employee kit

Document Sample
employee kit Powered By Docstoc
					                                                                                         Gaby Abdelnour
                                                              Chairman and CEO of J.P. Morgan Asia Pacific



Dear Colleague,

Let me be the first to welcome you to J.P. Morgan. It is only with the most talented professionals in
the industry that we are best able to serve our clients; so thank you for joining us.

J.P. Morgan is one of the greatest names in finance. Around the world - and for more than 200 years -
this firm has represented character, intelligence and strength. More than ever, these are the values
on which clients rely when they place their trust in J.P. Morgan to help them navigate an increasingly
complex market environment. As a result, the firm remains a leader and our people continue to help
shape the future of this dynamic industry.

In Asia Pacific, our long term vision and commitment to the region means J.P. Morgan continues to
deliberately and aggressively invest in people, new products and markets, and in systems and
technology to strengthen our client franchise and competitive position. This expansion plan is based
on our belief in Asia Pacific's positive long-term economic fundamentals and the opportunities they
will afford the firm and our clients. The firm's growth strategy in this region is an opportunity for us
all to express our creativity and vision.

Joining a new organization can be challenging and I want to be sure you have a first class and
rewarding experience as you make the transition to J.P. Morgan. This includes supporting your efforts
to build a professional network at the firm and providing ongoing professional growth and
development opportunities. You will hear more from your manager, but if you have questions please
contact me directly.

I look forward to working with you to make good things happen for your career and for the firm. Our
reputation and our people have never been stronger and these remain our most valuable assets.

Welcome to J.P. Morgan.

Best regards,
New Employee Kit

Welcome to J.P.Morgan!

     Welcome to the J.P.Morgan team. Enclosed in this kit are documents which you are required
     to complete and return. We have also enclosed important information which you should read
     prior to your commencement with the firm.

      If you have any questions regarding the online web site, completion of the online form or
     documentation, please contact AccessHR, Monday 4.30 am through Friday 12.00 am at the
     numbers mentioned below:

      MUMBAI: + 91 22 61257272

      BANGALORE: +91 80 66762727

      HYDERABAD: +91 40 67240202

      After completion of Online Onboarding forms mail or personally handover all required
      documentation at the addresses mentioned, as per your Work Location:

      If your Work Location is Technopolis Knowledge Park (Mumbai), J. P. Towers (Mumbai),
      Windsor (Mumbai) Pune, Chennai, Kolkatta, New Delhi and Ahmedabad-
      Address: Onboarding Team, JPMorgan Services India Private Limited, Technopolis Knowledge
      Park, Ground Floor, Mahakali Caves Road, Andheri (East), Mumbai 400 093

      If your Work Location is Magnus Towers (Mumbai)-
      Address: Onboarding Team, JPMorgan Services India Private Limited, 7th Floor, Magnus
      Towers, Mindspace, Link Road, Malad (West), Mumbai 400 064

      If your Work Location is Paradigm Towers (Mumbai)-
      Address: Onboarding Team, JPMorgan Services India Private Limited, 8th Floor, Paradigm
      Towers, "B" - Wing, Mindspace, Link Road, Malad (West), Mumbai 400 064

      If your Work Location is Prism Towers (Mumbai)-
      Address: Onboarding Team, JPMorgan Services India Private Limited, 10th Floor, Prism Towers,
      Mindspace, Link Road, Malad (West), Mumbai 400 064

      If your Work Location is Ventura Towers (Mumbai)-
      Address: Onboarding Team, JPMorgan Services India Private Limited, 3rd Floor, Ventura,
      Powai, Mumbai 400 072

      If your Work Location is Prestige Knowledge Park (Bangalore)-
      Address: Onboarding Team, JPMorgan Services India Private Limited, Prestige Technology Park,
      HRSD, 1st Floor, Sarjapur Outer Ring Road, Near Marathahalli Junction, Vathur Hobli,
      Bangalore 560 082

      If your Work Location is Mindspace (Hyderabad)-
      Address: Onboarding Team, JPMorgan Services India Private Limited, 1st floor, Building 11,
      Mindspace, Cyberabad, Next to VSNL Building, Hitec City, Madhapur, Hyderabad 500 081


      You will receive an email confirmation when your Onboarding Form has been processed and an
      Employee Identification number has been assigned to you.
New Employee Kit

   It is important that you return the original completed forms, with your original signed Letter
   of Offer, within two days of receipt of this kit.

   The information contained in your New Hire Kit includes:


       New Employee Information
           New Employee Documentation Checklist
           Permanent Account Number (PAN) Card
           HDFC Bank Checklist

       Pre Employment Screening
   J.P. Morgan conducts Pre Employment Screening (“PES”) for all employees.

   Your completion of the Pre Employment Screening documents demonstrate your agreement
   that the requirement for pre-employment screening is a reasonable pre-condition to
   employment and is necessary to assist in protecting J.P. Morgan's business and/or its client’s
   interests, having regard to:

           J.P. Morgan's business; and/or
           your role; and/or
           the commercial sensitivity of the information you will have access to while working for
           J.P. Morgan

   Whilst you and/or J.P. Morgan may have agreed a tentative date of commencement of
   employment with the firm, you will not be able to commence employment with J.P. Morgan
   without completed and satisfactory results from our pre-employment screening process. You
   should assume that your tentative date of commencement of employment with the firm is
   confirmed unless notified otherwise.

       Your Benefits
   •    Mediclaim policy
   •    Personal Accident & Life Cover policy
   •    Form 2 for Employee Provident Fund (EPS) & Employee Pension Scheme (EPS)
   •    Form 11 for Employee Provident Fund (EPS) & Employee Pension Scheme (EPS)
   •    Gratuity Form
New Employee Kit

Document Checklist

     It is important that you return the original completed forms, within two days of receipt of this
     kit. All forms must be completed in BLUE INK and BLOCK LETTERS unless otherwise advised
     and submitted along with 2 photocopies of documents requested in Employee Information &
     Additional Identification Document section.


      Documents to be returned                                                                  Please
                                                                                                 tick
      Letter of Offer (Original) – signed
      EMPLOYEE INFORMATION
      Current Address Proof: Ration Card /MTNL or BSNL bill / Electric Bill /Mahanagar Gas
      Card /Copy of the Lease /Sale Agreement.
      In the absence of any of the above, need to provide an Attestation from a Notary /
      Special Executive Officer for Current Address Proof:
           (a) If staying with Uncle / Aunt - Attested letter (stating that candidate is
               staying at given address) and MTNL or BSES/ RELIANCE ENERGY bill from that
               person is required
           (b) If staying at Company’s accommodation - Attested letter from Company on
               Company’s letter head stating that “that accommodation is provided by the
               company” is required
           (c) If staying with a friend - Attested copy of the Leave and License agreement
               having the friend's signature and letter (attested) stating the Subject's
               details and his signature, which should tally with his signature on the Leave
               and License agreement
           (d) If staying at Thane or Navi Mumbai - Ration Card/Attested sale or lease
               agreement/option “b” or “e”
           (e) If staying as a paying guest or tenant - A letter on the Society’s letter head
               stating the details of the subject, signed by the Secretary or Chairman of the
               Society                                OR
               Attested letter from the landlord and MTNL or BSES/ RELIANCE ENERGY
               bill from that person is required
      Marriage Certificate (Only Females who has changed her name after marriage)
      Academics: Graduation – Final Year Mark sheets & Convocation Certificates, Post
      Graduation – Final Year Mark sheets & Convocation Certificates, and Diplomas (if
      any)- Final year Mark sheet & Certificate.
      Current Employment: Salary Slip, Resignation acceptance letter + Relieving letter
      /Work Experience Letter as soon as it’s received from Current Employer.
      Previous Employment/s of last 5 years: Salary slip, Relieving letter/ Experience
      Letter
      EMPLOYMENT DETAILS
      Benefit forms -
             •   Mediclaim policy
             •   Personal Accident & Life Cover policy
             •   Form 2 for EPF & EPS
             •   Form 11 for EPF & EPS
             •   Gratuity Form
      W-8BEN – For citizens of other countries to determine if they have tax liabilities in
      the U.S.
Documents to be returned                                                              Please
                                                                                       tick
W9 – For US citizens and US resident aliens working for J.P.Morgan in non-US
locations
Transport Guidelines
MANDATORY DOCUMENT
Pan Card copy
Employee Identification - copy of one of the following documents:
   •   Passport
   •   Drivers’ License
   •   Voters ID
   •   Identity card of any Govt. recognized College/University irrespective of the
       address. (College Head’s seal should be embossed properly on the photocopy
       of the College ID card)
Note: For exceptional cases Company’s ID card (Company Seal should be embossed
properly on the ID card).
Pre Employment Screening documents
CID form completed in BLUE ink with two References as mentioned.
Note: Documents listed in the CID form are not to be submitted. Signatures of
References not required.
One Photocopy of completed Information Release form, Statement of Information
and Declaration Form
3 passport size photographs of self
For Hyderabad hires only – One passport size scanned copy of photograph in .jpeg
format to be emailed to Onboarding team at the following email id –
Onboarding_Team_Hyderabad@jpmorgan.com
Permanent Account Number (PAN) Card

It is mandatory for every candidate joining JPMorgan to possess a PAN number. Incase this is
not available please read through the below information for applying for a PAN card. A copy of
the PAN card or in case, applied for, a copy of the Acknowledgement form needs to be
submitted along with the other documents to the Onboarding team.
Note: Non-availability of PAN number will have tax implications
 PAN card information and registration details :
     Permanent Account Number (PAN) is a ten-digit alphanumeric number, issued in the form
     of a laminated card, by the Income Tax Department. It is mandatory to quote PAN on
     return of income, all correspondence with any income tax authority. It is also compulsory
     to quote PAN in all documents pertaining to financial transactions notified from time-to-
     time by the Central Board of Direct Taxes. All existing assesses or taxpayers or persons
     who are required to furnish a return of income, even on behalf of others, must obtain
     PAN.
     In order to improve PAN related services, the Income Tax department has authorized UTI
     Investor Services Ltd (UTIISL) to set up and manage IT PAN Service Centers in all cities or
     towns where there is an Income Tax office and National Securities Depository Limited
     (NSDL) to dispense PAN services from TIN Facilitation Centers. For convenience of PAN
     applicants in big cities, UTIISL has set up more than one IT PAN Service Center and
     likewise there are more than one TIN Facilitation Centers.
     PAN application should be made only on Form 49A. A PAN application (Form 49A) can be
     downloaded from the website of Income Tax department or UTIISL or NSDL given below:

     PAN Application Form: http://incometaxindia.gov.in/Archive/Form49aE.PDF
     FAQs : http://incometaxindia.gov.in/PAN/Overview.asp



 HDFC Bank Checklist

 Please read the following instructions carefully before you proceed with filling in the forms
 for opening of your corporate salary account. You are requested to bring along one Photocopy
 of each of the below mentioned documents:


 Documents required on the date of joining :                                      No. of copies
 For Photo ID proof the following documents are required :-

 1) Passport ( photo page & address page ) / Pan card / Election card / Driving       1 copy
 License ( photo page & address page ) / Government Photo ID card / Photo         (front & back)
 credit card ( card's front and back photo copy required) / Employee's J P
 Morgan Photo Identity Card (with full name of employee).

 If a candidate fails to provide the above mentioned documents for Photo ID
 proof then :-
                                                                                      1copy
 2) College photo identity card for fresh graduates. Fresh graduates would
 mean up to 12 months from the date of graduation. This to be mandatory
 supported by any one of (A) Hall Ticket OR (B) Mark sheet of the college.

 Copy of appointment letter of the employee to be additionally attached for
 all cases where college photo identity card is provided as an identity proof.
Documents required on the date of joining :                                         No. of copies
For address proof the following documents are required :-

1) Driving license (first page + address page) / Passport (first page + address
page) / Voters ID (if it has address / Ration Card / MTNL bill / Electricity bill      1copy
/ Mahanagar Gas bill / Copy of the Lease/Sale Agreement /
Bank account statement (original or photocopy stamped by respective bank).

Note: All the bills & statement should be of current month.
Kindly bring along the below mentioned on the Date of Joining for HDFC
Salary account opening:
   •   3 Passport size Photographs
   •   Original Photo Id Proof
   •   Two Photo Copies of Photo Id Proof, Current Address Proof and copy of
        Pan Card
                        ICICI LOMBARD GENERAL INSURANCE COMPANY LIMITED

                              EE’S / MEMBER’S / PERSONAL STATEMENT FORM
(SID _________________)                                       (DOJ ____ / ____ / ________)


(To be completed by each Employee/Member in respect of himself/herself and his/her eligible family members
proposed to be covered)
To ensure coverage, employee should inform subsequent changes in family members, by filling and submitting
this form to concerned HRSD representative
For JPMSIPL – Coverage = Employee + 3 Dependents (Dependents include Spouse, Children)
For Other than JPMSIPL – Coverage = Employee + 3 Dependents (Dependents include Spouse, Children and
Parents)
Details of Employees/Members including family members proposed for insurance:
Are you suffering / suffered from Diabetes Hypertension / Chest Pain or Coronary Insufficiency or
      Myocardial Infarction? If so, please give details.

Sr.        Full Name of employee       Date     of   Sex        Relationship to   Details of any knowledge of any
No.        and eligible family         Birth                    the Employee /    positive existence or presence or any
           members                                              Member            ailment, sickness or injury which
                                                                                  may require medical attention in
                                                                                  immediate future and/or details of
                                                                                  any ailment, sickness or injury
                                                                                  which had been treated in past




3.        a) Name and address of family doctor, including telephone number, if any:
                                                                                     Telephone No:
All the statements made above and the answers given on my behalf and on behalf of the family members are
wholly true and correct to the best of my knowledge and behalf. I have disclosed all particulars material to the
risk. It is hereby understood and agreed that the statements, answers and particulars are basis on which the
Insurance is being granted. If, after the Insurance is effected, it is found that the statements, answers or particulars
are basis on which the shall have no liability under this Insurance in respect of myself and my family members
proposed for insurance.


Place     : ________________


Date      : ________________                               Signature of the Employee/Member for himself/herself
                                                           and/or on behalf of other family members to be covered
              NOMINATION UNDER THE COMPANY’S INSURANCE SCHEMES/GRATUITY
                                 (Personal Accident/Life Cover)

I, _________________________________________________, do hereby assign the money payable under the
Insurance schemes, in the event of my death, to the below nominee/s:



Name & Address of nominee                                          Relationship        Percentage share




If the Nominee indicated above is a minor, (Minor’s Date of
Birth required) Guardian’s name, relationship to the Nominee
and full address to be given below :




                                                                   Total               100%
This nomination supersedes all my previous nominations.
I further declare that his/her receipt shall be sufficient discharge to the Company.
Dated this _____day of _________________20____ at ____________________.

Signature of the Employee: ________________________

Name of Employee: ________________________________________________

GID number: ____________             Location: ___________________________

Name of the Company: ______________________________________________

1)Witness:        ______________________
                  (Signature)

Name and Address:


Note:- Employees are requested to update & re-file the nomination in case of any change in family or if any of the
above nominee/s is/are not alive.
        SID:
                                                       FORM 2 (REVISED)
                                                NOMINATION AND DECLARATION FORM
                                     FOR UNEXEMPTED / EXEMPTED ESTABLISHMENTS
        Declaration and Nomination Form under the Employees’ Provident Funds and Employees’ Pension Scheme
        ( Paragraph 33 and 61 (1) of the Employees’ Provident Fund Scheme, 1652 and Paragraph 18 of the Employees’
        Pension Scheme, 1995).
        1. Name : ___________________ __________________________                       __________________
        ( IN BLOCK        NAME              FATHER’S/ HUSBAND’S NAME                   SURNAME
        LETTERS)
        2. Date of Birth______________________ 3. Account No.________________________________
        4. Sex : Male / Female :________________ 5.Marital Status: Married/ Unmarried/ Widow/Widower
        6. Permanent Address: _________________________________________________________________________


        ____________________________________________________________________________________________
        7.Temporary Address         :_____________________________________________________________________


        ____________________________________________________________________________________________
        PART –A (EPF)
        I hereby nominate the person (s) / Cancel the nomination made by me previously and nominate the person (s),
        mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the event of
        my death.

Name & Address of the Nominee (s)      Nominee’s           Date     of   Total amount      or   If the nominee is minor, name
                                       relationship with   Birth         Share             of   relationship & address of the
                                       the member                        accumulations     in   guardian who may receive the
                                                                         P.F. to be paid   to   amount during the minority of
                                                                         each nominee           nominee


1                                      2                   3             4                      5




        1.Certified that I have no family as defined in para 2 (g) of the Employees’ Provident Fund Scheme
         1952 and should I acquire a family hereafter the above nomination should be deemed as cancel.
        2. Certified that my father/ mother is/are dependent upon me.
        * strike out which is not applicable.


                                                                    X Signature or thumb impression of the subscriber
        DOJ.:
                                                     PART –B (EPS)
                                                         (Para-18)
          I hereby furnish below particulars of the members of my family who would be eligible to receive Widow /
          Children Pension in the event of my death.

Sr. No.             Name and Address of the Family member            Date of Birth                    Relationship with member




          ..       Certified that I have no family, as defined para 2 (vii) of the Employees’ Pension Scheme, 1995 and
          should I acquire a family hereafter I shall furnish particulars there on in the above form.


          I hereby nominate the following person for receiving the monthly widow pension [admissible under para 16 (2) (a)
          & (ii) in the event of my death without leaving any eligible family member for receiving pension.

Sr. NO.       Name & Address of the Nominee                          Date of Birth                    Relationship with the member


(1)           (2)                                                    (3)                              (4)




          Date :    _____________
          .. Strike out which is not applicable
                                                                           X Signature or thumb impression of the subscriber


          CERTIFICATE BY EMPLOYER
          Certified that the above declaration and nomination has been signed / thumb Impressed before me by
          Shri. / Smt / Miss _______________________________________________ employed in my establishment after
          he / she has read the entries the entries have been read over to him / her by me and got confirmed by him /her.
          Place     : Mumbai
          Date      :_____________


          _____________________________________________________
          (Signature of the Employer or Authorised Office)
          (Name and address of the establishment or rubber stamp thereof)
        SID:
                                                       FORM 2 (REVISED)
                                                NOMINATION AND DECLARATION FORM
                                     FOR UNEXEMPTED / EXEMPTED ESTABLISHMENTS
        Declaration and Nomination Form under the Employees’ Provident Funds and Employees’ Pension Scheme
        ( Paragraph 33 and 61 (1) of the Employees’ Provident Fund Scheme, 1652 and Paragraph 18 of the Employees’
        Pension Scheme, 1995).
        1. Name : ___________________ __________________________                       __________________
        ( IN BLOCK        NAME              FATHER’S/ HUSBAND’S NAME                   SURNAME
        LETTERS)
        2. Date of Birth______________________ 3. Account No.________________________________
        4. Sex : Male / Female :________________ 5.Marital Status: Married/ Unmarried/ Widow/Widower
        6. Permanent Address: _________________________________________________________________________


        ____________________________________________________________________________________________
        7.Temporary Address         :_____________________________________________________________________


        ____________________________________________________________________________________________
        PART –A (EPF)
        I hereby nominate the person (s) / Cancel the nomination made by me previously and nominate the person (s),
        mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the event of
        my death.

Name & Address of the Nominee (s)      Nominee’s           Date     of   Total amount      or   If the nominee is minor, name
                                       relationship with   Birth         Share             of   relationship & address of the
                                       the member                        accumulations     in   guardian who may receive the
                                                                         P.F. to be paid   to   amount during the minority of
                                                                         each nominee           nominee


1                                      2                   3             4                      5




        1.Certified that I have no family as defined in para 2 (g) of the Employees’ Provident Fund Scheme
         1952 and should I acquire a family hereafter the above nomination should be deemed as cancel.
        2. Certified that my father/ mother is/are dependent upon me.
        * strike out which is not applicable.


                                                                    X Signature or thumb impression of the subscriber
        DOJ.:
                                                     PART –B (EPS)
                                                         (Para-18)
          I hereby furnish below particulars of the members of my family who would be eligible to receive Widow /
          Children Pension in the event of my death.

Sr. No.             Name and Address of the Family member            Date of Birth                    Relationship with member




          ..       Certified that I have no family, as defined para 2 (vii) of the Employees’ Pension Scheme,1995 and
          should I acquire a family hereafter I shall furnish particulars there on in the above form.


          I hereby nominate the following person for receiving the monthly widow pension [ admissible under para 16 (2)
          (a) & (ii) in the event of my death without leaving any eligible family member for receiving pension.

Sr. NO.       Name & Address of the Nominee                          Date of Birth                    Relationship with the member


(1)           (2)                                                    (3)                              (4)




          Date :    _____________
          .. Strike out which is not applicable
                                                                           X Signature or thumb impression of the subscriber


          CERTIFICATE BY EMPLOYER
          Certified that the above declaration and nomination has been signed / thumb Impressed before me by
          Shri. / Smt / Miss _______________________________________________ employed in my establishment after
          he / she has read the entries the entries have been read over to him / her by me and got confirmed by him /her.
          Place     : Mumbai
          Date      :_____________


          _____________________________________________________
          (Signature of the Employer or Authorised Office)
          (Name and address of the establishment or rubber stamp thereof)
                                          FORM 11 (Revised)
SID:                               Unexempted Establishment only
                          The Employee’s Provident Funds Scheme 1952 (Paragraph 34) and
                               The Employee’s Family Pension Scheme 1971
                                                 (Para 19)


Declaration by a person taking up employment in an establishments in which the Employee’s Provident Fund and
Family Pension Fund are in force.

I ___________________________ son/wife/daughter of __________________________ do hereby solemnly
declare that

    (a) I was last employed in __________________________ and left service on ____________ (Prior to that I
        was employed in (name of the establishment)________________________________ from
        _______________ to __________________
    (b) I was a member of ____________________ Provident Fund* and also of the family Pension Fund from
        _____________ to ____________ and my account number(s) was/were* ___________________
    (c) * I have/have not withdrawn the amount of my provident fund/family pension fund.
    (d) * I have/have not withdrawn any superannuation benefits in respect of my past service from any
        employer.
    (e) * I have never been a member of any Provident Fund and/or Family Pension Fund.
    (f) * I am drawing / not drawing Pension under EPS,1995.
    (g) * I am holder / not holder of Scheme Certificate.
    (h) *Scheme certificate surrendered / not surrendered.


                                                             Signature of right/left hand thumb
Date _________                                               Impression of the employee


___________________________________________________________________________________

(To be filled in by the employer only when the person employed has not already been a member of the
Employee’s Provident Fund)

Shri__________________________ _____ is appointed as _____________________________________
                  (Name of the employee)
in ___________________________________________________________________________________
                                   (Name of the Factory/establishment)
with effect from _________________________________
                         (Date of employment)

Date of admission as member of Employee’s Provident Fund ____________________________________

Account No. MH/           /                .

For, J.P. Morgan Services India Pvt Ltd
Technopolis Knowledge Park,
Office No 1 to 9, Mahakali Caves Road,
Andheri (E), Mumbai 400 093                                           Authorised Signatory

Date ______________

*Strike out whichever is not applicable
N.B. The principal employer should have it filled up also in respect of employees to be employed by or through a
contractor.
                                          Payment of Gratuity Rules
                                                   FORM F
                                            [sub-rule (1) or Rule 6]

                                                   Nomination
To




I, Shri/Shrimati………………………………………………………………..SID :-……………....
Whose particulars are given in the statement below, hereby nominate the person(s) mentioned below to receive
the gratuity payable after my death as also the gratuity standing to my credit in the event of my death before
that amount has become payable, or having become payable has not been paid and direct that the said amount
of gratuity shall be paid in proportion indicated against the name(s) of the nominee(s).
2. I hereby certify that the person(s)nominated is a/are member(s) of my family with meaning of clause (h) of
Section 2 of the Payment of Gratuity Act, 1972.
3. I hereby declare that I have no family within the meaning of clause (h) of section 2 of the said Act.
4. [a] My father/mother/parents is/are not dependent on me.
     [b] My husband’s father/mother/parents is/are not dependent on my husband.
5. I have excluded my husband from my family by a notice dated the………….to the controlling authority in
terms of the proviso to clause (h) of Section 2 of the said Act.
1.                   Nomination made invalidates my previous nomination.
                                                   Nominee[s]
           Name in full with full       Relationship with the                  Age of                Proportion by which
               address of                     employee                                                the gratuity will be
              nominees[s]                                                                                   shared
                    [1]                           [2]                            [3]                         [4]
           1.
           2.
           3.




                                                    Statement

1.          Name of employer in full……………………………………………………………………………
2.          Sex…………………………………………………………………………………………………
3.          Religion ……………………………………………………………………………….…………….
4.          Whether unmarried/married/widow/widower……………………………………..………………
5.          Department/Branch/Section where employed……………………………………………………
6.          Post held (Designation) ………………………………….…………………………………………
7.          Date of appointment…………………………………………………………………………………
 8.        Permanent Address ……..………………………………………………….…….…………………
 …………………………………………………………………………………………………………………
 ………………………………………………………………………….……………………………………
 ……………………………………………………………………………….…………………………..…



 Place:




Date: ………………………………………………………Signature/Thumb, impression of the Employee


                                                 Declaration by Witnesses
 Nomination signed/thumb-impressed before me.
           Name in full and full address of …………………………………Signature of witnesses
 1.
 2.
 Place…………
 Date………….

                                           Certificate by the employer
  Certified that the particulars of the above nomination have been verified and recorded in this establishment.
 Employer’s Reference No. if any……………………                           Signature of the employer/officer authorized


 Designation.
 Date………….                                                            Name and address of the establishment or




                                                                          Rubber stamp thereof.

                                       Acknowledgement by the Employee


 Received the duplicate copy of nomination in Form ‘F’ filed by me and duly certified by the employer.




 Date………        …………………………………………………….                                          Signature of the Employee

           Note:-Strike out the words and paragraph not applicable.
Form      W-8BEN                         Certificate of Foreign Status of Beneficial Owner
(Rev. February 2006)                             for United States Tax Withholding                                                                          OMB No. 1545-1621
Department of the Treasury              Section references are to the Internal Revenue Code.      See separate instructions.
Internal Revenue Service                      Give this form to the withholding agent or payer. Do not send to the IRS.
Do not use this form for:                                                                                                                                        Instead, use Form:
● A U.S. citizen or other U.S. person, including a resident alien individual                                                                                                   W-9
● A person claiming that income is effectively connected with the conduct
  of a trade or business in the United States                                                                                                                            W-8ECI
● A foreign partnership, a foreign simple trust, or a foreign grantor trust (see instructions for exceptions)                                                  W-8ECI or W-8IMY
● A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization,
  foreign private foundation, or government of a U.S. possession that received effectively connected income or that is
  claiming the applicability of section(s) 115(2), 501(c), 892, 895, or 1443(b) (see instructions)                                                             W-8ECI or W-8EXP
Note: These entities should use Form W-8BEN if they are claiming treaty benefits or are providing the form only to
claim they are a foreign person exempt from backup withholding.
● A person acting as an intermediary                                                                                                                                          W-8IMY
Note: See instructions for additional exceptions.

 Part I             Identification of Beneficial Owner (See instructions.)
  1       Name of individual or organization that is the beneficial owner                                                      2    Country of incorporation or organization


  3       Type of beneficial owner:                   Individual                   Corporation                Disregarded entity            Partnership               Simple trust
              Grantor trust                           Complex trust                Estate                     Government                    International organization
              Central bank of issue                   Tax-exempt organization      Private foundation
  4       Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.


          City or town, state or province. Include postal code where appropriate.                                                             Country (do not abbreviate)


  5       Mailing address (if different from above)


          City or town, state or province. Include postal code where appropriate.                                                             Country (do not abbreviate)


  6       U.S. taxpayer identification number, if required (see instructions)                                       7    Foreign tax identifying number, if any (optional)
                                                                                 SSN or ITIN            EIN
  8       Reference number(s) (see instructions)


Part II             Claim of Tax Treaty Benefits (if applicable)
  9       I certify that (check all that apply):
      a       The beneficial owner is a resident of                                              within the meaning of the income tax treaty between the United States and that country.
      b       If required, the U.S. taxpayer identification number is stated on line 6 (see instructions).
      c       The beneficial owner is not an individual, derives the item (or items) of income for which the treaty benefits are claimed, and, if
              applicable, meets the requirements of the treaty provision dealing with limitation on benefits (see instructions).
      d       The beneficial owner is not an individual, is claiming treaty benefits for dividends received from a foreign corporation or interest from a
              U.S. trade or business of a foreign corporation, and meets qualified resident status (see instructions).
      e       The beneficial owner is related to the person obligated to pay the income within the meaning of section 267(b) or 707(b), and will file
              Form 8833 if the amount subject to withholding received during a calendar year exceeds, in the aggregate, $500,000.
10        Special rates and conditions (if applicable—see instructions): The beneficial owner is claiming the provisions of Article                                              of the
          treaty identified on line 9a above to claim a            % rate of withholding on (specify type of income):                                                                 .
          Explain the reasons the beneficial owner meets the terms of the treaty article:



Part III            Notional Principal Contracts
11            I have provided or will provide a statement that identifies those notional principal contracts from which the income is not effectively
              connected with the conduct of a trade or business in the United States. I agree to update this statement as required.
 Part IV            Certification
Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I
further certify under penalties of perjury that:
1 I am the beneficial owner (or am authorized to sign for the beneficial owner) of all the income to which this form relates,
2 The beneficial owner is not a U.S. person,
3 The income to which this form relates is (a) not effectively connected with the conduct of a trade or business in the United States, (b) effectively connected but is
not subject to tax under an income tax treaty, or (c) the partner’s share of a partnership’s effectively connected income, and
4 For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.
Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the beneficial owner or
any withholding agent that can disburse or make payments of the income of which I am the beneficial owner.


Sign Here
                           Signature of beneficial owner (or individual authorized to sign for beneficial owner)         Date (MM-DD-YYYY)                Capacity in which acting

For Paperwork Reduction Act Notice, see separate instructions.                                          Cat. No. 25047Z                           Form    W-8BEN         (Rev. 2-2006)
                                                                                     Printed on Recycled Paper
Form
(Rev. October 2007)
                                       W-9                                          Request for Taxpayer                                                                 Give form to the
                                                                                                                                                                         requester. Do not
Department of the Treasury
                                                                          Identification Number and Certification                                                        send to the IRS.
Internal Revenue Service
                                       Name (as shown on your income tax return)
See Specific Instructions on page 2.




                                       Business name, if different from above
           Print or type




                                       Check appropriate box:       Individual/Sole proprietor          Corporation         Partnership
                                                                                                                                                                           Exempt
                                          Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership)                     payee
                                           Other (see instructions)
                                       Address (number, street, and apt. or suite no.)                                                        Requester’s name and address (optional)


                                       City, state, and ZIP code


                                       List account number(s) here (optional)


       Part I                                Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid                                                     Social security number
backup withholding. For individuals, this is your social security number (SSN). However, for a resident
alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is
your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.                                                                   or
 Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose                                                          Employer identification number
 number to enter.
      Part II                                Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
    Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
    notified me that I am no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement
arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. See the instructions on page 4.

Sign                                       Signature of
Here                                       U.S. person                                                                                     Date

General Instructions                                                                                                 Definition of a U.S. person. For federal tax purposes, you are
                                                                                                                     considered a U.S. person if you are:
Section references are to the Internal Revenue Code unless
otherwise noted.                                                                                                     ● An individual who is a U.S. citizen or U.S. resident alien,
                                                                                                                     ● A partnership, corporation, company, or association created or
Purpose of Form                                                                                                      organized in the United States or under the laws of the United
A person who is required to file an information return with the                                                      States,
IRS must obtain your correct taxpayer identification number (TIN)                                                    ● An estate (other than a foreign estate), or
to report, for example, income paid to you, real estate                                                              ● A domestic trust (as defined in Regulations section
transactions, mortgage interest you paid, acquisition or                                                             301.7701-7).
abandonment of secured property, cancellation of debt, or
                                                                                                                     Special rules for partnerships. Partnerships that conduct a
contributions you made to an IRA.
                                                                                                                     trade or business in the United States are generally required to
   Use Form W-9 only if you are a U.S. person (including a                                                           pay a withholding tax on any foreign partners’ share of income
resident alien), to provide your correct TIN to the person                                                           from such business. Further, in certain cases where a Form W-9
requesting it (the requester) and, when applicable, to:                                                              has not been received, a partnership is required to presume that
  1. Certify that the TIN you are giving is correct (or you are                                                      a partner is a foreign person, and pay the withholding tax.
waiting for a number to be issued),                                                                                  Therefore, if you are a U.S. person that is a partner in a
                                                                                                                     partnership conducting a trade or business in the United States,
   2. Certify that you are not subject to backup withholding, or                                                     provide Form W-9 to the partnership to establish your U.S.
   3. Claim exemption from backup withholding if you are a U.S.                                                      status and avoid withholding on your share of partnership
exempt payee. If applicable, you are also certifying that as a                                                       income.
U.S. person, your allocable share of any partnership income from                                                        The person who gives Form W-9 to the partnership for
a U.S. trade or business is not subject to the withholding tax on                                                    purposes of establishing its U.S. status and avoiding withholding
foreign partners’ share of effectively connected income.                                                             on its allocable share of net income from the partnership
Note. If a requester gives you a form other than Form W-9 to                                                         conducting a trade or business in the United States is in the
request your TIN, you must use the requester’s form if it is                                                         following cases:
substantially similar to this Form W-9.
                                                                                                                     ● The U.S. owner of a disregarded entity and not the entity,
                                                                                                         Cat. No. 10231X                                               Form   W-9   (Rev. 10-2007)
Form W-9 (Rev. 10-2007)                                                                                                             Page   2
● The U.S. grantor or other owner of a grantor trust and not the         4. The IRS tells you that you are subject to backup
trust, and                                                             withholding because you did not report all your interest and
● The U.S. trust (other than a grantor trust) and not the              dividends on your tax return (for reportable interest and
beneficiaries of the trust.                                            dividends only), or
Foreign person. If you are a foreign person, do not use Form             5. You do not certify to the requester that you are not subject
W-9. Instead, use the appropriate Form W-8 (see Publication            to backup withholding under 4 above (for reportable interest and
515, Withholding of Tax on Nonresident Aliens and Foreign              dividend accounts opened after 1983 only).
Entities).                                                               Certain payees and payments are exempt from backup
                                                                       withholding. See the instructions below and the separate
Nonresident alien who becomes a resident alien. Generally,             Instructions for the Requester of Form W-9.
only a nonresident alien individual may use the terms of a tax
treaty to reduce or eliminate U.S. tax on certain types of income.       Also see Special rules for partnerships on page 1.
However, most tax treaties contain a provision known as a              Penalties
“saving clause.” Exceptions specified in the saving clause may
permit an exemption from tax to continue for certain types of          Failure to furnish TIN. If you fail to furnish your correct TIN to a
income even after the payee has otherwise become a U.S.                requester, you are subject to a penalty of $50 for each such
resident alien for tax purposes.                                       failure unless your failure is due to reasonable cause and not to
   If you are a U.S. resident alien who is relying on an exception     willful neglect.
contained in the saving clause of a tax treaty to claim an             Civil penalty for false information with respect to
exemption from U.S. tax on certain types of income, you must           withholding. If you make a false statement with no reasonable
attach a statement to Form W-9 that specifies the following five       basis that results in no backup withholding, you are subject to a
items:                                                                 $500 penalty.
   1. The treaty country. Generally, this must be the same treaty      Criminal penalty for falsifying information. Willfully falsifying
under which you claimed exemption from tax as a nonresident            certifications or affirmations may subject you to criminal
alien.                                                                 penalties including fines and/or imprisonment.
   2. The treaty article addressing the income.                        Misuse of TINs. If the requester discloses or uses TINs in
   3. The article number (or location) in the tax treaty that          violation of federal law, the requester may be subject to civil and
contains the saving clause and its exceptions.                         criminal penalties.
   4. The type and amount of income that qualifies for the
exemption from tax.                                                    Specific Instructions
   5. Sufficient facts to justify the exemption from tax under the     Name
terms of the treaty article.
   Example. Article 20 of the U.S.-China income tax treaty allows      If you are an individual, you must generally enter the name
an exemption from tax for scholarship income received by a             shown on your income tax return. However, if you have changed
Chinese student temporarily present in the United States. Under        your last name, for instance, due to marriage without informing
U.S. law, this student will become a resident alien for tax            the Social Security Administration of the name change, enter
purposes if his or her stay in the United States exceeds 5             your first name, the last name shown on your social security
calendar years. However, paragraph 2 of the first Protocol to the      card, and your new last name.
U.S.-China treaty (dated April 30, 1984) allows the provisions of         If the account is in joint names, list first, and then circle, the
Article 20 to continue to apply even after the Chinese student         name of the person or entity whose number you entered in Part I
becomes a resident alien of the United States. A Chinese               of the form.
student who qualifies for this exception (under paragraph 2 of         Sole proprietor. Enter your individual name as shown on your
the first protocol) and is relying on this exception to claim an       income tax return on the “Name” line. You may enter your
exemption from tax on his or her scholarship or fellowship             business, trade, or “doing business as (DBA)” name on the
income would attach to Form W-9 a statement that includes the          “Business name” line.
information described above to support that exemption.
                                                                       Limited liability company (LLC). Check the “Limited liability
   If you are a nonresident alien or a foreign entity not subject to   company” box only and enter the appropriate code for the tax
backup withholding, give the requester the appropriate                 classification (“D” for disregarded entity, “C” for corporation, “P”
completed Form W-8.                                                    for partnership) in the space provided.
What is backup withholding? Persons making certain payments               For a single-member LLC (including a foreign LLC with a
to you must under certain conditions withhold and pay to the           domestic owner) that is disregarded as an entity separate from
IRS 28% of such payments. This is called “backup withholding.”         its owner under Regulations section 301.7701-3, enter the
Payments that may be subject to backup withholding include             owner’s name on the “Name” line. Enter the LLC’s name on the
interest, tax-exempt interest, dividends, broker and barter            “Business name” line.
exchange transactions, rents, royalties, nonemployee pay, and
certain payments from fishing boat operators. Real estate                For an LLC classified as a partnership or a corporation, enter
transactions are not subject to backup withholding.                    the LLC’s name on the “Name” line and any business, trade, or
                                                                       DBA name on the “Business name” line.
   You will not be subject to backup withholding on payments
you receive if you give the requester your correct TIN, make the       Other entities. Enter your business name as shown on required
proper certifications, and report all your taxable interest and        federal tax documents on the “Name” line. This name should
dividends on your tax return.                                          match the name shown on the charter or other legal document
                                                                       creating the entity. You may enter any business, trade, or DBA
Payments you receive will be subject to backup                         name on the “Business name” line.
withholding if:                                                        Note. You are requested to check the appropriate box for your
   1. You do not furnish your TIN to the requester,                    status (individual/sole proprietor, corporation, etc.).
   2. You do not certify your TIN when required (see the Part II       Exempt Payee
instructions on page 3 for details),
   3. The IRS tells the requester that you furnished an incorrect      If you are exempt from backup withholding, enter your name as
TIN,                                                                   described above and check the appropriate box for your status,
                                                                       then check the “Exempt payee” box in the line following the
                                                                       business name, sign and date the form.
Form W-9 (Rev. 10-2007)                                                                                                                        Page   3
Generally, individuals (including sole proprietors) are not exempt                  Part I. Taxpayer Identification
from backup withholding. Corporations are exempt from backup
withholding for certain payments, such as interest and dividends.                   Number (TIN)
Note. If you are exempt from backup withholding, you should                         Enter your TIN in the appropriate box. If you are a resident
still complete this form to avoid possible erroneous backup                         alien and you do not have and are not eligible to get an SSN,
withholding.                                                                        your TIN is your IRS individual taxpayer identification number
   The following payees are exempt from backup withholding:                         (ITIN). Enter it in the social security number box. If you do not
                                                                                    have an ITIN, see How to get a TIN below.
   1. An organization exempt from tax under section 501(a), any
IRA, or a custodial account under section 403(b)(7) if the account                     If you are a sole proprietor and you have an EIN, you may
satisfies the requirements of section 401(f)(2),                                    enter either your SSN or EIN. However, the IRS prefers that you
                                                                                    use your SSN.
   2. The United States or any of its agencies or                                      If you are a single-member LLC that is disregarded as an
instrumentalities,                                                                  entity separate from its owner (see Limited liability company
   3. A state, the District of Columbia, a possession of the United                 (LLC) on page 2), enter the owner’s SSN (or EIN, if the owner
States, or any of their political subdivisions or instrumentalities,                has one). Do not enter the disregarded entity’s EIN. If the LLC is
   4. A foreign government or any of its political subdivisions,                    classified as a corporation or partnership, enter the entity’s EIN.
agencies, or instrumentalities, or                                                  Note. See the chart on page 4 for further clarification of name
   5. An international organization or any of its agencies or                       and TIN combinations.
instrumentalities.                                                                  How to get a TIN. If you do not have a TIN, apply for one
                                                                                    immediately. To apply for an SSN, get Form SS-5, Application
   Other payees that may be exempt from backup withholding                          for a Social Security Card, from your local Social Security
include:                                                                            Administration office or get this form online at www.ssa.gov. You
   6. A corporation,                                                                may also get this form by calling 1-800-772-1213. Use Form
  7. A foreign central bank of issue,                                               W-7, Application for IRS Individual Taxpayer Identification
  8. A dealer in securities or commodities required to register in                  Number, to apply for an ITIN, or Form SS-4, Application for
the United States, the District of Columbia, or a possession of                     Employer Identification Number, to apply for an EIN. You can
the United States,                                                                  apply for an EIN online by accessing the IRS website at
                                                                                    www.irs.gov/businesses and clicking on Employer Identification
   9. A futures commission merchant registered with the                             Number (EIN) under Starting a Business. You can get Forms W-7
Commodity Futures Trading Commission,                                               and SS-4 from the IRS by visiting www.irs.gov or by calling
  10. A real estate investment trust,                                               1-800-TAX-FORM (1-800-829-3676).
  11. An entity registered at all times during the tax year under                      If you are asked to complete Form W-9 but do not have a TIN,
the Investment Company Act of 1940,                                                 write “Applied For” in the space for the TIN, sign and date the
                                                                                    form, and give it to the requester. For interest and dividend
  12. A common trust fund operated by a bank under section                          payments, and certain payments made with respect to readily
584(a),                                                                             tradable instruments, generally you will have 60 days to get a
  13. A financial institution,                                                      TIN and give it to the requester before you are subject to backup
  14. A middleman known in the investment community as a                            withholding on payments. The 60-day rule does not apply to
nominee or custodian, or                                                            other types of payments. You will be subject to backup
                                                                                    withholding on all such payments until you provide your TIN to
  15. A trust exempt from tax under section 664 or described in                     the requester.
section 4947.
                                                                                    Note. Entering “Applied For” means that you have already
  The chart below shows types of payments that may be                               applied for a TIN or that you intend to apply for one soon.
exempt from backup withholding. The chart applies to the                            Caution: A disregarded domestic entity that has a foreign owner
exempt payees listed above, 1 through 15.                                           must use the appropriate Form W-8.
IF the payment is for . . .                 THEN the payment is exempt              Part II. Certification
                                            for . . .
                                                                                    To establish to the withholding agent that you are a U.S. person,
Interest and dividend payments              All exempt payees except                or resident alien, sign Form W-9. You may be requested to sign
                                            for 9                                   by the withholding agent even if items 1, 4, and 5 below indicate
Broker transactions                         Exempt payees 1 through 13.             otherwise.
                                            Also, a person registered under            For a joint account, only the person whose TIN is shown in
                                            the Investment Advisers Act of          Part I should sign (when required). Exempt payees, see Exempt
                                            1940 who regularly acts as a            Payee on page 2.
                                            broker                                  Signature requirements. Complete the certification as indicated
Barter exchange transactions                Exempt payees 1 through 5               in 1 through 5 below.
and patronage dividends                                                                1. Interest, dividend, and barter exchange accounts
                                                                                    opened before 1984 and broker accounts considered active
Payments over $600 required                 Generally, exempt payees
                                                        2                           during 1983. You must give your correct TIN, but you do not
to be reported and direct                   1 through 7                             have to sign the certification.
                  1
sales over $5,000
                                                                                       2. Interest, dividend, broker, and barter exchange
1                                                                                   accounts opened after 1983 and broker accounts considered
    See Form 1099-MISC, Miscellaneous Income, and its instructions.
2                                                                                   inactive during 1983. You must sign the certification or backup
    However, the following payments made to a corporation (including gross
    proceeds paid to an attorney under section 6045(f), even if the attorney is a
                                                                                    withholding will apply. If you are subject to backup withholding
    corporation) and reportable on Form 1099-MISC are not exempt from               and you are merely providing your correct TIN to the requester,
    backup withholding: medical and health care payments, attorneys’ fees, and      you must cross out item 2 in the certification before signing the
    payments for services paid by a federal executive agency.                       form.
Form W-9 (Rev. 10-2007)                                                                                                                                           Page   4
   3. Real estate transactions. You must sign the certification.                                     Secure Your Tax Records from Identity Theft
You may cross out item 2 of the certification.
                                                                                                     Identity theft occurs when someone uses your personal
   4. Other payments. You must give your correct TIN, but you                                        information such as your name, social security number (SSN), or
do not have to sign the certification unless you have been                                           other identifying information, without your permission, to commit
notified that you have previously given an incorrect TIN. “Other                                     fraud or other crimes. An identity thief may use your SSN to get
payments” include payments made in the course of the                                                 a job or may file a tax return using your SSN to receive a refund.
requester’s trade or business for rents, royalties, goods (other
than bills for merchandise), medical and health care services                                           To reduce your risk:
(including payments to corporations), payments to a                                                  ● Protect your SSN,
nonemployee for services, payments to certain fishing boat crew                                      ● Ensure your employer is protecting your SSN, and
members and fishermen, and gross proceeds paid to attorneys                                          ● Be careful when choosing a tax preparer.
(including payments to corporations).
                                                                                                        Call the IRS at 1-800-829-1040 if you think your identity has
  5. Mortgage interest paid by you, acquisition or                                                   been used inappropriately for tax purposes.
abandonment of secured property, cancellation of debt,
qualified tuition program payments (under section 529), IRA,                                            Victims of identity theft who are experiencing economic harm
Coverdell ESA, Archer MSA or HSA contributions or                                                    or a system problem, or are seeking help in resolving tax
distributions, and pension distributions. You must give your                                         problems that have not been resolved through normal channels,
correct TIN, but you do not have to sign the certification.                                          may be eligible for Taxpayer Advocate Service (TAS) assistance.
                                                                                                     You can reach TAS by calling the TAS toll-free case intake line
                                                                                                     at 1-877-777-4778 or TTY/TDD 1-800-829-4059.
What Name and Number To Give the Requester
                                                                                                     Protect yourself from suspicious emails or phishing
          For this type of account:                         Give name and SSN of:                    schemes. Phishing is the creation and use of email and
                                                                                                     websites designed to mimic legitimate business emails and
    1. Individual                                    The individual
                                                                                                     websites. The most common act is sending an email to a user
    2. Two or more individuals (joint                The actual owner of the account or,
       account)                                      if combined funds, the first
                                                                                                     falsely claiming to be an established legitimate enterprise in an
                                                     individual on the account
                                                                               1
                                                                                                     attempt to scam the user into surrendering private information
    3. Custodian account of a minor                  The minor
                                                                 2                                   that will be used for identity theft.
       (Uniform Gift to Minors Act)
                                                                               1
                                                                                                        The IRS does not initiate contacts with taxpayers via emails.
    4. a. The usual revocable savings                The grantor-trustee                             Also, the IRS does not request personal detailed information
       trust (grantor is also trustee)                                                               through email or ask taxpayers for the PIN numbers, passwords,
                                                                           1
       b. So-called trust account that is            The actual owner                                or similar secret access information for their credit card, bank, or
       not a legal or valid trust under                                                              other financial accounts.
       state law
    5. Sole proprietorship or disregarded            The owner
                                                                   3
                                                                                                        If you receive an unsolicited email claiming to be from the IRS,
       entity owned by an individual                                                                 forward this message to phishing@irs.gov. You may also report
                                                            Give name and EIN of:
                                                                                                     misuse of the IRS name, logo, or other IRS personal property to
          For this type of account:
                                                                                                     the Treasury Inspector General for Tax Administration at
 6. Disregarded entity not owned by an               The owner                                       1-800-366-4484. You can forward suspicious emails to the
    individual                                                                                       Federal Trade Commission at: spam@uce.gov or contact them at
                                                                       4
 7. A valid trust, estate, or pension trust          Legal entity                                    www.consumer.gov/idtheft or 1-877-IDTHEFT(438-4338).
 8. Corporate or LLC electing                        The corporation
    corporate status on Form 8832                                                                      Visit the IRS website at www.irs.gov to learn more about
 9. Association, club, religious,                    The organization                                identity theft and how to reduce your risk.
    charitable, educational, or other
    tax-exempt organization
10. Partnership or multi-member LLC                  The partnership
11. A broker or registered nominee                   The broker or nominee
12. Account with the Department of                   The public entity
    Agriculture in the name of a public
    entity (such as a state or local
    government, school district, or
    prison) that receives agricultural
    program payments
1
    List first and circle the name of the person whose number you furnish. If only one person
    on a joint account has an SSN, that person’s number must be furnished.
2
    Circle the minor’s name and furnish the minor’s SSN.
3
    You must show your individual name and you may also enter your business or “DBA”
    name on the second name line. You may use either your SSN or EIN (if you have one),
    but the IRS encourages you to use your SSN.
4
    List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN
    of the personal representative or trustee unless the legal entity itself is not designated in
    the account title.) Also see Special rules for partnerships on page 1.

Note. If no name is circled when more than one name is listed,
the number will be considered to be that of the first name listed.

Privacy Act Notice
Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons who must file information returns with the IRS to report interest,
dividends, and certain other income paid to you, mortgage interest you paid, the acquisition or abandonment of secured property, cancellation of debt, or
contributions you made to an IRA, or Archer MSA or HSA. The IRS uses the numbers for identification purposes and to help verify the accuracy of your tax return.
The IRS may also provide this information to the Department of Justice for civil and criminal litigation, and to cities, states, the District of Columbia, and U.S.
possessions to carry out their tax laws. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal
nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism.
  You must provide your TIN whether or not you are required to file a tax return. Payers must generally withhold 28% of taxable interest, dividend, and certain other
payments to a payee who does not give a TIN to a payer. Certain penalties may also apply.
J.P. Morgan – Pre Employment Screening
Information Release Form

    Instructions: Please complete this form
    Private & Confidential - Information Release Form


    To Whom This May Concern


    I, hereby authorize JP Morgan Chase and any persons or organizations acting on its behalf, to
    verify information and documentation presented on my employment application/resume and to
    procure a consumer report or an investigative report for that purpose. I hereby grant authority
    for the bearer of this letter, with immediate effect, to access or be provided with full details of
    my previous employment record held by any company or business for whom I previously worked.
    This information should include the dates of employment; the nature of the position held,
    [details of my salary upon departure] and an appraisal of my performance, capabilities and
    character. In addition, please provide any other pertinent information requested by the
    individual presenting this authority. I further understand and acknowledge that this Information
    Release Form will remain a valid authorization for a period of two years following its
    completion.


    To be completed by Employee



    SURNAME, Given Names:
    as shown on identity card or passport




        Surname, Given Names                         Signature                     Date (mth/day/year)
        as shown on Identity Card or passport
J.P. Morgan – Pre Employment Screening
Declarations
      Instructions: Please photocopy this form and complete one for each criminal offence applicable.

      Please note that a conviction will not necessarily disqualify you from employment. The information you
      provide here, among other factors and statutory restrictions, will be considered in making a decision
      regarding employment.
      ________________________________________________________________________________
      _

      Are you currently or do you expect to be engaged in any occupation or business activity as an employee,
      director, officer, executor, trustee, etc? If ‘Yes’, please describe:
      □             Company Name :                                    Title:                    Date of Appointment:
      Yes --------------------------------------------------------------------------------------------------------------------
      □ No
      ________________________________________________________________________________
      _

      Have you ever been convicted of, or pleaded guilty to, any criminal offence (felony or misdemeanor),
      including in a military court? If ‘Yes’, please describe:
      □
      Yes, -------------------------------------------------------------------------------------------------------------------
      □ No
      ________________________________________________________________________________
      _

      Have you ever agreed to enter a pre-trial assessment, probation, rehabilitation or other similar program
      in connection with a prosecution of any criminal offence (felony or misdemeanor), including in a
      military court? If ‘Yes’, please describe:
      □
      Yes, -------------------------------------------------------------------------------------------------------------------
      □ No
      ________________________________________________________________________________
      _

      At this time, do you have any arrest or criminal accusation pending against you? any other relevant
      information you wish to have considered.
      □ Name and location of Court:       -------------------------------------------------------------------------------
                Yes, Court date:         -------------------------------------------------------------------------------

                 Nature of offence:                     ------------------------------------------------------------------------

                 Disposition (if applicable):           -------------------------------------------------------------------------

                 Please include any other relevant --------------------------------------------------------------------------
                 information you wish to have
                 considered:                         --------------------------------------------------------------------------
       □ No
_______________________________________________________________________________________

      To be completed by Employee




        Surname, Given Names                                Signature                                 Date (mth/day/year)
        as shown on Identity Card or passport
J.P. Morgan – Pre Employment Screening
Declarations
     Instructions: Please photocopy this form and complete one for each criminal offence applicable.

     Please note that a conviction will not necessarily disqualify you from employment. The information you
     provide here, among other factors and statutory restrictions, will be considered in making a decision
     regarding employment.
     ________________________________________________________________________________
     _

     Do you now have any past due accounts or have any of your creditors (eg. Banks, department stores,
     etc.) ever obtained a judgement against you or incurred loss due to your Non- payment? If ‘Yes’. Please
     describe:
     □
     Yes, -------------------------------------------------------------------------------------------------------------------
     □ No
     ________________________________________________________________________________
     _

     Do you have any debts or accounts (including mortgages, loans, student loans, charge accounts, etc) in
     excess of $1000? If ‘YES’, please describe by listing for each debts its amount, to whom it is owed, and
     its purpose.
     □
     Yes, -------------------------------------------------------------------------------------------------------------------
     □ No
     ________________________________________________________________________________
     _

     Have you ever been subjected to disciplinary proceedings or complaints with a previous employer:
     □
     Yes, -------------------------------------------------------------------------------------------------------------------
     □ No
     ________________________________________________________________________________

    To be completed by Employee




       Surname, Given Names                               Signature                               Date (mth/day/year)
       as shown on Identity Card or passport
J.P. Morgan – Pre Employment Screening
Statement of Information


    Please read the following statements carefully. As the term “J.P. Morgan Chase” is used in these
    statements, that term refers to and is defined as including, either jointly or individually, J.P.
    Morgan Chase, and/or any of its related body corporates (as defined in the Corporations Act 2001
    (Cwlth)), and/or their respective officers, agents, or employees.
    Verification: The information I have provided in this Statement of Information is accurate to the
    best of my knowledge and subject to verification. I understand that any untrue statement or
    misrepresentation of fact in any of these materials, and to whatever degree, at J.P. Morgan
    Chase’s sole discretion, will be grounds for terminating immediately my services under the terms
    and conditions set out in J.P. Morgan Chase’s Offer of Employment.
    Authorisation of Background and Security Investigation I hereby authorize the performance of
    a background and security investigation of me and, in connection with such investigation, the
    preparation or procurement of an investigation and/or consumer report covering my credit
    worthiness, credit standing or capacity, job performance, character, reputation and/or personal
    characteristics. This information may be obtained through interviews or other communications
    with persons who may have knowledge concerning such information. I understand that upon my
    request (written request in the case of an investigative consumer report) I will be informed
    whether any such report was sought and of the name and address of the agency asked to prepare
    such report(s) and that subsequent consumer reports may be sought or utilized in connection
    with any any services which I may perform for JPMorgan Chase in future. I also understand I have
    the right to request in writing, within a reasonable period of time after the date below,
    additional information concerning the nature and scope of any investigative consumer report.
    I hereby authorize the procurement and preparation of such an investigative consumer report. I
    understand and agree that J.P. Morgan Chase shall not be responsible for the accuracy of the
    information disclosed during any background and security check or in any investigative and/or
    consumer report or any action taken as a consequence of such disclosure.
    Security Procedures: At all times during the performance of services for J.P. Morgan Chase, I
    shall abide by all applicable J.P. Morgan Chase security standards, guidelines and procedures,
    including, where applicable, those set forth in J.P. Morgan Chase’s Data Security Policies and
    Standards Manual and Technical Users: Security Policies and Standards Manual.
    Ownership of Intellectual Property: I hereby agree that J.P. Morgan Chase shall have ownership
    of the entire rights, title and interest in all inventions, original works of authorship,
    developments, improvements, technical or other contributions, including computer software and
    trade secrets, and other works which I make, conceive, create or write, alone or jointly with
    others, during the course of and within the scope of my employment with J.P. Morgan Chase or
    within six months after termination of such employment if related to the course of my
    employment (Developments). In connection therewith, I hereby assign to J.P. Morgan Chase, all
    rights, title and interest in and to the Developments to which I am or may at any time after the
    date of my employment be entitled to by virtue of or pursuant to any of the laws in force in any
    part of the world, whether or not patentable or registrable under copyright or similar laws,
    which assignment shall include, without limitation, the right to file and prosecute patent
    applications and copyright registrations in any and all countries and all rights of priority under
    international conventions. I further acknowledge that all original works of authorship which are
    made by me (solely or jointly with others) within the scope of and during the period of my
    employment with J.P. Morgan Chase are protectible by section195AWA of the Copyright Act 1968
    (Cwlth). I agree to keep and maintain complete, adequate and current written records of all
    Developments and to disclose the same to J.P. Morgan Chase. The records will be in the form of
    notes, sketches, drawings, and any other format as J.P. Morgan Chase shall reasonably request
    and/or specify during the term of my employment. I agree to, during and after such period,
    assist and co-operate fully with J.P. Morgan Chase (entirely at its expense) to do any and all acts
    to obtain and protect J.P. Morgan Chase's rights in the Developments and any copyrights,
    trademarks, patents, designs, layout-designs, proprietary information, mask work rights or other
    intellectual property rights relating thereto in any and all countries ("Intellectual Property
    Rights"), including, the execution of any and all applications, assignments and all other
    instruments in such manner and at such location which J.P. Morgan Chase shall deem necessary
    in order to apply for and obtain or assign to J.P. Morgan Chase the Intellectual Property Rights.
J.P. Morgan – Pre Employment Screening

    I understand and agree that all such Developments shall be and remain the property of J.P.
    Morgan Chase regardless of whether or not patented or registered for copyright and that my
    obligation to execute or cause to be executed, any instrument or papers shall continue after
    the termination of this Agreement.

    Moral Rights: I consent to all acts and omissions of J.P. Morgan Chase in relation to any moral
    rights in respect of all works made or to be made by me in the course of my employment with
    J.P. Morgan Chase.
    Confidentiality of Information: I agree that I shall hold on trust for J.P. Morgan Chase and
    shall not use, except for the purposes of the performance of my duties during my employment
    with J.P. Morgan Chase, or disclose to any other party any Confidential Information (as such
    term is hereinafter defined) which may be disclosed to or created by me in connection with the
    course of my employment for J.P. Morgan Chase. As used herein, the term “Confidential
    Information” means any information which relates to confidential, proprietary and/or trade
    secret information in oral, demonstrative, written, electronic, graphic or machine readable
    form contained in any documents, manuals, diskettes and other storage medium including but
    not limited to internal controls, computer or data processing programs, algorithms, electronic
    data processing applications, routines, subroutines, techniques or systems, or information
    concerning the business or financial affairs and methods of operation or proposed methods of
    operation, accounts, transactions, proposed transactions or security procedures, know-how,
    inventions, training methods or other information relating to the business and other operations
    of either J.P. Morgan Chase, any affiliate of J.P. Morgan Chase, or any client, customer or
    vendor of J.P. Morgan Chase and all copies and reproductions thereof, whether or not owned or
    developed by J.P. Morgan Chase, except such information which is in the public domain at the
    time of its disclosure to me or which subsequently enters the public domain other than as a
    result of a breach of duty on my part. I agree that, upon J.P. Morgan Chase's written demand
    for whatever reason, I shall immediately deliver to J.P. Morgan Chase any and all notes,
    drawings, documents, manuals, diskettes and other materials containing the Confidential
    Information in my possession, custody or control without retaining copies or excerpts thereof
    and confirm to J.P. Morgan Chase, in writing, the return or destruction of the same. I
    acknowledge that my right to retain and/or use the Confidential Information shall terminate
    forthwith upon J.P. Morgan Chase's written demand and I shall immediately cease to use the
    Confidential Information. The obligations imposed by this clause shall survive any expiration or
    termination of any agreement with J.P. Morgan Chase with respect to the performance of
    services, or of my employment or assignment to render services in connection therewith. I
    understand and agree that J.P. Morgan Chase shall have the right to enforce the provisions of
    this paragraph by means of injunctive relief including specific performance.


    To be completed by Employee




      Surname, Given Names                     Signature                      Date (mth/day/year)
      as shown on Identity Card or passport
J.P. Morgan – Pre Employment Screening
Applying for Domestic & International Criminal Record Checks

1. Have you ever resided, worked or studied in the following locations within the last five (5) years? 2. Is your nationality one of the
below locations? 3. Do you hold citizenship for one or more of the below locations? If YES, provide the requested information

For India

                    YES 1. Complete and return the ‘Mumbai – CID Form A’, in BLUE ink. Ensure you fulfill the
                    following requirements within this form: •Your Father’s complete name •Full address in
                    India and period of stay •Please include the contact details of the two references you
India -             provided in the CID. 2. Colour photo (Passport-size) x2 3. Photo identity proof (i.e.
Mumbai              photocopy of photo page in passport / India address page in passport) 4. Address proof for
                    Mumbai (i.e. photocopy of ration card / electric or gas bill) - refer attachment for
                    alternative address proof 5. Copy of Degree Certificate is required/ Membership number of
                    copy of relevant Certificate or Diploma

                    NO No information required

For Other than India
Australia           YES 1. Complete ‘Australian Federal Police (AFP) Check’ form 2. ‘Letter of Authorisation’
                    form - Australia 3. Please provide your last residential address in Australia, including
                    postal code

                    NO No information required

                                                                                                              Canada Social
                    YES 1. Complete and return the ‘Canada Criminal Check’ form 2.                            Insurance Number
                    Canada Social Insurance Number (CSIN) in the space provided                               (CSIN)
                    (right) 3. Please provide your last residential address in Canada,
Canada
                    including postal code

                    NO No information required


                    YES 1. Complete and return the ‘China Criminal Check - PRC 101 Record Check’ form. All
                    details must be in English & Chinese. 2. Attach a copy of any / all degree certificates
                    obtained (in Chinese) 3. Attach a copy of any / all diplomas or membership certificates
China
                    4. Please provide your last residential address in China, including postal code

                    NO No information required

                                                                                                              HKID Number:
                    YES 1. Provide your Hong Kong Identification number in the space
                    provided (right) 2. If Tertiary education is obtained at: •Open
                    University please complete the ‘Open University Letter of
                    Authorisation’ form AND / OR •Chinese University please complete
Hong Kong
                    the ‘University Letter of Authorisation’ form 3. Please provide your
                    last residential address in Hong Kong, including postal code

                    NO No information required

                    YES 1. Please provide your Indonesian Identity number (KTP) 2.                            Indonesian Identity
                    Please provide your last residential address in Indonesia, including                      Number (KTP):
                    postal code
Indonesia
                    NO No information required
              YES 1. Complete and return the ‘Declaration of Consent – Ireland’ form 2. Please provide
              your last residential address in Ireland, including postal code
Ireland
              NO No information required

              YES 1. Complete and return ‘Japan Letter of Authorisation form’.         Full Name (in Kanji
              All information must be in English and Japanese                          and English):
              2. Please provide your complete:
              • Name
              • DOB                                                                    Date of Birth (in
              • Address                                                                Kanji and English):
              • Passport number in the spaces provided (right)
Japan         NO No information required

                                                                                       Address in Japan (in
                                                                                       Kanji and English):




                                                                                       Passport Number:



                                                                                       Korean
              YES 1. Complete and return ‘Korea Letter of Authorisation’ form.         Identification
              All information must be in English and Korean, if possible 2.            Number:
              Complete and return ‘Korea Credit Consent’ form. All information
              must be in English and Korean, if possible 3. Please provide Korean
Korea
              Identification number in the space provided (right) 4. Please
              provide your last residential address in Korea, including postal code

              NO No information required

                                                                                       Malaysian Identity
              YES 1. Please provide your Malaysia Identity Card number. Please         Card No:
              provide both old and new numbers in the space provided (right) 2.
              Please provide your last residential address in Malaysia, including
Malaysia
              postal code

              NO No information required

                                                                                       TIN Number:
              YES 1. Please provide your original NBI Certificate 2. Please provide
              your TIN number in the space provided (right) 3. Please provide a
              copy of Degree Certificate or Transcript of Record (TOR) 4. Please
Philippines   provide your last residential address in Philippines, including postal
              code

              NO No information required

              YES 1. Complete and return the ‘NZ Criminal Check / Privacy Consent’ form 2. Please
              provide your last residential address in New Zealand, including postal code
New Zealand
              NO No information required

              YES 1. Please provide your Singapore NRIC number or Foreign              Singapore NRIC or
              Identification number in the space provided (right) 2. Please            FIN Number:
              provide your last residential address in Singapore, including postal
Singapore     code

              NO No information required
                                                                                      South Africa
South Africa   YES 1. Please provide your last residential address in South Africa,   residential address
               including postal code in the space provided (right) 2. Complete and    (in full):
               return the ‘South Africa Indemnity Clause’ form
               NO No information required


               YES 1. Complete and return the ‘Application for Character Certificate’ form 2. Complete
               and return the ‘Police Clearance Certificate’ form 3. Please provide your last residential
Sri Lanka
               address in Sri Lanka, including postal code
               NO No information required

Taiwan         YES 1. Name in Chinese characters 2. Taiwan Identify number in         Taiwan Identity
               the space provided (right) 3. Copy of Diploma or Membership            Number:
               Certificate 4. Please provide your last residential address in
               Taiwan, including postal code                                          Name in Chinese
               NO No information required                                             characters:


                                                                                      Thai Passport No:
               YES 1. Please provide your Thai passport number in the space
               provided (right) 2. Please provide your name in Thai Characters in     Name in Thai
Thailand                                                                              Characters:
               the space provided (right) 3. Please provide your last residential
               address in Thailand, including postal code
               NO No information required
                                                                                      UK residential
               YES 1. Please provide your last residential address in the UK,         address (in full):
United         including postal code in the space provided (right)
Kingdom        NO No information required

                                                                                      Social Security
               YES 1. Please provide your Social Security Number (SSN) in the         Number:
               space provided (right) 2. Please provide your last residential
USA            address in the US, including postal code in the space provided         US residential
               (right) 3. Complete and return the ‘Consumer Credit Report             address (in full):
               (United States)’ form
               NO No information required
TRANSPORT GUIDELINES


                      (Applicable for J.P.Morgan Services India Pvt Ltd Employees)

a. Transport facility is provided by the organization only for employees working in shifts which begin
   /end between 10.00 pm and 6.00 am.
b. The facility entails home pick up or drop offs for all employees working in shifts (as mentioned
   above) within the municipal limits of Colaba, Vasai, Thane and Vashi. No requests for drops to
   any other locations will be entertained.
c. The facility entails drops / pick up to/ from residence (if residence is within the limits as
   mentioned) as per the address mentioned by the employee in his records.
d. If address of residence is beyond specified limits, this facility is provided only to Vasai, Thane and
   Vashi stations.
e. Any change in residential address needs to be communicated in writing to HRSD and the
   transport coordinator. Employees who do not wish to avail of the facility need to inform the
   transport coordinator and their Manager in writing.
f. Any misuse of this facility will be considered as misconduct and dealt with severely as per the
   Disciplinary Procedures, specified in the HR Manual.
   The usage of the transport facility is provided on a voluntary usage basis and is not compulsory.
   Please note that the transportation service provided by the organization, providing pick up and
   drop off services is a benefit provided to you during the course of your employment with the
   organization. You may however choose to opt out of the using the same. However, use of the
   service is entirely at your own risk, cost and consequence.
g. Please note the although the organization has obtained insurance coverage for all its employees,
   including coverage for usage of transportation facilities, you ( or your family or your assigns) will
   have no further recourse to the organization, over and above the insurance claim payable and
   due to the individual employee, as a consequence of the occurrence of an unforeseen event. The
   organization will not be liable to any employee availing of the transport facility, under any
   circumstance whatsoever, for any civil or criminal liabilities, direct or indirect, special or
   consequential damages arising out of or in connection with the use of the transport facilities of
   the organization.
                                              DECLARATION


I have read and understood the transport guidelines as defined above and hereby agree to abide by all the rules and
regulations as specified.




               NAME                                      Signature                             Date

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:131
posted:8/2/2012
language:English
pages:33