PRE-JOINING CHECKLIST

Read all instructions carefully before filling form

Fill in CAPITAL letters only

Details & Documents provided in this form will be subjected to verification as a process of
background check (BGC).

It primarily includes checking of Address (wherein our field executive will visit all addresses), Police
and Court Records, Reference, International Database, Identity, Education and Employment.
Additional checks if any may be conducted as per business requirement. e.g.: You may be advised
to undergo DRUG TEST (if and as applicable for process being hired), social media, credit rating etc.

Details provided in this form should match with:

1) Résumé shared during interview
2) Information updated online @ https://grs.tcs.com/ep/index.jsp
3) Documents being submitted.
Please provide 2 photocopies of each document. Do Not Submit Any Originals.
However, refer original document to accurately capture all details.
This would help avoid your verification being reported negative post verification.
Be cautious while capturing details related to Employment ( viz. Joining Date, Last Working
Date, Supervisor Names, Salary Details, Designation), Education ( viz. dates, roll no, marks),
Address (viz. period of stay , pin code etc.) .

 Medicals: (Format / Form available with recruiter)

 For age below 33 - Provide Medical Certificate from a Registered Doctor (MBBS/MD/MS)
 For age 33 and above - Full Medical Check

ADDITIONAL DOCUMENTS TO BE SUBMITTED (IF APPLICABLE)

 MARRIAGE REGISTRATION CERTIFICATE (gazette copy in case of name change post marriage)
 NAME CHANGE CERTIFICATE (gazette copy in case of name change in general)
 DUAL CITIZENSHIP DOCUMENT (if applicable)
 WORK PERMIT : Expatriates working in India should provide work permit, visa endorsements
 INTERNATIONAL : SSN # , IRS #, Taxation document / Financials for past Experience
 DOCUMENTS PERTAINING TO CHANGE IN GENDER

For Experienced Candidates: UAN

Universal Account Number is a twelve digit number generated and allotted by EPFO (Employee Provident Fund
Organization, India) to employees who contributes in EPF (Employee Provident Fund)
Universal Account Number (UAN)

Do connect with our RECRUITMENT OFFICER for any clarification

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 DOCUMENT LIST
1. Copy of Pan Card / Pan Card application number (Mandatory)
2. Proof of Citizenship (copy of Birth Certificate / Passport / School Leaving Certificate / Voters ID/Transfer Certificate)
(Mandatory)
3. Only one Copy of Aadhar card for Provident Fund (Mandatory)

Documents for Employment (please tick mark  on submitted document)

FOR CURRENT EMPLOYMENT:
1. Appointment Or Offer Letter
2. Relieving / Experience / Resignation Acceptance Letter / Service Certificate
If not available, Recruiter to sign on candidates declaration along with employee id
3. Salary Slips (Last 3 Months) / Salary Certificate
If above documents are not available, please provide BANK STATEMENT copy for entire tenure

ALL PAST EMPLOYMENT (Post HSC /12th For Under graduates)

1. Appointment Letter Or Offer Letter
2. Relieving Letter Or Service Certificate Or Experience Letter

Documents for Education (Highest Qualification) (please tick mark  on submitted document)
1. Passing Certificate / Convocation For Graduation & Post Graduation ✔
2. All Semester Or Consolidated Mark Sheet For SSC, HSC, Graduation & Post Graduation ✔
 (If Undergraduate Then Till 12th)

Documents for proof of address :

1 each if present (current) & permanent address is different. (Please  on submitted document)
1. Valid Passport (Also Valid For Id Proof)
2. Voter Id / Electors Photo ID (Also Valid For Id Proof)
3. Driving License With Address ✔

4. Utility Bill With Address (Not More Than 3 Months Old From Date Of Submission)
(e.g.: Land Line / Post-Paid Mobile Bill, Gas / Electricity /Water Bill)
5. LIC Policy Document With Address
6. Leave And License / Rental Agreement Copy (Registered) With Address
7. Valid Ration Card With Address
8. Owners Letter Declaring Candidates Stay (Along With Owners Utility Bill With Address)

NOTE:
Declaration templates are available at Document Collection Center to support Non availability of employment / education
documents

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 BACKGROUND CHECK FORM
(Please fill this form in BLOCK LETTERS)
Are you relieved from the services of current Company at the time of submitting this form? YES / NO / NA
✔

Name of the Applicant: (Full name as per ID proof):

First Name
AYUSH Middle Name Last Name
PANDEY
Mobile No.: Alternate No: E-Mail
7080109090 8354052419 [email protected]
Father’s Name:
First Name
GOVIND Middle Name
LAL PANDEY Last Name
Spouse Name:
First Name Middle Name Last Name
Date of birth (Attach Proof): 16/06/2001
DD/MMM/YYYY Nationality: INDIAN

Present Residential Address : (Stated address cannot be temporary or in transit mode)

From : To: Landmark:
Period of Stay
MMM/YYYY
Oct/2003 MMM/YYYY
May/2022 MAHILA KALYAAN

(Please provide
4/34 POLICE LINE RAEBARELI complete postal address)
(Please provide complete postal address)
City/Town: RAEBARELI State: UTTAR PRADESH Pin Code:
229001

Address of Longest Stay in Last 7 Years: (Tick here If Same As Present Address) ✔

Period of Stay From : To: Landmark:

MMM/YYYY
Oct/2003 MMM/YYYY
May/2022 MAHILA KALYAAN
(Please provide complete postal address)
4/34 POLICE LINE RAEBARELI
(Please provide complete postal address)
City/Town: RAEBARELI State: UTTAR PRADESH Pin Code: 229001

Contact No:

Permanent Address: (Tick here If Same As Present Address)

Name of any family member residing at below address
__________________________________________
Period of Stay From : To: Landmark:
MMM/YYYY
Jun/2001 MMM/YYYY
Oct/2003 AIRTEL TOWER
(Please provide
VILL-MAUHARIYA SERAWAN complete
POST-ATRAMPUR postal address)
THESIL-SORAON
(Please
DISTRICT-PRAYAGRAJ provide complete postal address)
City/Town: PRAYAGRAJ State: UTTAR PRADESH Pin Code: 229412

Contact No: (708) 010-9090

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Educational Qualifications (Attach Proof) BGC UNIQUE ID (filled by HR):____________________
Mention qualifications completed & passed out from a recognized Institute / University under UGC ACT 1956.
AYUSH PANDEY
Name as in Certificate: ________________________________________________________________
Qualification Highest Qualification Qualification
(Considered for recruitment) (Prior to Highest Qualification)
Mode of Education Full Time Full Time
(Full time / Correspondence / Part time):
Name of Examination Passed
B.A (3yrs) 12TH
(B.E, M.Tech, BCom, BSc, etc.):
ENGLISH LITERATURE, GEOGRAPHY,
Specialization / Main Subjects: POLITICAL SCIENCE ENGLISH CORE, MATHEMATICS, PHYSICS, CHEM

ALLAHABAD DEGREE COLLEGE LUCKNOW PUBLIC SCHOOL

Name of Institute / College :

University:
(ONLY RECOGNIZED) UNIVERSITY OF ALLAHABAD CBSE
Institute /
Affiliated University Location: PRAYAGRAJ RAEBARELI
College /
University
Date From : MMM/YYYY Jun/2019 Apr/2017
Details
Date To : MMM/YYYY Jun/2021 May/2018
Seat No / Roll No / Regn No D1820281 5720199
Year Of Passing YYYY 2021 2018
% of Marks / Grade 66.2 73.6
Please tick on pending semesters / ATKT / Backlog I II III IV V VI VII VIII
Please tick if Results / Mark sheet / Passing Certificate awaited for any semester I II III IV V VI VII VIII

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Employment Details (Attach Proof)
**For International Employment, please mention Work / SSN / Unique number issued by country of work:___________________________________
Please declare gaps if any in Education or Employment or in between education & employment in the gap section

Previous Employer’s Description Previous Employment 1 (last before TCS) Previous Employment 2
(Name of the organization) (Name of the organization)
Employer Name:
Employer
Details
(if deputed,
Address of the payroll
then please
company: Town/City: Town/City:
provide both
Parent and State: Pin Code: State: Pin Code:
Deputed
Office Landline No.: Landline Landline
organization
HR e-mail ID :
names)
Company Status : Company functional? Yes / No Company functional? Yes / No / Don’t Know
Date of Emp. From : DD/MMM/YYYY DD/MMM/YYYY
Period DD/MMM/YYYY DD/MMM/YYYY
Date of Emp. To :
Designation :
Employee Code :/**
Employee
Details Annual Gross CTC :
Remuneration Received In Cash / Credited To Bank Received In Cash / Credited To Bank
Reason for Leaving :
Supervisor Name :

Supervisor Supervisor Designation :

Details Supervisor Ph No.:
Landline Landline

(Please provide official email id) (Please provide official email id)
Supervisor Email :
Please  On Exit Status Yet To Resign Resigned with notice Resigned without notice Resigned with notice period Resigned without notice period
period period

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Employment Details (Attach Proof)
TCS Confidential
**For International Employment, please mention Work / SSN / Unique number issued by country of work:___________________________________
Please declare gaps if any in Education or Employment or in between education & employment in the gap section

Previous Employer’s Description Previous Employment 3 Previous Employment 4

(Name of the organization) (Name of the organization)
Employer Name:

Employer
Details
(if deputed, Address of the payroll
then please Town/City: Town/City:
company:
provide both
Parent and State: Pin Code: State: Pin Code:
Deputed
Office Landline No.: Landline Landline
organization
names) HR e-mail ID :
Company Status : Company functional? Yes / No / Don’t Know Company functional? Yes / No / Don’t Know
DD/MMM/YYYY DD/MMM/YYYY
Date of Emp. From :
Period DD/MMM/YYYY DD/MMM/YYYY
Date of Emp. To :

Designation :

Employee Code :
Employee
Details Annual Gross CTC :
Remuneration Received In Cash / Credited To Bank Received In Cash / Credited To Bank
Reason for Leaving :
Supervisor Name :

Supervisor Supervisor Designation :

Details Supervisor Ph No.: Landline Landline

(Please provide official email id) (Please provide official email id)
Supervisor Email :
Please  On Exit Status Resigned with notice period Resigned without notice Resigned with notice period Resigned without notice period
period

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Employment Details (Attach Proof)
**For International Employment, please mention Work / SSN / Unique number issued by country of work:___________________________________
Please declare gaps if any in Education or Employment or in between education & employment in the gap section
Previous Employer’s Description Previous Employment 5 Previous Employment 6
(Name of the organization) (Name of the organization)
Employer Name:

Employer
Details
(if deputed, Address of the payroll
then please company: Town/City: Town/City:
provide both
Parent and State: Pin Code: State: Pin Code:
Deputed Landline Landline
Office Landline No.:
organization
names) HR e-mail ID :
Company Status : Company currently functional? Yes / No / Don’t Know Company currently functional? Yes / No / Don’t Know
DD/MMM/YYYY DD/MMM/YYYY
Date of emp. From :
Period DD/MMM/YYYY DD/MMM/YYYY
Date of emp. To :

Designation :

Employee Code :
Employee
Details Annual Gross CTC :
Remuneration Received In Cash / Credited To Bank Received In Cash / Credited To Bank
Reason for Leaving :
Supervisor Name :

Supervisor Supervisor Designation :

Details Supervisor Ph No.: Landline Landline

(Please provide official email id) (Please provide official email id)
Supervisor Email :
Please  On Exit Status Resigned with notice period Resigned without notice period Resigned with notice period Resigned without notice period

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Professional Reference Details:
NOTE:
References of friends & relatives shall not be considered. References of Professors / Doctors / Lawyers accepted.
References of colleagues from previous organizations is acceptable. Avoid reference from current organization.

Details Reference 1 Reference 2

Reference Name (No Relatives / Friends
to be provided as Reference) AMIT PATHAK PANKAJ TRIVEDI
Organization name: LUCKNOW PUBLIC SCHOOL DOCTOR
Designation:
Is the above mentioned Reference from
your current Organization : YES / NO ✔ YES / NO ✔
Referee email ID: [email protected]
Landline Telephone No.:

Mobile Phone No.: 8005394916 (812) 738-3841

Period for which the Reference knows
10 YEARS 4 YEARS
the Applicant (minimum 6 Months)
Relationship with the Applicant
(No Relatives/Friends)
PRINCIPAL FAMILY DOCTOR

Details Reference 3 Reference 4

Reference Name (No Relatives / Friends
VIRENDRA TRIVEDI D.B SINGH
to be provided as Reference)
Organization name: LAWYER LUCKNOW PUBLIC SCHOOL
Designation:
Is the above mentioned Reference from
your current Organization : YES / NO ✔ YES / NO ✔
Referee email ID:

Landline Telephone No.:

Mobile Phone No.: (933) 513-0602 9506898653

Period for which the Reference knows 7 YEARS 6 YEARS
the Applicant (minimum 6 Months)
Relationship with the Applicant ADVOCATE TEACHER
(No Relatives / Friends)

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Gaps during Education/Employment (Attach Proof)
Please mention details of any gaps for a period of more than 30 day.
(Gaps between education & employment or between employments or between educations)
From To Reasons for gap (with supporting docs)
Gap 1 Jun/2021 May/2022 preapring for UPSC CSE

Gap 2

Gap 3

Gap 4

Gap 5

A) Is any case pending against you in any Court Of Law at the time of filling this Background Check Form? YES/NO ✔
B) Is any case pending against you in any University or any other educational authority / institution at the time of filling
up this Background Check Form? YES / NO ✔
If the answer to any of the above mentioned questions is ‘ Yes’ give full particulars of the case /arrest / detention /fine /
conviction / sentence / punishment etc. and / or the nature of the case pending in the Court / University /
Educational Authority etc., at the time of filling up this form. (Attach additional sheet, if required)

__________________________________________________________________________________________

__________________________________________________________________________________________

Passport Details (Attach Proof):

(i) Name as in Passport: ________________________________________________________________
(ii) Passport No.: ___________________________ (iii) Place of Issue: __________________________
(iv) Date of Issue: ____________________________ (v) Expiry Date :__________________________

PAN Card Details (Attach Proof):

Name on PAN Card: __________________________PAN
AYUSH PANDEY FGPPP2898H
card Number: ______________________

DECLARATION (To be signed by the Applicant)

I certify that the information furnished in this form is factually correct & complete in all respects to best of my knowledge & belief.
AYUSH PANDEY
Name: ____________________________________________________________
RAEBARELI
Place: __________________________ 06/May/2022
Date _________________________

This is an electronically captured form and hence does not capture manual signature.

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 Declaration and General Consent to Background Investigation

To be signed by the Applicant

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

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

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

I certify that I am at present in sound mental and physical condition to undertake employment with
TCS.

As a condition of Company's consideration of my application for employment with the Company, I

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

I also declare that there is no criminal case filed against me or pending against me in any Court of
law in India or abroad and no restrictions are placed on my travelling anywhere in India or abroad
for the purpose of business of the company.

I Agree: Yes

Name AYUSH PANDEY

_____________________________________________
Place RAEBARELI
_____________________________________________
Date 05/May/2022
_____________________________________________

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 Documents Collected
To be ticked [] by document collecting officer

Documents Collected:

 Copy of curriculum vitae (cv) duly endorsed by recruiter with Name, Signature & Date
 Blue Form (application form) ; BGC Form
 Proof of Personal Details:
o Photo ID: Passport / Driving License / Voters card / PAN Card / Aadhar / Other _______________
o Address: Ration Card / Passport / House Lease Agreement / Land Line Telephone Bill / Others
____________
 Age: Passport / Driving License / School Leaving Certificate / Birth Certificate
 2 Passport size recent photographs
 Copy of PAN Card
 Qualification Proof:
o Highest Qualification considered for recruitment (Mark sheet & Passing Certificate)
o Qualification prior to highest (Mark sheet & Passing Certificate)
 Work Experience: (all employments)
Documents will be required for all work experiences mentioned in Back Ground Check form.
Please put  in the box below for document submitted for each employment
EMP 1 EMP 2 EMP 3 EMP 4 EMP 5 EMP 6 EMP 7
Offer Letter
Appointment Letter
Last 3 Month Salary Slip
Resignation Acceptance Letter
Relieving Letter
Experience / Service Certificate
Full & Final Statement
Company Issued ITR Form 16
Any Other Document

 Any Additional Document Collected: ______________________________________

______________________________ _____________________________
Candidate Name BGC SPOC Name

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To be filled by HR:

BGC UNIQUE ID: Experienced / Fresher

Process Code:

CRF No.:

TCS Ref. No.:

TCS Recruitment Branch:

Position Recruited for :

Expected Date of Joining:

Save

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