JOINING REPORT

Dt:

To Vice President HR M/s NCC Limited Head Office Hyderabad.

I,Mrs/Ms/Mr_______________________________ S/o/ D/o_______________________ Presently residing at ________________________________________________________ do hereby report for duty today as(Designation)__________________________ as per your offer of employment reference number NCC/HRD/RCT/________________ dt. _________

I, further, confirm that I have got duly relieved from my previous employment and submitting the relieving letter (if previously employed).

Thanking you, Yours faithfully,

( Signature )

Employee Personal Data Sheet

(Please fill in Capital Letters) 1 2 Name of the Employee Date of Birth as per record & Blood Group Original Date of Birth PAN Number Marital Status Married Anniversary (If Married) Contact Number In Emergence : Name & Contact No. E- Mail ID Father Name & Age (DD/MM/YY) Mother Name & Age (DD/MM/YY) Spouse Name & Age (DD/MM/YY) : :

3 4 5 6 7 8 9 10 11 12 13

: : : : : : : : : :

Children Name & Age (DD/MM/YY) :

(Employee Signature)

FORM 'F' [See sub-rule (1) of Rule 6] Nomination To, The Vice President HR M/S NCC Limited Madhapur, HYDERABAD - 500081 I, Shri/Shrimati/Kumari 1. 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) mentioned is/are a member(s) of my family within the 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. (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. to the controlling authority

4.

5. I have excluded my husband from my family by a notice dated the in terms of the proviso to clause (h) of Section 2 of the said Act. 6. Nomination made herein invalidates my previous nomination. Nominee(s) Relationship with the employee (2)

Name in Full with address of Nominee(s)

Age of the Nominee (3)

Proportion by which the gratuity will be shared (4)

(1) 1 2 3 So on..

Statement 1 2 3 4 5 6 7 8 Name of the Employee in Full Sex Religion Whether Unmarried/Married/Widow/Widower Department/Branch/Section where employed Post held with ticket or serial No., if any. Date of appointment. Permanent Address Thana :. Sub-Division :.. State :.. Post Office :.. : : : : : : :

Village :.. District :..

Place : Date :.. Signature/Thumb Impression of the employee Declaration by Witnesses Nomination signed/thumb impressed before me.: Name in full and full signature of witnesses Address of witnesses 1. 2. Place : : : 1. 2. Date : Certificate by the employer Certified that the particulars of the above nomination have been verified and recorded in this establishment. Employers Reference No. if any. Signature of the employer/officer authorized Designation M/S NCC Limited Madhapur, Hyderabad 500081 Date : Acknowledgement by the employee Received the duplicate copy of nomination in Form F filed by me and duly certified by the employer Date : Signature

FORM -2 (Revised)

THIS FORM IS SUPPLIED FREE OF COST.

NOMINATION AND DECLARATION FORM FOR UNEXEMPTED/EXEMPTED ESTABLISHMENTS.

Declaration and Nomination Form under the Employees Provident Funds & Employees Pension Scheme [Paragraph 33 & 61(1) of the Employees Provident Fund Scheme. 1952 & Paragraph 18 of the Employees Pension Scheme,1995]

1. 2. 3. 4. 5. 6.

Name (In Block Letters)

: ______________________________________________________________________________

Name of the Parent / Spouse : ______________________________________________________________________________ Date of Birth Sex Marital Status P.F. Account No. : _______________________ : _______________________ : _______________________ : A.P / __________________ 8. Date of joining the Fund : Temporary : 7. Address : Permanent

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. Total amount of share If the Nominee is a minor of accumulations in name, relationship & Address Nominees provident Fund to be of the guardian who may Name & Address of the Nominee / Nominees Date of Birth relationship pain to each nominee. receive the Amount during the with the minority of nominee. Member 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 declared as cancelled.

2.

* Certified that my father/mother is/are dependent upon me. *strike out whichever is not applicable. Signature or Thumb Impression Of the Subscriber

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.

S.No

Name of the Family Members

Address

Date of Birth

Relationship with Member

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

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

Name & Address of the nominee

Date of Birth

Relationship with Member

Date : ** Strike out which is not applicable. Signature of 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./Kum _________________________________________ employed in my establishment after he/she has read the entries/entries have been read over to him/her by me and got confirmed by him/her.

Place :

Signature of the employer or other authorized Officers of the establishment. Designation:

Date :

Name & Address of the Factory/Establishment or Rubber Stamp thereof