director, which is only a
temporary arrangement.

II. Previous Employment (if any)

Relieving order from your previous employer(s) is a mandatory requirement. This

document should be issued on the letterhead of the company, duly signed and sealed,
clearly stating your name, designation, the period for which you were employed and the
date with effect from which you have been relieved. You will be required to mention
your Provident Fund (PF) number under your previous PF coverage if you intend to
transfer the same to your new TCS account.

Note: In the event of your not being able to produce this document on your joining for the ILP, we
will not be able to permit you to undergo the ILP.

III. Other Relevant Documents/Requirements

a) Birth certificate issued by the concerned government authorities.

b) Note: The class X and/or XII marksheets or certificates from the hospital/community and
nativity certificate will not suffice. In case you do not possess a birth certificate
containing your name, date of birth and place of birth, you are needed to obtain an
affidavit signed by a notary with these details. Since this is a temporary arrangement,
you will be required to furnish the birth certificate before the completion of the ILP.
c) A valid passport (if any)
d) Offer letter and joining letter
e) 12 passport size photographs
f) Date of birth and other details of the person you would like to nominate for Gratuity,
Superannuation, Provident Fund and Health Insurance Scheme
g) Permanent Account Number (PAN) Card copy
h) Medical Certificate

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Note: The originals of these documents along with one set of attested photocopy needs to provided
on joining for ILP. No provision for attestation would be provided at the joining place. The original
documents stated above will be returned to you after scrutiny. You should have completed all
course formalities, including project work and viva from your respective institute before you report
for the ILP. No leave is permissible during the ILP.

Service Agreement (Refer Page #5 to 9)

Only one Surety is required to complete the formalities in your Service Agreement. The Service
Agreement (enclosed) needs to be duly completed, bearing your Surety’s signature on the bottom
part of all pages and at the designated places on the last page. A Surety can be a person who is an
income tax payee or who possesses land property.

 Please print or type the first page of the Service Agreement on a 100 Rs. stamp paper and attach
the same to the remaining pages of the service agreement as given, on plain paper. If 100 Rs.
stamp paper is not available, please use two 50 Rs. stamp papers. The stamp paper should be
purchased in your name.

 The Service Agreement needs to be duly completed, bearing your Surety's signature on all pages
(that is. At the bottom of the pages) and at the designated places on the last page. A surety can
be a person who is an Income Tax payee or who possesses landed property. Clause No. 3 in the
second page needs to be filled only if you are submitting a Fixed Deposit Receipt of Rs. 50,000/-
to TCS.

 At the beginning of your agreement, the agreement made date should be mentioned as your ILP
start date. In the second page, duration of your training should be mentioned as ‘Twelve
months’ and minimum period of service should be mentioned as ‘Two years’.

You are required to produce the following documents of Surety’s as an annexure to the Service
Agreement. Only attested copies would be accepted.

 Photocopy of Pan Card along with IT Returns/Saral /Form 2D/ Form 16/ Form 12B

OR

 Original/attested photocopy of the Land Deed or Land Passbook (for those having
agriculture as occupation) along with a recent valuation certificate of the property (in
English only) from the competent authority, duly signed and sealed. The present market
estimate of the property should not be less than Rs.50,000.

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Surety Verification (Refer Page #10)

Surety Verification form (enclosed) must be completed by your Surety, attested by a competent
authority, and submitted along with your Service Agreement. You may get the completed form
attested by any one of the following officials:

 Manager of a nationalised bank where the Surety holds an account

 District collector of the district in which the Surety resides
 Gazetted officer
 Tehsildar of the village in which the Surety resides
 Employer of the Surety, if the Surety is an income tax payee. In this case, attach a
photocopy of Form 16, which has been issued to the Surety and signed by the Employer

Alternatively, (instead of the Surety Verification Form) you may attach an attested photocopy of the
Surety's valid passport, to the Service Agreement.

Note: Ensure that the signatures of the Surety affixed on the Service Agreement, Surety Verification
form, Passport and other supporting documents (IT returns/PAN card) match.

Alternatively, in lieu of the Surety you may bring a fixed deposit taken in either of the following
formats:

- Joint account between Tata Consultancy Services Ltd and you

OR
- In your name either assigned to Tata Consultancy Services Ltd or Lien noted in favor of
Tata Consultancy Services Limited

The submission of these documents and your fulfilment of all requirements stated therein are
absolute pre-requisites on joining TCS, as well as to continued services in the company thereafter.

Note: Service Agreement and Surety Verification will only be applicable to candidates offered in Y
Grade.

Affidavit/Notarized Undertaking (Refer Page #11 to 12)

 There is no criminal offense registered / pending against you.

 There is no disciplinary case pending against you in the university.
 If you were employed, a formal release letter from your previous employer.
The detailed undertaking is required to be printed on a Rs. 100 stamp paper and needs to be
notarized.

Medical Certificate (Refer Page # 13 to 14)

You are required to submit a medical certificate (in a format prescribed by TCS) which needs to be
verified by a registered medical practitioner with minimum qualification as M.B.B.S. You need to
submit the certificate to the induction team at the time of your joining ILP.

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Background Check Verification (Refer page #15 to 23)

Your association with TCSL will be subject to a background check in line with TCSL’s background
check policy. A specially appointed agency will conduct internal and external background checks.
Normally, such checks are completed within one month of joining.

If the background check reveals unfavourable results, you will be liable to disciplinary action
including termination of traineeship / service without notice

Note: The required documents mentioned in the BGC Form are in addition to those mentioned
under Other Relevant Documents/Requirements clause (Refer page #1)

National Skills Registry

We request you to complete the registration and bio-metric process of NSR before joining ILP
(please visit site www.nationalskillsregistry.com). If, under certain circumstances you are not able to
complete the registration, the same will be taken care of at the time of joining.

Dress Code

We follow a formal dress code on all business occasions but allow business casuals for Friday and
Saturday. Gents may wear full sleeved formal shirts, trousers, tie and black leather shoes. Ladies
may wear salwar kameez, formal trouser and top or Sari.

Acceptance of Joining

We would like you to confirm your acceptance of joining this batch by clicking on the 'Accept' button
online. In the event of us not receiving an update on the same, please be informed that TCS reserves
the right to withdraw the offer.

Contact Us

You may contact us on the toll-free number (1800-22-01-00) or by email (ilp.support@tcs.com) for
further clarifications.

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THIS AGREEMENT made at Mumbai on this _______ day of ___________________, Two thousand
and ___________________ between TATA CONSULTANCY SERVICES LIMITED, a company
incorporated under the Companies Act 1956 (hereinafter referred to as “TCS”) and having its
Corporate Office at TCS House, Corner of Hazarimal Somani Marg & Raveline Street, Near Sterling
Cinema, Fort, Mumbai 400 001 of the First Part and ___________________________________ an
Indian Inhabitant, residing at _________________________________________________________
and having permanent address at ______________________________________________________
_________________________________________________________ (hereinafter referred to as
“Mr./Ms. _________________________”) of the Second Part AND _________________________
(hereinafter referred to as “The Surety”) which expression shall be deemed to include his/her
executor, heir and administrator of the Third Part.

WHEREAS TCS is involved in the business of problem solving or consultancy and as of present and
the foreseeable future specifically in the business of Computer and Management Consultancy -
offering services and products both in India and abroad.
WHEREAS the possession of the above problem solving techniques and effective use of high
technologies equipment can be acquired mainly through special training and / or specific on the job
training (“Training”).

WHEREAS the said Training is of a duration of twelve months and is liable to be extended by a
further duration based on the performance of Mr./Ms.____________________________________
during the Training, of which TCS shall be the sole judge.

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WHEREAS the above mentioned Training involves considerable expenditure - both direct and
indirect, financial and unliquidated - related to faculty, computer time, support facilities, salary of
Mr./Ms.___________________________________________ while under Training.

WHEREAS this Training substantially improves the professional standing of

Mr./Ms.__________________________________ and it has been imparted by TCS at considerable
expenditure as an investment, TCS expects a commitment (elaborated below) from the employee to
recover its expenditure or seek a penalty for non-fulfillment of the same.

WHEREAS the expenditure involved in imparting the said Training to

Mr./Ms._____________________ is several times in excess of the penalty demanded from him/her.

IT IS NOW HEREBY AGREED AS UNDER:

1. In consideration of the Training to be imparted by TCS, Mr.

_________________________________, undertakes irrevocably to serve TCS or any of its
associated or affiliated companies to which he/she may be transferred for a minimum period of
2 (two) years from the date of joining TCS. Mr./Ms._________________________________ is
giving this undertaking in view of the considerable expenditure incurred by TCS on him/her.
2. Mr./Ms.____________________________________ agrees not to take employment with any
other person, firm or company during the period of applicability of this agreement.

3. By way of guarantee for due performance of all the terms and conditions contained in the
Agreement, Mr./Ms._____________________________ has deposited in the name of TCS a sum
of Rs. 50,000/- (Rupees Fifty Thousand only) with the__________________________________
Bank/ __________________________________________________for a period of Two Years
and bearing interest as applicable, and the relative Bank receipt is attached. If she/he faithfully
serves TCS in accordance with the terms of this agreement TCS shall refund the deposit amount
of Rs. 50,000/- (Rupees Fifty Thousand only) with interest thereon to him/her.

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4. By way of guarantee for due performance of all terms and conditions contained in this
agreement, Mr./Ms.____________________________________ provide herein below the
name of his/her near relative / person in order of preference and who have consented by
signing herein below to stand as Surety on his/her behalf to ensure compliance of the aforesaid
covenant, and that in the event of failure/neglect by Mr./Ms.____________________________
to fulfill any of the terms of this undertaking of which TCS shall be the sole judge the Surety shall
be liable to pay TCS Rs. 50,000/- (Rupees Fifty Thousand only) as compensation with interest
thereon as applicable and the Surety hereby agree, confirm and accept that the Surety shall be
liable jointly and severally with Mr./Ms.__________________________to pay the same to TCS.

Name Address Occupation

____________________ __________________ _______________
____________________ __________________ _______________
____________________ __________________ _______________
_________________________ _______________________ ___________________
5. In the event of any dispute or disagreement over the interpretation of any of the terms herein
above contained or any claim of liability of any part including the Surety the same shall be
referred to a person to be nominated by TCS whose decision shall be final and binding upon the
parties hereto. Such references shall be deemed to a submission to arbitration under The
Arbitration and Conciliation Act, 1996 or of any modification or re-enactment thereof. The
venue of arbitration shall be Mumbai.

6. During the period of 2(two) years from the date of joining , if

Mr./Ms.________________________ leaves/resigns/ abandons the services or violates the
terms of this Agreement, Mr./Ms.______________________________ will have to pay
liquidated damages amounting to Rs. 50,000/- (Rupees Fifty Thousand only) and give one
calendar month’s written notice or salary in lieu thereof.
Mr.___________________________________ agrees that the said amount of Rs. 50,000/- can
be recovered / adjusted by TCS from the legal dues, if any, payable to him. On being absorbed
as an Employee of TCS, after completion of the said Training period, TCS would be entitled to
terminate the services of the Employee with one calendar month’s written notice during the
tenure of service agreement. The provisions stated herein for breach by

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 Mr./Ms.________________________________________ of the provisions of this agreement
shall be without prejudice to other remedies available to TCS.

ADDRESS FOR THE PURPOSE OF SERVICE:

7. All communications between Mr./Ms._____________________________________ or TCS and

Surety shall be deemed to have effectively served if addressed to the following address :

TCS (TATA CONSULTANCY SERVICES LIMITED) at:

TCS House, Corner of Hazarimal Somani Marg & Raveline Street, Near Sterling Cinema, Fort,
Mumbai 400 001
(Dr. / Mr. / Miss/ Mrs.) _______________________________________________
at) ________________________________________________
________________________________________________
Surety (Dr. / Mr. / Miss/ Mrs.) ________________________________________________
at) ________________________________________________
________________________________________________
________________________________________________

Any change in the above addresses of any of the concerned parties i.e. TCS,
Mr./Ms.____________________________________ or Surety, shall be intimated to the other
parties by the party whose address has changed within a period of seven days of such change.

If no such change has been intimated or received, the addresses mentioned above shall be
deemed to be the addresses of the concerned parties.

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 As a token of his/her consent, he/she has signed this agreement as Surety:
)
)
Dated this____________________________________________
Signed and delivered by Mr./Ms._____________________________ )
)

)
Accepted for and behalf )
of TATA CONSULTANCY SERVICES LIMITED )
by their Constituted Attorney )

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Surety Verification

This is to certify that I, ____________________________________________________________

(Name of the Surety) am standing surety for ____________________________________ (name of
the candidate) who is my ______________________________________ (Relationship).

Mr./Ms.__________________________________________(name of the candidate) has joined Tata

Consultancy Services Ltd on ________________________________________ (candidate’s date of
joining) and executed an agreement on _____________________ ( candidate’s date of joining ).

In the event that Mr./Ms. ______________________________________________(name of the

candidate) does not fulfill the terms of the agreement, I stand guarantee and will be liable to the
liquidated damages of Rs. 50, 000/-.

My permanent address is as follows:

Name: ____________________________________________
Address: ____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Phone: ____________________________________________
(With country and area code)

(Signature of the Surety)

(Signature verification by competent authority)

Office Seal: Signature: Designation:

Date: Name: Office:

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Whereas I, ……………………………………., an adult Indian Inhabitant, residing at
……………………………………………………..………………………….., have been selected by Tata Consultancy
Services Ltd. (“TCS”), , for employment as …………………., vide Offer Letter dated ……………, subject to
the terms and conditions mentioned therein and subsequent acceptance of the offer letter by me
and the submission of the BGC documents to TCS.

And whereas since there has been a time gap after completion of my UG/PG degree course and the
date of joining TCSL. TCSL has called upon me to give the following undertaking as part of
Background Check Process, which I hereby do:

I HEREBY GIVE THE FOLLOWING UNDERTAKING:

1. That I am not involved in any Civil / Criminal / case / proceedings / charges / enquiry prior
to joining TCS.

2. That I am not involved in any Disciplinary / malpractices and / or any other charges /
proceedings / enquiry / case pending against me in any University or any other
educational authority / institution prior to joining TCS.

3. .That I was not employed gainfully and / or honorary in any Organization, including Private
/ Public / Government / Educational Institution etc., prior to joining TCS.

OR

3. That I was employed gainfully and / or honorary with ………………., prior to joining TCS. The
particulars of my employment and reasons for leaving are as follows.
………………………………………. The formal release letter from my said employer is attached
hereto.

4. That whatever is stated above is true to my knowledge and belief and that no part of it is
false. I shall be fully responsible and liable for all my acts or omissions.

5. That in case the above undertakings are found to be false, TCS shall be within its rights to
forthwith terminate my services without any liability and take such legal recourse / actions
against me as it may be advised.

6. That I shall fully indemnify and protect TCS from and against any acts or omissions
attributable to me for breach hereof or otherwise, including, but not limited to, any loss,
damage, or liability suffered by TCS and / or civil or criminal action against TCS for reasons
hereof.

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IN WITNESS WHEREOF, I have put my signature on this undertaking on this …………day of ……………….,
2009.

Signature of the Candidate: _____________________________________

Name of the Candidate: ______________________________________

TCS Offer Reference No: ______________________________________

Place: ______________________________________

Date: ______________________________________

1. Witness:

Signature of the Witness: _____________________________________

Name: _____________________________________

Address: _____________________________________

_____________________________________

Place: _____________________________________

Date: _____________________________________

2. Witness:

Signature of the Witness: _____________________________________

Name: _____________________________________

Address: _____________________________________

_____________________________________

Place: _____________________________________

Date: _____________________________________

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 Please hand over the completed form to your Induction Coordinator

Medical Certificate of Fitness

Section 1: Candidate’s Personal Details

Please fill in the complete from and sign it. Please affix a
Passport size
Mr./Mrs./Ms./Miss/Dr First Name: ______________________ Last Name: _____________________ photo here and
get it attested by
Gender: Male Female Date of birth (DD/MM/YY) ___/___/___ your consulting
doctor
Contact No: (M) __________________ (R) ____________________ Blood Group: ______

Section 2: Candidate Statement

Do you have any congenital defect / abnormality? Yes No. If yes, please provide the details
_________________________________________________________________________________________________________

Do you have any physical deformity / handicap or use any mechanical / physical assistance for mobility? Yes No. If yes,
please provide the details
_________________________________________________________________________________________________________

Have you had any form of serious illness or operation in the last two years? Yes No. If yes, please provide the date and
details of the surgery
_________________________________________________________________________________________________________

Have you been treated or hospitalized for cancer, Tumor, Cyst or any other growth? Yes No. If yes, please provide the
details
_________________________________________________________________________________________________________

Has medical grounds been a reason for un-employment or you not performing a specific role in the past? Yes No. If yes,
please provide the details
________________________________________________________________________________________________________

Have you ever suffered or suffering from any of the following?

High Blood Pressure Stroke Bronchitis Obesity Diabetes Arthritis

Blood Spitting Peptic Ulcer Drug abuse Heart Disease Skin Infection Bowels
Heart Murmur Tuberculosis Epilepsy Thyroid Ailment Arthritis Asthma

Heart attack Slipped disc Liver disease

Have you ever suffered or suffering from any other illness or impairment not mentioned above? Yes No. If yes, please
provide the details

Are you presently in a medical condition that may require you to be away from work in the next 12 months? Yes No. If yes,
please provide the details

_________________________________________________________________________________________________________

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Declaration

I declare that to the best of my knowledge, the answers to the questions in this form are correct and that I am not suffering
from any disease/illness, the presence of which I have not revealed. I fully understand that any misrepresentation of this
declaration could lead to the termination of my offer/appointment. I have no objection to Tata Consultancy Services Ltd.
seeking further information either directly from me or from my Consulting doctor or other appropriate doctor. In case of any
discrepancy arising out of my declaration, I will be undergoing the medical check-up by the Company’s suggested medical
clinic/doctor and their findings will be fully binding on me and any action thereon towards my employment will be accepted
by me.

Signed: ______________ Date: (DD/MM/YY) ___/___/___

Section 3 - The Candidate needs to ensure that a legally qualified and registered medical practitioner with minimum qualification
as M.B.B.S. completes this form. Additional sheets may be attached if more space is required.
Note: The candidate is responsible for any costs associated with the preparation of this report.

Section 3: Medical Practitioner’s details

Full name (as listed on applicable state registry) ______________________________________________________

Registration ID: ____________________________

Postal Address: _________________________________________________________________________________

Contact No: (Day time) ______________________

Section 4: General Examination

Body wt: ______ kgs; Pulse: ______ /min; BP: ___________mm Hg; Height: ______ cms;

Declaration

_
I, certify that I have carefully examined Mr./Mrs./Ms./Miss/Dr ________________________________ son/daughter of Mr.
___________________________________________________.
_
He/she has no disease or mental or physical infirmity that makes him/her unfit for employment with TCS as
______________________________________________ (Please mention the Role here)

Signed & Sealed:

_____________________ Date: (DD/MM/YY) ___/___/___

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_
Background Check Verification
Guidelines /Checklist
• Your Traineeship Job Offer is subject to successful completion of Background Verification
• Fill-up the BGC Form completely and accurately with copies of all relevant supporting documents as
proof
• ‘Unable to Verify’ due to incorrect or incomplete information furnished by you may lead to delays and/or
unsuccessful completion of BGC
• Ensure consistency in information furnished by you initially in TCS Application Form
_____________________________________________________________________________________

1. Tick on the boxes below to help you ensure all required documents are attached before submitting
2. No BGC forms will be accepted in the absence of any of the required documents as mentioned below.

Mandatory General Requirements:

 Signed & Attached Document on General Consent to Background Investigation Letter
(BGC Consent Letter enclosed within the BGC form)
 My recent Passport size photograph pasted at the appropriate place
Address Check & Criminal Check Requirements:
 Complete & Correct Address filled-in as required in BGC Form with Flat/Room No. clearly mentioned
 Prominent landmark near the address mentioned for easy location
 Self-attested & signed - Document for Address Proof submitted
What could be submitted for Address Proof?
• Proof for Present & Permanent Address to be attached
• Provide Separate Proof, if address is different
• Attach copy of any one of the following documents as Proof for Address

(a) Ration Card (b) Electricity Bill (c) Landline Telephone Bill (Mobile ph bill not acceptable)
(d) House Lease Agreement (e) Valid Passport

• If your Present Address / Address of Longest Stay in the last 7 years / Permanent Address is in Mumbai
/ Thane City / Thane Rural / Pune, submit the following documents:

 CID Form as applicable for the location – Filled-in with all details
 2 Photos with my name written at the back of each photo
 Address Proof (any one of the following) - Copy of Ration card / Electricity bill/Landline Telephone bill
• Address Proof – For House Lease Agreement
 Copy of Agreement submitted (If Agreement signed between you and Owner)
 Copy of Agreement + Declaration Letter in Stamp Paper from Agreement Holder (Blood Relation)
stating that I am residing in the same address as mentioned in the Agreement (If Agreement signed
between your Family Member (Blood Relation) and Owner)
 Letter from Society of the address (If Agreement signed between any other person (Non-blood
Relation) or you are staying in Bachelor’s Accommodation)

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Note: For all House Lease Agreements, you should have stayed at least 6 months in the Address
mentioned and the Agreement should be valid and within the expiry date
 Separate CID Form filled in & attached for each different address (For Applicants from Mumbai,
Thane City, Thane Rural & Pane- Full Addresses and Signature given in each)
Note: Forms not signed by the Applicant are not accepted by the Police for verification
Applicants to report at Police station when called for as part of verification process by Police

Demand Draft of Rs.100/- as requested in the CID form need not be attached.

ID Check Requirements
 Self-attested & signed - Document for ID Proof submitted
What could be submitted for ID proof?
(a)Valid Passport (b) Driving License (c) PAN Card (d) Voter’s ID card (e) College ID Card duly attested by
HOD/Professor/TPO of the College

Reference Check Requirements – For each Reference

 References provided are either Supervisor/HOD / Professor / TPO/Person holding Responsible Position in
a reputed Organization
• No Relatives/Friends to be mentioned
• Reference to know Applicant for a minimum period of 2 years
 Full Name & Address of References provided legibly
 Contact email ID & telephone numbers of References provided
• Provide at least two contact numbers

Educational Check Requirements

 Self-attested & signed - copies of Highest Degree /Provisional Degree submitted
 Self-attested & signed -copies of all Highest Degree mark sheets attached
Gaps during Education / Employment Check Requirements:
 Self-attested & signed – Documents to explain gaps during Education/Employment
What could be submitted as Proof for gaps during Education/Employment?
• Medical records for gaps due to medical reasons
• Affidavit with Notary Authorization for gaps due to other Personal reasons
Applicant to please detach and destroy this checklist while submitting the completed BGC Form

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BACKGROUND CHECK FORM Campus Trainees (CT)

Paste your recent Passport

Size Photo here
TCS Applicant ID:
DT Reference number:

TCS Offer Ref No./Date: TCS Recruitment Branch:

Designation:

Name of the Applicant (Full name expanding initials):

Contact Landline Phone no.: Mobile Phone no. email id:

Father’s Name:

Date of birth (Attach Proof): Marital Status: Single / Married Nationality:

A. Present Residential Address : (Attach Proof)

Period of Stay From : To: Landmark:

City/Town: State: Pin code:

B. Other Residential Address: [Furnish other addresses of your residence in the last seven (7) years]
Other Residential Address 1: Other Residential Address 2: Other Residential Address 3:
From : To: From : To: From : To:

City/Town: City/Town: City/Town:

State: State: State:
Pin code: Pin code: Pin code:
Landmark: Landmark: Landmark:
Attach Additional Sheet, if you have stayed in more than 3 Other Residential addresses (locations)
C. Permanent Address: (Attach Proof)
Period of Stay From : To: Landmark:

City/Town: State: Pin code:

Contact Landline Phone no.: Mobile Phone no.:

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Is any case pending against you in any court of Law at the time of filling up this Background Check Form?
Yes / No

Is any case pending against you in any University or any other educational authority / institution at the time
of filling up this Background Check Form?
Yes / No

If the answer to any of the above mentioned questions is ‘ Yes’ give full particulars of the case /arrest /
detention/ Fine / conviction / sentence / punishment etc. And / or the nature of the case pending in the
Court / University /Educational Authority etc., at the time of filling up this form. (Attach additional sheet, if
required)

Reference Details:
Details Reference 1 Reference 2
Reference Name:
Title & Designation: (HOD/Prof/ TPO/Person
holding responsible Position in a Reputed
Organization):
(No Relatives/Friends to be mentioned)

Full Address:

Contact Details: Official email ID:

Landline Telephone No.:
Mobile Phone No.:
Period for which the Reference knows the
Applicant:
(Minimum 2 years)
Relationship with the Applicant:
(No Relatives/Friends)

Passport Details (Attach Proof):

(i) Name as in Passport: ________________________________________________________________

(ii) Passport No: __________________________ (iii) Place of Issue: _________________________

(iv) Date of Issue: ___________________________ (v) Date of Expiry: ________________________

Educational Qualifications (Attach Proof):

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Employment Details (Attach Proof): Applicable only to grades other than Y grade.
Starting from your Current/immediate Last Employment.

Previous Employer’s Description Current/Immediate Last Employment Previous Employment 1

PERIOD OF EMPLOYMENT
Date of Employment From:
Date of Employment To:
EMPLOYEE DETAILS
Designation:
Employee Number:
HR DETAILS
HR Name:
HR Designation:
Office Landline Phone No.:

Email:
(Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)
SUPERVISOR DETAILS
Supervisor Name:
Supervisor Designation:

Office Landline Phone No.

(Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)
Email:
Last drawn CTC:

Reasons for leaving:

EMPLOYER DETAILS
Employer Name:

Address:
(Give Complete Address including
Postal code, Prominent Landmark)

Town/City:
State:
PinCode:

Office Landline Phone No.:

(Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)

Is company currently functioning? Is company currently functioning?

Company Status:
Yes __________ No__________ Yes __________ No__________

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 Previous Employer’s Description Previous Employment 2 Previous Employment 3
PERIOD OF EMPLOYMENT
Date of Employment From:
Date of Employment To:
EMPLOYEE DETAILS
Designation:
Employee Number:
HR DETAILS
HR Name:
HR Designation:
Office Landline Phone No.:

Email:
(Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)
SUPERVISOR DETAILS
Supervisor Name:
Supervisor Designation:

Office Landline Phone No.

(Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)
Email:
Last drawn CTC:

Reasons for leaving:

EMPLOYER DETAILS
Employer Name:

Address:
(Give Complete Address including
Postal code, Prominent Landmark)

Town/City:
State:
PinCode:

Office Landline Phone No.:

(Do not provide Mobile Phone No.) (Do not provide Mobile Phone No.)

Is company currently functioning? Is company currently functioning?

Company Status:
Yes __________ No__________ Yes __________ No__________

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 Declaration and General Consent to Background Investigation
To be signed by the Applicant

In connection with my application to render services to Tata Consultancy Services Ltd (the "Company"), I
hereby agree as follows:

I certify that the information furnished in this form as well as in all other forms filled-in by me in conjunction
with my traineeship is factually correct and subject to verification by TCS including Reference Check and
Background Verification.

I accept that an appointment given to me on this basis can be revoked and/ or terminated without any notice
at any time in future if any information has been found to be false, misleading, deliberately omitted/
suppressed.

As a condition of Company's consideration of my application for traineeship with the Company, I hereby give
my consent to the Company to investigate or cause to be investigated through any third parties my personal,
educational and pre or post joining history. I understand that the background investigation will include, but
not be limited to, verification of all information given by me to the Company. I confirm that the Company is
entitled to share such investigation report with its clients to the extent necessary in connection with the
Services, which I may be required to provide to such clients. I confirm and undertake that the Company shall
incur no liability or obligation of any nature whatsoever resulting from such investigation or sharing of the
investigation results as above.

I certify that I am at present in sound mental and physical condition to undertake employment with TCS. I also
declare that there is no criminal case filed against me or pending against me in any Court of law in India or
abroad and no restrictions are placed on my travelling anywhere in India or abroad for the purpose of business
of the company.

I Agree : Yes

Signature _____________________________________

Name _____________________________________

TCS Applicant ID _____________________________________

Place _____________________________________

Date _____________________________________

TCS Confidential Page | 21

Gaps during Education (Attach Proof):
From To Reasons for gap

Gap Period 1

Gap Period 2

DECLARATION (To be signed by the Applicant)

I certify that the information furnished in this form is factually correct and complete in all respects to the
best of my knowledge and belief.

Place ______________ Signature of Applicant ___________________________________

Date ______________ Name __________________________________________________

TCS Confidential Page | 22

Please attach the following documents along with this Background Check Form:

1. Your recent Passport size photograph pasted at the appropriate place

2. Self-attested & Signed Copy of Identity Proof document:

• Valid Passport / Driving License / PAN Card / Voter’s ID card /College ID Card duly attested by
HOD/Professor/TPO of the College

3. Self-attested & Signed Copy of Address Proof document:

• Ration card / Electricity bill / Landline Telephone bill / Valid passport
• House Lease Agreement + Related Documents as required
• Hostel Allotment Letter from College, if staying in College Hostel

4. Self-attested & Signed Copy of Educational Certificates:

• Highest Degree Certificate(s) /Provisional Degree Certificate(s)
• Highest Degree Mark sheets of all exams

5. Self-attested & Signed – Documents to explain gaps during Education

• Attach Affidavit with Notary Authorization for gaps
(Please refer Background Check Form Guidelines/Checklist in Sheet 1& 2 for more details)

For Office Use Only:

Verified the following:
• BGC Consent Letter – signed & attached
• Recent Passport size photo pasted at the appropriate place
• BGC Form filled-in with all complete details
• Address & ID Proof documents self-attested, signed & attached
• Highest Degree Certificate(s)/Provisional Degree Certificate(s) - copies self-attested, signed & attached
• Highest Degree Mark sheets of all exams – copies self-attested, signed & attached
• Documents to explain gaps during Education/Employment – attached

HR Recruitment Representative:

Name: ______________________________ Employee Number: _________________

Signature: ______________________________ Date: _________________

TCS Confidential Page | 23