AGREEMENT TO PROTECT COMPANY ASSETS

In consideration of Cardinal Health’s offer of employment or continuing employment to me and

the compensation and benefits associated with that employment and in consideration of being
given access to confidential information by Cardinal Health, its subsidiaries, affiliates,
predecessors, and successors (“Cardinal Health”), I agree as follows:
1. I will preserve as confidential all Confidential Information that has been or may be obtained
by me in the course of employment with Cardinal Health. I will not, without written authority
from Cardinal Health, use for my own benefit or purposes, or disclose to others, either during my
employment or thereafter, except as required by my employment with Cardinal Health, any
Confidential Information or any copies or notes made from any Item embodying Confidential
Information. I understand that my obligations with respect to Confidential Information shall
continue even after termination of my employment, whether voluntary or involuntary, with
Cardinal Health. These restrictions concerning use and disclosure of Confidential Information
shall not apply to information which is or becomes publicly known by lawful means, or comes
into my possession from sources not under an obligation of confidentiality to Cardinal Health.
2. For purposes of this Agreement:
a) “Confidential Information” means information relating to the present or planned business of
Cardinal Health which has not been released publicly by authorized representatives of
Cardinal Health. I understand that Confidential Information may include, for example, Trade
Secrets and know-how, Inventions, research, development, marketing and sales programs,
customer, patient and supplier information (including customer lists and customer contact
information), financial data, pricing information, manufacturing processes and techniques,
regulatory approval strategies, computer programs, data, formulae and compositions, service
techniques and protocols, and new product designs. I understand further that Confidential
Information also includes all information received by Cardinal Health under an obligation of
confidentiality to a third party; b) “Invention” means both patentable and unpatentable
procedures, systems, machines, methods, processes, uses, apparatuses, compositions of
matter, designs, or configurations, computer programs of any kind, discovered, conceived,
reduced to practice, developed, made, or produced, or any improvements to them; c) “Items”
include documents (both hard copy and electronic), e-mail, reports, drawings, photographs,
designs, specifications, formulae, plans, samples, research or development information,
prototypes, tools, equipment, computers, printers, monitors, keyboards and associated other
computer-related equipment, software, proposals, marketing or sales plans, customer
information, customer lists, patient lists, patient information, regulatory files, financial data,
costs, pricing information, supplier information, written, printed or graphic matter, or other
information and materials that concern Cardinal Health’s business and that come into my
possession or about which I have knowledge by reason of my employment; and d) “Trade
Secrets” include all information encompassed in all Items, and in all manufacturing
processes, methods of production, concepts or ideas, to the extent that such information has
not been released publicly by duly authorized representatives of Cardinal Health
3. Each Item and Confidential Information that comes into my possession by reason of my
employment with Cardinal Health is the property of Cardinal Health and shall not be used by me
in any way except in the course of my employment by, and for the benefit of, Cardinal Health. I
will not remove any Items from premises owned or leased by Cardinal Health except as my duties
shall require, and upon termination of my employment, all Items will be turned over to Cardinal
Health through its duly authorized representative.

1
4. All Inventions related to the present or planned business of Cardinal Health, which are
conceived or reduced to practice by me, either alone or with others, during the period of my
employment or during the period of one hundred twenty (120) days after termination of such
employment, whether or not done during my regular working hours, are the sole property of
Cardinal Health. The provisions of this paragraph shall not apply to an invention for which no
equipment, supplies, facilities or trade secret information of Cardinal Health was used and which
was developed entirely on my own time, unless a) the invention relates (i) to the business of
Cardinal Health, or (ii) to my actual or demonstrably anticipated research or development for
Cardinal Health, or b) the invention results from any work performed by me for Cardinal Health.
5. I will disclose promptly and in writing to Cardinal Health, through my supervisor, all
Inventions which are covered by this agreement, and I agree to assign to Cardinal Health or its
nominee all my right, title, and interest in and to such Inventions. I agree not to disclose any of
these Inventions to others, without the express consent of Cardinal Health, except as required by
my employment.
6. a) I will at any time during or after my employment, on request of Cardinal Health, execute
specific assignments in favor of Cardinal Health or its nominee of my interest in and to any of
the Inventions covered by this agreement, as well as execute all papers, render all assistance, and
perform all lawful acts which Cardinal Health considers necessary or advisable for the
preparation, filing, prosecution, issuance, procurement, maintenance or enforcement of patent
applications and patents of the United States and foreign countries for these Inventions, and for
the transfer of any interest I may have. I will execute any and all papers and documents required
to vest title in Cardinal Health or its nominee in the above Inventions, patent applications, patents
and interests; b) I understand that if I am not employed by Cardinal Health at the time I am
requested to execute any document under this paragraph a), I shall receive fifty dollars ($50.00)
for the execution of each document, and one hundred fifty dollars ($150.00) per day of each day
or portion thereof spent at the request of Cardinal Health in the performance of acts pursuant to
this paragraph a), plus reimbursement for any out-of-pocket expenses incurred by me at Cardinal
Health’s request in such performance; and c) I further understand that the absence of a request
by Cardinal Health for information, or for the making of an oath, or for the execution of any
document, shall in no way be construed to constitute a waiver of Cardinal Health’s rights under
this agreement.
7. I have disclosed to Cardinal Health all continuing obligations which I have with respect to the
assignment of Inventions to any previous employers, and I claim no previous unpatented
Inventions as my own, except for those which have been reduced to practice and which are shown
on a schedule, if any, attached to this agreement. I understand that Cardinal Health does not seek
any confidential information, which I may have acquired from a previous employer, and I will
not disclose any such information to Cardinal Health. I represent and warrant that there are no
restrictions against my employment by Cardinal Health.
8. All writings and other works which may be copyrighted (including computer programs) which
are related to the present or planned business of Cardinal Health and are prepared by me during
my employment by Cardinal Health shall be, to the extent permitted by law, works made for hire,
and the authorship and copyright of the work shall be in Cardinal Health’s name. To the extent
that such writings and works are not works for hire, I agree to waiver of “moral rights” in such
writings and works, and assign to Cardinal Health all my right, title and interest in and to such
writings and works, including copyright. I will permit Cardinal Health and its agents to use and
distribute any pictorial images which are taken of me during my employment by Cardinal Health
as often as desired for any lawful purpose. I waive all rights of prior inspection or approval and
release Cardinal Health and its agents from any and all claims or demands which I may have on
account of the lawful use or publication of such pictorial images.
9. I agree that during my employment and for 12 months directly following the end of my
employment with Cardinal Health for any reason, whether voluntary or involuntary, and to the
extent permitted by applicable federal, state or local law, I will not, without Cardinal Health’s
prior written consent, directly or indirectly:

2
 (i) solicit, recruit, induce or otherwise communicate with Cardinal Health employees,
individual contractors or consultants, or anyone else providing services to Cardinal Health for
the purpose of ending their employment or business relationship with Cardinal Health or to
engage in any Competitive Business;
(ii) solicit, recruit, induce or otherwise communicate with any Cardinal Health customer,
vendor or supplier for the purpose of engaging in or attempting to obtain any Competitive
Business, that I directly or indirectly solicited; that I assisted other Cardinal Health employees
to solicit; with which I maintained a business relationship on behalf of Cardinal Health in my
assigned territory; or about which I obtained Confidential Information on behalf of Cardinal
Health, in the three years preceding the end of my employment with Cardinal Health; and/or
(iii) become employed by or contract with a Competitive Business, establish a Competitive
Business, or become involved (as an officer, director, employee, consultant, owner, partner, or
in any other capacity) in a Competitive Business in any territory of Cardinal Health which
contains customers I directly or indirectly solicited, with whom I had material contact or about
whom I obtained confidential information in the last three years of my employment.
Cardinal Health engages in its business throughout the United States and globally. Accordingly,
a Competitive Business is any business that competes directly or indirectly with Cardinal Health
in the United States or globally by marketing, selling or distributing the same or substantially
similar healthcare products and/or services that are marketed, sold or distributed by the Cardinal
Health business segment(s) I worked for in the three years preceding the end of my employment
with Cardinal Health. Where a Competitive Business is part of a larger pharmaceutical or
healthcare provider, only the parts of such provider’s business which compete directly or
indirectly with the Company in an area in which I worked or had responsibility during the final
three years of my employment with the Company will be considered a Competitive Business.
I acknowledge and agree that, in addition to other remedies available to Cardinal Health, should
I breach the obligations contained in this Section 9, the duration of the obligations hereunder
shall be extended by the period of time of my breach and that this extended duration will begin
as of the date I cease breaching the obligation.
I acknowledge that I will be in a position to exert special influence over Cardinal Health’s
customers because of the nature, quality, frequency and duration of the contacts that I will have
with Cardinal Health’s customers, or the information I will gain about them—and/or about
Cardinal Health’s products and services—from Cardinal Health. I further acknowledge that I
will receive valuable and specialized training from Cardinal Health and access to Cardinal
Health’s Trade Secrets and other Confidential Information. I also acknowledge and represent
that the covenants contained in this Section 9 applicable during and upon the termination of my
employment with Cardinal Health are reasonable in terms of time and geographic scope, are
necessary to protect Cardinal Health’s Confidential Information, Trade Secrets, goodwill, and
other legitimate business interests, and will not impede my ability to secure employment or earn
a living while also complying with the terms of this Section 9.
During the term of the restrictions set forth in this Section 9, I agree to provide a copy of this
Agreement to all recruiters, employment agencies, employment consultants, and/or prospective
employers/contractors when I first seek any type of employment or contract work with or through
them. I also consent to Cardinal Health notifying my new or prospective employer/contractor of
my obligations under this Agreement.
Sections (ii) and (iii) of this paragraph 9 will not apply to activities conducted by California
residents in the state of California unless otherwise permitted by California law for the protection
of the Company’s trade secrets or confidential information.

3
10. I understand and acknowledge that if I violate any of the restrictions contained in paragraphs
1 or 9 of this Agreement, it will cause irreparable harm to Cardinal Health, that monetary
damages alone would be inadequate relief, and that Cardinal Health will be entitled to injunctive
relief against me in addition to all of its other legal and equitable rights and remedies. In addition,
Cardinal Health shall be entitled to its costs, expenses (including reasonable expert witness fees
and expenses), and reasonable attorney fees incurred in seeking to enforce this Agreement.
11. Under the federal Defend Trade Secrets Act of 2016, You shall not be held criminally or
civilly liable under any federal or state trade secret law for the disclosure of a trade secret that:
(a) is made (i) in confidence to a federal, state, or local government official, either directly or
indirectly, or to an attorney; and (ii) solely for the purpose of reporting or investigating a
suspected violation of law; or (b) is made to your attorney in relation to a lawsuit for retaliation
against You for reporting a suspected violation of law; or (c) is made in a complaint or other
document filed in a lawsuit or other proceeding, if such filing is made under seal.
Nothing in this section, the Transition section above, or any other provision of this Agreement
shall (a) prevent You from testifying truthfully as required by law (b) prohibit or prevent You
from filing a charge with or participating, testifying, or assisting in any investigation, hearing,
whistleblower proceeding or other proceeding before any federal, state, or local government
agency (e.g. EEOC, NLRB, SEC, etc.), or (c) prevent You from disclosing Company information
in confidence to a federal, state, or local government official for the purpose of reporting or
investigating a suspected violation of law .
12. I will exert my best efforts in the performance of my duties as an employee of Cardinal
Health and will remain loyal to Cardinal Health during the term of my employment. I understand
and agree that this agreement is not a guarantee of continued employment or rate of compensation
for any period. My employment is at will. This means that I am free to terminate my employment
at any time, for any reason, and that Cardinal Health retains the right to terminate my employment
at any time, for any reason.
13. I understand that I may be asked to submit to drug and/or alcohol testing as a condition of
employment or continued employment and consent to such testing as determined by Cardinal
Health to be appropriate.
14. The obligations which I have undertaken in this agreement shall survive the termination of
my employment by Cardinal Health.
15. Cardinal Health has the right to make and enforce any other rules and regulations, policies
and procedures or guidelines not contrary to this agreement which will also govern my
employment.
16. The provisions of the agreement shall be severable, and in the event that any provision of it
is found by any court to be unenforceable, in whole or in part, the remainder of this agreement
shall nevertheless be enforceable and binding on Cardinal Health and me. If a court finds any of
the provisions of this Agreement to exceed the time, geographic or scope limitations permitted
by applicable law, it is the express written intent of the parties that the restrictions shall be
reformed (by the court or agreement of the parties) and enforced to the maximum time,
geographic or scope limitations permissible.
17. I agree that all questions concerning the intention, validity or meaning of this Agreement
shall be construed and resolved according to the laws of the State of Ohio. I also designate the
federal and state courts in Franklin County, Ohio as the courts of competent jurisdiction and
venue for any actions or proceedings related to this Agreement, and hereby irrevocably consent
to such designation, jurisdiction and venue.

4
18. I understand and agree that Cardinal Health may, at any time and without further action by
me, assign this agreement to any of its subsidiaries or affiliates or successors with which I may
be employed. In the event of such an assignment, the assignee company shall succeed to all of
the rights held by Cardinal Health under this agreement. I agree that this agreement applies from
the time my employment began, and shall inure to the benefit of Cardinal Health, its successors
and assigns, and shall be binding upon my heirs, legal representatives and assigns. Cardinal
Health’s waiver of a breach of any provision of this Agreement shall not operate or be construed
as a waiver of any subsequent breach.

EMPLOYEE

_____________________________________
Signature

N P Deepti
_____________________________________
Print Name

16/10/2024
_____________________________________
Date

5
 Confidentiality Agreement

I,
N P Deepti , understand that, in the course of its business, Cardinal Health, Inc. its parents, subsidiaries and affiliates
(“Cardinal Health”) has, and continues to develop, acquire and use commercially valuable technical and non-technical information, including but
not limited to inventions, discoveries, improvements, ideas, trade secrets, know-how, computer software and related documentation, customer
and supplier information, product information, business strategies, pricing, financial information, personnel information, customer contacts,
methods of operation, development plans and marketing plans and other information, whether created or transmitted orally, in writing, visually,
electronically or by any other means or medium (collectively, the “Proprietary Information”).

I acknowledge that the computer programs (in any form, whether human or machine-readable), system documentation, manuals and other materials
developed or acquired by Cardinal Health are also Proprietary Information and are and shall remain the property of Cardinal Health.

I acknowledge that the Proprietary Information is the property of Cardinal Health and that it is necessary for Cardinal Health to protect this information
whether as a trade secret, by copyright, by patent or by any other recognized by law. (called “Proprietary Rights”).

I further acknowledge that Cardinal Health regards all of the Proprietary Information as exceptionally valuable and that Cardinal Health must carefully
control its use and disclosure. I acknowledge that the Proprietary Information derives independent economic value from not being readily known to or
ascertainable by others who can obtain economic value from its disclosure or use, that reasonable efforts are and have been put forth by the Cardinal
Health to maintain the secrecy of such information, and that any retention or use of the Proprietary Information that is not authorized herein shall be
both a violation of this Agreement and a misappropriation of the Proprietary Information.

I also understand that the Proprietary Information is vital to the success of Cardinal Health’s business and that I, through my employment, may become
acquainted with, or come into possession of some or all of the Proprietary Information.

I further understand that I may contribute to the creation, development or modification of Cardinal Health’s Proprietary Information through invention,
discovery, improvement, or in some other manner, and that all of my contributions to the Proprietary Information are and shall remain the property of
Cardinal Health and subject to Cardinal Health’s Proprietary Rights.

I further understand that Cardinal Health may be prohibited from using or disclosing proprietary information which is received from Cardinal Health’s
customers and suppliers for any reason other than to conduct their business with each other.

Therefore, I agree to the following:

1. Except as necessary to fulfill my duties as an employee of Cardinal Health, I will not disclose or use, for my own benefit or for the benefit of a third
party, at any time during or subsequent to my employment by Cardinal Health, any Proprietary Information without Cardinal Health’s prior written
consent, whether or not such information is developed by me.

2. I will promptly disclose in writing to Cardinal Health any and all inventions, discoveries and improvements conceived or made by me during my
employment with Cardinal Health and with respect to inventions, discoveries or improvements relating to the business or activities of Cardinal Health,
for twelve (12) months following the termination of my employment. I hereby assign to Cardinal Health, for no additional consideration, any and all
right, title and interest I have in any such inventions, discoveries and improvements which are related to Cardinal Health’s business activities and
understand that this assignment and/or obligation may take the form of a patent, copyright or trade secret. I further agree that I will process, sign and
deliver any applications, assignments or other documents that Cardinal Health deems necessary to obtain proprietary rights and to protect its interests
under them, at Cardinal Health’s expense. This obligation shall continue beyond the termination of my employment irrespective of the reason for the
termination of my employment.
3. I understand that neither this Agreement nor any disclosure of the Proprietary Information grants me any rights or license to the Proprietary Information
including under any trademark, trade name, trade secret, service mark, copyright, or patent that is either now, or subsequently, owned or controlled by
Cardinal Health.

4. If, in one or more instances, either party fails to insist that the other party perform any of the terms of this Agreement, such failure shall not be construed
as a waiver by such party of any past, present, or future right granted under this Agreement, and the obligations of both parties under this Agreement
shall continue in full force and effect.

5. Upon termination of my employment with Cardinal Health for any reason, I will promptly deliver to Cardinal Health, without retaining any copies thereof,
all property of Cardinal Health and especially materials in my possession which contain any Proprietary Information, including, but not limited to, all
software (whether source code or object code, whether human or machine readable), all flowcharts, manuals, workbooks, system documentation,
blueprints, drawings, proposals and correspondence. In the event that I am required by subpoena or other legal process to potentially disclose any
Proprietary Information, I will promptly notify general counsel for Cardinal Health of this situation and fully cooperate with Cardinal Health in its
consideration of and actions to seek a protective order or other appropriate remedy.

6. During my employment with Cardinal Health, I will comply fully and promptly with all policies relating to the protection of Cardinal Health’s Proprietary
Information and Proprietary Rights.

7. I agree to indemnify and hold harmless Cardinal Health against any expenses, losses, damages, or liabilities incurred as a result of the breach of this
Agreement by me. I understand that in the event of a disclosure or threatened disclosure of Confidential Information, other than as permitted under the
terms of this Agreement, Cardinal Health shall be entitled to injunctive relief to restrain me from making or continuing the same. In the event of a breach
of this Agreement by me, Cardinal Health shall, in addition to injunctive relief, be entitled to all other available remedies. Should it be necessary for either
party to institute legal proceedings to enforce this Agreement, whether at law or in equity, the prevailing party shall be entitled to its reasonable costs of
suit including attorneys' fees

8. I understand that this Agreement is in addition to any previous agreements between Cardinal Health and myself, and that all previous agreements shall
remain in force.

9. In the event that any part of this Agreement should be found invalid, all parts not found invalid shall remain in force.

10. I understand that this Agreement shall be effective when signed and remain in full force both during my continued employment by Cardinal Health and
after the termination of my employment for any reason and shall be binding on my representatives, successors and assigns, whether by operation of law
or otherwise.

11. In view of the fact that the principal office of Cardinal Health is located in the State of Ohio, it is understood and agreed that the construction and
interpretation of this Agreement shall at all times and in all respects be governed by the laws of the State of Ohio. I agree to the designation of
either the United States District Court for the Southern District of Ohio or the Court of Common Pleas of Franklin County, Ohio, as the court of
competent jurisdiction and venue of any actions or proceedings relating to this agreement and I hereby irrevocably consent to such designation,
jurisdiction, and venue.

N P Deepti
Employee name (print)

Employee signature Date

16/10/2024
LG03231 updated 11/18/03
 Cardinal Health International India Private Limited
(formerly known as mscripts Systems India Private Limited)
CIN - U72200KA2013FTC069975
GSTN NO - 29AAICM6969P1Z9

7th Floor, Quay, Bagmane Tech Park, C.V. Raman Nagar, Bangalore –
560093, Karnataka, India
Phone: +91-80-66748000
cardinalhealth.com

Employee Proprietary Information and Inventions Agreement

This Employee Proprietary Information and Inventions Agreement (the "Agreement") is made and entered into
16/10/2024
by me as of this ________________ with Cardinal Health International India Private Limited formerly known as
mscripts Systems India Private Limited (the "Company") pursuant to the Employment Agreement dated
16/10/2024
_______________ (the "Employment Agreement") between the Company and me and constitutes a material
part of the consideration for my employment and the employment compensation and benefits received by me
under the Agreement from time to time. The headings contained in this Agreement are for convenience only,
have no legal significance, and are not intended to change or limit this Agreement in any matter whatsoever.

A. Definitions

1. The “Company”
As used in this Agreement, the term “Company” refers to Cardinal Health International India Private Limited
formerly known as mscripts Systems India Private Limited and each of its subsidiaries or affiliated
companies. I recognize and agree that my obligations under this Agreement and all terms of this Agreement
apply to me regardless of whether I am employed by or work for the Company or any its subsidiaries or
affiliate companies. Furthermore, I understand and agree that the terms of this Agreement will continue
to apply to me even if I cease to be in employment with the Company, its subsidiary or any of its affiliate
companies.

2. “Proprietary Information”
I understand that the Company possesses and will possess Proprietary Information which is important to
its business. For purposes of this Agreement, “Proprietary Information” is information that was or will be
developed, created, or discovered by or on behalf of the Company, or which became or will become known
by, or was or is conveyed to the Company in confidence, and that has commercial value in the Company’s
business.

“Proprietary Information” includes all information pertaining to the business of the Company, but is not
limited to information about software programs and subroutines, source and object code, algorithms, trade
secrets, designs, technology, know-how, processes, data, ideas, developmental and experimental works
and results, techniques, inventions (whether patentable or not), works of authorship, formulas, business
and product plans, customer lists, terms of compensation and performance levels of Company employees,
Company customers and other information concerning the Company’s actual or anticipated business,
research or development.

3. “Company Documents and Materials”

I understand that the Company possesses or will possess “Company Documents and Materials” that are
important to its business. For purposes of this Agreement, “Company Documents and Materials” are
documents or other media or tangible items that contain or embody Proprietary Information or any other
information concerning the business, operations or plans of the Company, whether such documents, media
or items have been prepared by me or by others.
 “Company Documents and Materials” include, but are not limited to, blueprints, drawings, photographs,
charts, graphs, notebooks, customer lists, computer disks, tapes or printouts, sound recordings and other
printed, typewritten or handwritten documents, sample products, prototypes and models.

B. Assignment of Rights
All Proprietary Information and all patents, patent rights, copyrights, trade secret rights, trademark rights
and other rights (including, without limitation, intellectual property rights) anywhere in the world in
connection therewith is and shall be the sole property of the Company. I hereby assign to the Company
any and all rights, title and interest I may have or acquire in such Proprietary Information.

C. Confidentiality of Proprietary Information

I understand that my employment under the Employment Agreement creates a relationship of confidence
and trust between the Company and me with respect to Proprietary Information. At all times, both during
my employment by the Company and after its termination, I will keep in confidence and trust and will not
use or disclose to any third party any Proprietary Information or anything relating to it without the prior
written consent of a corporate officer of the Company, except as may be necessary in the ordinary course
of performing my job duties and responsibilities as an employee of the Company.

In the event I am compelled to disclose Proprietary Information under judicial or administrative order or
under any other applicable law, I hereby agree to provide prior reasonable notice to the Company before
such disclosure is made, in order to facilitate the Company in seeking a protective order or any other
remedy from any appropriate legal forum in order to prevent disclosure of the Proprietary Information. If
such protective order or other remedy is not obtained prior to the time such disclosure is required to be
made, I hereby further agree that I will only disclose that portion of the Proprietary Information which I am
legally required to disclose.

D. Maintenance and Return of Company Documents and Materials

I agree to make and maintain adequate and current written records, in a form specified by the Company,
of all inventions, trade secrets and works of authorship assigned or to be assigned to the Company pursuant
to this Agreement. All Company Documents and Materials are and shall be the sole property of the
Company.

I agree that during my employment by the Company, I will not remove any Company Documents and
Materials from the business premises of the Company or deliver any Company Documents and Materials
to any person or entity outside the Company, except as I am required to do in connection with performing
the duties of my employment. I further agree that, immediately upon the termination of my employment
by me or by the Company for any reason, or during my employment if so requested by the Company, I will
return all Company Documents and Materials, apparatus, equipment and other physical property, or any
reproduction of such property, excepting only (i) my personal copies of records evidencing my hire,
compensation and benefits as an employee of the Company; (ii) my personal copies of any materials
generally distributed to stockholders of the Company that I received in my capacity as a stockholder of the
Company; and (iii) my copy of this Agreement.

E. Disclosure of Inventions to the Company

I will promptly disclose in writing to my immediate supervisor or to such other person designated by the
Company all “Inventions,” which includes, without limitation, all software programs or subroutines, source
or object code, algorithms, improvements, inventions, works of authorship, trade secrets, technology,
designs, formulas, ideas, processes, techniques, know-how and data, whether or not patentable, made or
discovered or conceived or reduced to practice or developed by me, either alone or jointly with others,
during the term of my employment.
 I will also disclose to the Chief Executive Officer or President of the Company all inventions that would be
deemed to be Inventions if made during the period of my employment with the Company and that are
made, discovered, conceived, reduced to practice, or developed by me within six (6) months after the
termination of my employment with the Company which resulted, in whole or in part, from my prior
employment by the Company. Such disclosures shall be received by the Company in confidence (to the
extent such Inventions are not assigned to the Company pursuant to Section F below, and do not extend
the assignment made in Section F below).

F. Right to New Ideas

1. Works Made for Hire

The Company shall be the sole owner of all patents, patent rights, copyrights, trade secret rights, trademark
rights and all other intellectual property or other rights in connection with Inventions. I further
acknowledge and agree that such Inventions, including, without limitation, any computer programs,
programming documentation, and other works of authorship, are “works made for hire” for purposes of
the Company’s rights under copyright laws. I hereby assign to the Company any and all rights, title and
interest I may have or acquire in such Inventions. If in the course of my employment with the Company I
incorporate into a Company product, process, machine or other deliverable a prior invention owned,
controlled or licensable by me or in which I have an interest, the Company is hereby granted and shall have
an exclusive, royalty-free, fully paid up, irrevocable, perpetual, sub licensable, transferable, worldwide
license under all intellectual property rights in and to such prior invention to make, have made, modify, use,
market, sell, offer to sell, import, distribute, make derivative works of, and otherwise exploit any product
or offer any service.

2. Cooperation
I agree to perform, during and after my employment, all acts deemed necessary or desirable by the
Company to permit and assist it, at the Company’s expense, in further evidencing and perfecting the
assignments made to the Company under this Agreement and in obtaining, maintaining, defending and
enforcing patents, patent rights, copyrights, trademark rights, trade secret rights or any other rights in
connection with such Inventions and improvements thereto in any and all countries. Such acts may include,
but are not limited to, execution of documents and assistance or cooperation in legal proceedings. I hereby
irrevocably designate and appoint the Company and its duly authorized officers and agents, as my agents
and attorney-in-fact to act for and on my behalf and instead of me, to execute and file any documents,
applications or related findings and to do all other lawfully permitted acts to further the purposes set forth
above in this Subsection 3, including, without limitation, the perfection of assignment and the prosecution
and issuance of patents, patent applications, copyright applications and registrations, trademark
applications and registrations or other rights in connection with such Inventions and improvements thereto
with the same legal force and effect as if executed by me.

3. Assignment or Waiver of Moral Rights

Any assignment of copyright hereunder (and any ownership of a copyright as a work made for hire) includes
all rights of paternity, integrity, disclosure and withdrawal and any other rights that may be known as or
referred to as “moral rights” (collectively “Moral Rights”). To the extent such Moral Rights cannot be
assigned under applicable law and to the extent the following is allowed by the laws in the various countries
where Moral Rights exist, I hereby waive such Moral Rights and consent to any action of the Company that
would violate such Moral Rights in the absence of such consent.
4. List of Inventions
I have attached hereto as Exhibit A a complete list of all inventions or improvements to which I claim
ownership and that I desire to remove from the operation of this Agreement (except for the license granted
in Section F.1 above), and I acknowledge and agree that such list is complete. If no such list is attached to
this Agreement, I represent that I have no such inventions or improvements at the time of signing this
Agreement.

G. Non-Solicitation of Company Service Providers

During the term of my employment and for one (1) year thereafter, I will not encourage or solicit, directly
or indirectly, any person who is personally providing services to the Company as an employee, consultant
or independent contractor (“Service Provider”) to reduce or terminate his or her services to the Company
for any reason. As part of this restriction, I will not interview or provide, directly or indirectly, any input to
any third party regarding any such Service Provider during the one (1) year period, described above.
However, this restriction shall not affect any responsibility I may have as an employee of the Company with
respect to the bona fide hiring and firing of Company personnel.

H. Company Authorization for Publication

Prior to my submitting or disclosing for possible publication or dissemination outside the Company any
material prepared by me that incorporates information that concerns the Company’s business or
anticipated research, I agree to deliver a copy of such material to an officer of the Company for his or her
review. Within twenty (20) days following such submission, the Company agrees to notify me in writing
whether the Company believes such material contains any Proprietary Information or Inventions, and I
agree to make such deletions and revisions as are reasonably requested by the Company to protect its
Proprietary Information and Inventions. I further agree to obtain the written consent of the Company prior
to any review of such material by persons outside the Company.

I. Duty of Loyalty
I agree that, during my employment with the Company and for a period of two (2) years from the
termination of my employment under the Employment Agreement, I will not provide consulting services to
or become an employee of, any other firm or person engaged in a business in any way competitive with the
Company or involved in the design, development, marketing, sale or distribution of any mobile services or
products, without first informing the Company of the existence of such proposed relationship and obtaining
the prior written consent of my manager and the Human Resource Manager responsible for the
organization in which I work.

J. Former Employer Information

I represent that my performance of all the terms of this Agreement and as an employee of the Company
does not and will not breach any agreement to keep in confidence proprietary information, knowledge or
data acquired by me in confidence or in trust prior to my employment by the Company, and I will not
disclose to the Company or induce the Company to use any confidential or proprietary information or
material belonging to any previous employers or others. I have not entered into and I agree I will not enter
into any agreement, either written or oral, in conflict herewith or in conflict with my employment with the
Company. I further agree to conform to the rules and regulations of the Company.

K. Severability
I agree that if one or more provisions of this Agreement are held to be unenforceable under applicable law,
such provisions shall be excluded from this Agreement and the balance of the Agreement shall be
interpreted as if such provision were so excluded and shall be enforceable in accordance with its terms.
L. Certification of Compliance
I agree that upon termination of my employment with the Company, for any reason, I shall re-review this
Agreement, and I shall sign and remit to the Company a Certification of my compliance with this Agreement,
in the form attached hereto as Exhibit B, no later than five (5) days after the effective date of my termination
of employment with the Company.

M. Entire Agreement
This Agreement, the Employment Agreement, employment policies, handbooks of the Company circulated
among the employees of the Company from time to time, any amendments and modifications thereto, set
forth the entire agreement and understanding between the Company and me relating to the subject matter
herein and merges all prior discussions between us, including but not limited to any and all statements
made by any officer, employee or representative of the Company regarding the Company’s financial
condition or future prospects. I understand and acknowledge that, except as set forth in this Agreement,
the Employment Agreement and in the offer letter from the Company to me, (i) no other representation or
inducement has been made to me, (ii) I have relied on my own judgment and investigation in accepting my
employment with the Company, and (iii) I have not relied on any representation or inducement made by
any officer, employee or representative of the Company. No modification of or amendment to this
Agreement nor any waiver of any rights under this Agreement will be effective unless such modification,
amendment or waiver is made expressly in writing, signed by the Company’s Chief Executive Officer or
President, and is received by me in writing. Furthermore, any subsequent change(s) to my job duties,
responsibilities, title, reporting level or relationship, compensation, benefits, regular place of employment
or any other term or condition of my employment with the Company shall not affect the validity or scope
of this Agreement which shall remain in full force and effect notwithstanding any such change(s).

N. Indemnity
I hereby agree to indemnify, defend and hold harmless the Company and its respective officers, directors,
employees, agents, successors and assigns, from and against all claims, damages, liabilities, losses and costs
including reasonable attorney’s fees in connection with or relating to, any claims or proceedings to the
extent arising from, a breach committed by me in performing or observing the terms of this Agreement,
any negligence or intentional acts or omissions shown by me in the course of complying with the obligations
contained in this Agreement.

O. Effective Date
This Agreement shall be effective as of the first day of my employment with the Company and shall be
binding upon me, my heirs, executor, assigns and administrators and shall inure to the benefit of the
Company, its subsidiaries, affiliate companies, successors and assigns.

P. Governing Law
This Agreement shall be governed by the laws of India and the courts of Bangalore, India shall have
jurisdiction to adjudicate matters or disputes arising out of this Agreement.

Q. Miscellaneous

1. I agree that this Agreement is being entered into over and above the Employment Agreement and the terms
contained herein shall operate without any prejudice to the terms and conditions contained in the
Employment Agreement.

2. I understand the significance of the terms of this Agreement and further acknowledge that the business of
the Company will face irreparable losses if I breach any of the terms of this Agreement.
3. The Company may initiate appropriate criminal and civil legal action against me for the breach of any of the
terms of this Agreement, and to recover the costs of such legal action, including all damages and attorneys’
fees. The Company may also, at its discretion, terminate this Agreement for the breach for any of the terms
of this Agreement.

I HAVE READ THIS AGREEMENT CAREFULLY AND I UNDERSTAND AND ACCEPT THE OBLIGATIONS WHICH IT
IMPOSES UPON ME WITHOUT RESERVATION. NO PROMISES OR REPRESENTATIONS HAVE BEEN MADE TO ME
TO INDUCE ME TO SIGN THIS AGREEMENT. I SIGN THIS AGREEMENT VOLUNTARILY AND FREELY.

Date: 16/10/2024
Employee Signature
N P Deepti
Employee Name (Please Print)

Accepted and agreed to by:

Date:
For Cardinal Health International India Private Limited

Nagaraj Bhatt, Country Manager - India

Name & Title (Please Print)
 EXHIBIT A
1. The following is a complete list of all inventions or improvements relevant to the subject matter of my
employment by the Company that have been made or discovered or conceived or first reduced to
practice by me or jointly with others prior to my employment by the Company that I desire to remove
from the operation of the Employee Proprietary Information and Inventions Assignment Agreement
(except for the license granted in Section F.1 of that agreement):

[List of inventions and improvements]

See below: Any and all inventions regarding:

Additional sheets attached.

2. I propose to bring to my employment the following materials and documents of a former employer:

No materials or documents

See below:

Additional sheets attached.

16/10/2024
Date:
Employee Signature

N P Deepti
Employee’s Printed Name
 EXHIBIT B
Certification of Compliance
I certify that I have received a copy of the Employee Proprietary Information and Inventions Assignment
Agreement (“Agreement”) that I signed in connection with my hire by Cardinal Health International India Private
Limited formerly known as mscripts systems India Private Limited or a subsidiary or an affiliate thereof (together
and separately, the “Company”).

I certify that I have complied with, and will continue to comply with, the Agreement including, without
limitation:

1. My obligations under Section C of the Agreement to preserve the confidentiality of all “Proprietary
Information” (as defined in the Agreement), and to not disclose nor use any Company Proprietary
Information unless necessary in the performance of my job duties and responsibilities as an employee
of the Company, or as may be expressly authorized in writing by a corporate officer of the Company;
2. My obligation under Section D of the Agreement to return to the Company, and to not keep or
otherwise retain, any and all “Company Materials” (as defined in the Agreement) as well as any
Company apparatus, equipment or other physical property;
3. My obligation under Section E of the Agreement to disclose in writing to the Company any “Inventions”
(as defined in the Agreement) conceived or developed by me during and within the six months after
my employment with the Company ends; and
4. My obligations under Section G of the Agreement with respect to non-solicitation of “Service Providers”
(as defined in the Agreement) of the Company.
I understand that this Certification of Compliance in no way limits my rights and obligations or the Company’s
rights and obligations, under the Agreement.

Date:
Former Employee Signature

Former Employee Name (Please Print)

 New Hire Certificate of Compliance
Cardinal Health
ATTN: myHR Service Center
7000 Cardinal Place *EMJ1116*
Dublin, OH 43017
Phone: 866.471.7867
Fax: 614.652.0791

By Signing Below, I Agree That:

• I have received, read and understand the Cardinal Health Standards of Business Conduct.

• I will be given access to and will read and comply with Cardinal Health policies, including but not limited to
employment policies.

• I will comply with the Standards of Business Conduct, Cardinal Health policies and all applicable laws and
regulations.

• When I have a concern about a possible violation of the Standards of Business Conduct, Cardinal Health
policy or applicable law, I will raise the concern with a Cardinal Health manager or the Ethics and
Compliance or Legal departments or through the Business Conduct Line.

• I am not aware of any violations of the Standards of Business Conduct, Cardinal Health policy or applicable
law that I have not raised with a Cardinal Health manager, the Ethics and Compliance department, or the
Chief Legal and Compliance Officer or through the Business Conduct Line.

• If I am a supervisory manager, I further certify that I will communicate my commitment to fostering a culture
of trust and responsible business conduct to my direct reports.

New Hire/Employee Signature:

This document will be placed in your personnel record.

982510
Employee ID number:

16/10/2024

Employee signature Date

N P Deepti
Printed name of employee

SBC0910 – Rev. 9/19/13 pg 1 of 1

 Ethics & Compliance
Substance Abuse Policy Acknowledgment
I acknowledge that I have been provided with a copy of, and have read and understood,
the Cardinal Health Substance Abuse policy, including the policy addendum for my
state, if applicable.

I understand that if I have questions or concerns regarding the Substance Abuse policy
at any time, I will contact my manager, my HR consultant, or the Office of Substance
Abuse Prevention at: [email protected].

N P Deepti
Print name: ___________________________________

Signature: ___________________________________

982510
Employee ID: ________________________________

Bangalore
Location: ___________________________________

16/10/2024
Date: ___________________________________
 Cardinal Health International India Private Limited
(formerly known as mscripts Systems India Private Limited)
CIN - U72200KA2013FTC069975
GSTN NO - 29AAICM6969P1Z9

7th Floor, Quay, Bagmane Tech Park, C.V. Raman Nagar, Bangalore –
560093, Karnataka, India
Phone: +91-80-66748000
cardinalhealth.com

Employee Information Form

Full Name (As In Passport) N P Deepti

Date of Birth 19/04/1998

Place of Birth Siddapura

Date of Joining 16/10/2024

Current Address & Phone Nos. #F6, Surya Mansion SuryaLayout,

Hoodi Main Road ,Ayyappanagar
KR Puram Bangalore-560036

Permanent Address & Phone Nos. #26 Ashirvada nilaya,kachanayakanahalli Dinne, Near SBI
Bommasandra Industrial Estate Bangalore-560099

mob no 8088384205

Email IDs
[email protected]

PAN No. FEOPP9062L

Aadhar No. 775588490424
Contact Persons and Phone Numbers (in Amith N M
9483339918
case of emergencies)

Blood Group A+ve

Father’s Name Paramesh V M

Spouse Name Amith N M

Dependents and relationship Husband
Education (Earliest First):

School/College Degree % Marks/GPA From To

Akshaya Institute of Technology BE 7.1 2016 2020
Tumkur

Govt P U College Sagar PUC 68 2014 2016

Little flower high school siddapura sslc 82 2012 2014

Work Experience (Earliest First):

Company Location From To

Zebra Technologies Bangalore 2021 2024

I declare that all the above information is true to the best of my knowledge.

Signature:

Date: 16/10/2024 Photograph of new

employee
Place: Bangalore Passport size,
US Visa standard.
 DECLARATION BY THE EMPLOYEE

To,
The HR Department
Cardinal Health International India Private Limited (formerly known as mscripts Systems India Private Limited)
7th Floor, Quay, Bagmane Tech Park, C.V. Raman Nagar, Bangalore – 560093, Karnataka, India.

Subject: Declaration form for contribution to EPF (Employee Provident Fund deduction)
N P Deepti
I, Mr/Ms. _________________________________________ Amith N M
Son/daughter/wife of _________________
16/10/2024
hereby solemnly declare that with effect from DOJ _____________, I am opting for either of the options
as mentioned below for contribution to the Employees Provident Fund Scheme, 1952 and amendments
thereof:

(please tick the option you want to choose)

1. As my current BASIC is less than Rs 15,000 per month the monthly contribution to EPF should
be done on my actual BASIC.

OR

2. As my current BASIC is greater than Rs 15,000 per month the monthly contribution to EPF be
done as per the option selected by me below:

Option A: I would like to opt for monthly contribution to EPF on my actual BASIC:

✔ Option B: I would like to opt for monthly contribution to EPF on the maximum BASIC ceiling of Rs.
15,000/- per month

*Note: In case the Government of India (EPFO) revises the wage limit of coverable employees under
respective statutes then your pay package will be redesigned /re-appropriated to accommodate the
change or revision. However the CTC will not be reduced but restricted to suit the change.

I am taking this option on my own to the best of my knowledge and not under any compulsion. I also
acknowledge that once selected I will not be able to change the option through my service tenure in the
Company, unless my current Wages (i.e. Basic) exceeds the maximum Wage ceiling anytime during the
year. However in such case also the option once chosen by me shall not be changed through my service
tenure in the Company.

I hereby authorize the Company to deduct contribution from my monthly salary towards EPF.

N P Deepti 982510
Employee Name: _____________________________ Employee Code:__________________

16/10/2024
Date: _______________ Employee Signature: ___________________
 FORM - 2 ( Revised)

NOMINATION AND DECLARATION FORM

FOR EXEMPTED / UNEXEMPTED ESTABLISHMENTS

Declaration and Nomination Form Under the Employee's Provident Funds & Employees' Pension Scheme

(Paragraph 33 & 61 (1) of the Employees' Provident Fund Scheme, 1952 & Paragraph 18 of the Employees's Pension Scheme, 1995)

1 Name ( In Block Letters) : N P DEEPTI

2 Father's / Husband's Name :

AMITH N M

3 Date of Birth :
19/04/1998

4 Sex :
FEMALE

5 Marital Status :
MARRIED

6 Account Number : 101681965299

#26 ASHIRVADA NILAYA,KACHANAYAKANAHALLI DINNE, NEAR SBI
7 Address Permanent : BOMMASANDRA INDUSTRIAL ESTATE BANGALORE-560099

F6 SURYA MANSION SURYA LAYOUT AYYAPPANAGAR HOODI MAIN ROAD

Temporary : K R PURAM BANGALORE -560036

8 Date of Joining :
EPF : 01/06/2021
EPS : 01/06/2021

PART - A (EPF)

I here by nominate the person(s) / cancel the nomination made by me previously and 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 relationship Date of Total amount of share of if the nominee is minor name &
Nominee/ Nominees with the member Birth accumalation in provident address & relationship of the
fund to be paid to each nominee guardian who may recive the amount
1 2 3 4 5
22/08/1995
Amith N M Husband 50
28/01/1972
Kumuda Mother 50

Certified that I have no family as defined in para 2 (g) of the Employee's Provident Fund Scheme 1952 and should I
1
acquire a family hereafter the above nomination should be deemed as cancelled
2 Certified that my father / mother is / are depended upon me.
3 Unmarried members in the absence of dependent parents may nominate any other person to receive the shares

Note: A Fresh nomination shall be made by the member on

his/her marriage and any nomination made before such
marriage shall be deemed to be invalid Signature or thumb impression of the Subscriber
 PART - B (EPS)

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

1 Amith N M Bangalore 22/08/1995 Husband

2 Kumuda Sagara 28/01/1972 Mother
3

Certified that I have no family as defined in para 2 (vii) of the Employee's Pension Scheme 1995 and should I acquire a
family hereafter the above nomination should be deemed as cancelled

I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16(2) (g) (I) &
(ii) in the event of my death with out leaving any eligible family member for receiving pension.

Name & Address of the Nominee Date of Birth Relationship with the member
Amith N M 22/08/1995 Husband

Date : 16/10/2024
x
Signature / Thumb impression of the subscriber

CERTIFICATE BY EMPLOYER

Certified that the above declaration and nomination has been signed/thumb impressed before shri/Smt/Kum …………
.........……………………… employed in my establishment after he/she has read the entry/entries have been read over to
him/her by me and got confirmed by him/her.

Place:
Date :
Signature of the employer

Name & Address of the Establishment

 FORM `Q'
(See Rule 24 (9A)

Appointment Order
Cardinal Health International India Private Limited - 7th Floor, Quay,
1. Name and Address of the Establishment : Bagmane Tech Park, C.V. Raman Nagar, Bangalore – 560093

Cardinal Health International India Private Limited - 7th Floor, Quay,

2. Name and Address of the Employer : Bagmane Tech Park, C.V. Raman Nagar, Bangalore – 560093

3. Name of the Employee : N P Deepti

4. His / Her Postal Address: F6 SURYA MANSION SURYA LAYOUT AYYAPPANAGAR HOODI MAIN ROAD K R PURAM BANGALORE -560036

5. His / Her Permanent Address : #26 ASHIRVADA NILAYA,KACHANAYAKANAHALLI DINNE, NEAR SBI BOMMASANDRA INDUSTRIAL ESTATE BANGALORE-560099

✔
6. Father's / Husband's Name : AMITH N M

7. Date of Birth : 19/04/1998

8. Date of His / Her entry in to employment : 16/10/2024

9. Designation : Sr Analyst ,Data Engineering

10. Nature of work entrusted to him :

11. His / Her serial number in the Register

of Employment (Muster Roll) : 982510

12. Rates of wages payable to him / her : -

i) Basic : 650000
ii) VDA :
iii) Other Allowances : 346800
if any :

------------
TOTAL 996800

------------

Signature of the Employer

Place : Bangalore
Date : 16/10/2024

Acknowledgement by employee with date and Signature

Seal of the establishment
 For Web Circulation OnJ
ifi4fq 1.() ~ ~ fii1011
Employees' Provident Fund Organisation
(~~~~, m u r ~ )
(Ministry of Labour & Employment, Govt. Of India)
~~ I Head Office
~ f.'tm ~ . 14, ~ 'ITTl1"T t.ITTT, ~ ~ - I IO066.
Bhavishya Nidhi Bhawan, 14-Bhikaiji Cama Place, New Delhi- I 10066
www.epfindia.gov.in www.epfindia.nic.in
Telephone: 011- 26713254 Fax : 011 -26166609 Email: [email protected]

No: Manual/Amendment/20% "] Date:

To \',\,\i
All Addi. CPFC (HQ/Zone),
Regional P.F. Commissioners-incharge of
Regional Offices.

Subject: Introduction of Composite Declaration Form (F-11)

Sir,

The Central Provident Fund Commissioner by exercising the powers conferred under para
36(7) read alongwith the provisions of para 34 and 57 of EPF Scheme, 1952 and para 24 of
Employees' Pension Scheme, 1995 has ordered the introduction of Composite Declaration Form
(F-11) by replacing the existing New Form-11 and the same is enclosed as Annexure.

Yours faithfully,

Encl: As above

(Udita Chowdhary)
Addi. Central P.F. Commissioner (F&A)
 For Web Circulation Only
ifi4-.:t I{I 11 Fcl ~ f.:tfil" ~
Employees' Provident Fund Organization
('lflf ~~~, 'lfffif ~ )
(Minisoy of Labour & Employment, Govt. Of India)
~ ~ / H e a d Office
~ f.ffit 'if'f'f, 14, ~ ~ '<ffl, ~ ~ - 110 066.
Bhavishya Nidhi Bhawan, 14-Bhikaiji Cama Place, New Delhi-110066
www.epfindia.gov.in www.epfindia.nic.in
Telephone: 011- 26713254 Fax: OJ l-26166609 Email: acc.fa.imc(a:epfindia.gov.in

No: Manual/Amendment/2011 Date: 20.09.2017

ORDER

Introduction of New Form 11

The Employees' Provident Fund Organization has embarked upon next phase of e-governance
reforms with a view to make its services available to its stakeholders. EPFO has recently introduced a
single page Composite Claim Form (Aadhaar/Non-Aadhaar) and Composite Oaim Form for death
cases by replacing multiple forms for settlement of claims.

2. In exercise of powers conferred under para 36(7) read alongwith the provisions of para 34
and 57 of EPF Scheme, 1952 and para 24 of Employees' Pension Scheme, 1995, the introduction of
Composite Declaration Form (F-11) is ordered with immediate effect by replacing the existing New
Form-11.

3. The Composite Declaration Form will also replace Form No. 13 in all cases of auto transfer
vide order No. Manual/Amendment/2011/1 33~' dated 20.09.2017.

(Dr. V.P. Joy)

Central Provident Fund Commissioner

Encl: Composite Declaration Form-11

 www.epfindia.gov.in

Composite Declaration Form -11

(To be retained by the employer for future reference)
EMPLOYEES' PROVIDENT FUND ORGANISATION
Employees' Provident Funds Scheme, 1952 (Paragraph 34 & 57) &
Employees' Pension Scheme, 1995 (Paragraph 24)
(Declaration by a person taking op employment in any establishment on which EPF Scheme, 1952 and /or EPS, 1995 is applicable)

I Name of the member N P DEEPTI

2
Father's Name D AMITH N M
Spouse's Name
D
3 Date ofBirth: ( DD/ MM I YYYY ) 19/04/1998
4 Gender: (Male/Femaleffransgender) FEMALE
5 Marital Status: (Married/U nmarried/W idow/W idower/Divorcee) MARRIED
(a) Email ID: [email protected]
6
(b) Mobile No.: 8088384205
Present employment details:
7 Date of joining in the current establishment (DD/MM/YYYY) 16/10/2024
KYC Details: (attach selfattested copies of following KYCs)
a) Bank Account No. : 0145662286
8 b) IFS Code of the branch: KKBK0008292
c) AADHAR Number 775588490424
d) Permanent Account Number (PAN), if available FEOPP9062L
9
Whether earlier a member of Employees' Provident Fund Scheme, ✔ Yes/No
1952
10 Whether earlier a member of Employees' Pension Scheme, 1995 ✔ Yes/No
Previous employment details: (if Yes to 9 AND/OR 10 above I - Un-exempted
Establishment Universal PF Account Date of joining Date of exit Scheme PPONumber Non
Name & Address Account Number (DD/MM/ (DD/MM/ Certificate (if issued) Contributory
Number YYYY) YYYY) No. (if Period
issued (NCP) Days

11

Previous employment details: (if Yes to 9 AND/OR 10 above) - For Exempted Trusts

Name & Address of the Trust UAN Member Date of Date of exit Scheme Non
EPS Ale joining (DD/MM/ Certificate Contributory
Number (DD/MM/ YYYY) No. (if Period (NCP)
YYYY) issued Days
12

a) International Worker: Yes /No

✔
13 b) If yes, state country of origin (India/Name of other country)
c) Passport No.

d) Validity of passport [(DD/MM/YYYY) to (DD/MM/YYYY)]

 UNDERTAKJNG

I) Certified that the particulars are true to the best of my knowledge.

2) I authorize EPFO to use my Aadhar for verification/authentication/e-KYC purpose for service delivery.
3) Kindly transfer the funds and service details, if applicable, from the previous PF account as declared above to the present P.F.
Account as I am an Aadhar verified employee in my previous PF Accounl *
4) In case of changes in above details, the same will be intimated to employer at the earliesl

Date: 16/10/2024
Place: Bangalore Signature of Member

DECLARATION BY PRESENT EMPLOYER

A. The member Mr/Ms/Mrs ......................................................................... has joined on ......................................... and has been

allotted PF No.......................................................................and UAN ................................................................................................ .

B. In case the person was earlier not a member of EPF Scheme, 1952 and EPS, 1995:
• Please Tick the Appropriate Option:
The KYC details of the above member in the UAN database
D Have not been uploaded
D Have been uploaded but not approved
D Have been uploaded and approved with DSC/e-sign.

C. In case the person was earlier a member of EPF Scheme, 1952 and EPS, 1995:
• Please Tick the Appropriate Option:-
0 The KYC details of the above member in the UAN database have been approved with E-sign/Digital Signature
Certificate and transfer request has been generated on portal.
D The previous Account of the member is not Aadhar verified and hence physical transfer form shall be initiated.

Date: Signature of Employer with Seal of

Establishment

*Auto transfer of previous PF account would be possible in respect of Aadhar verified employees only. Other employees are requested to
file physical claim (Form-13) for transfer of account from the previous establishment.
 Payment of Gratuity (Central) Rules
FORM 'F'
See sub-rule (1) of Rule 6
Nomination

To,
(Give here name or description of the establishment with full address)
Cardinal Health International India Private Limited - 7th Floor, Quay, Bagmane Tech Park, C.V. Raman Nagar, Bangalore – 560093

I, Shri/Shrimati/Kumari N P DEEPTI
(Name in full here)
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.
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.
6. Nomination made herein invalidates my previous nomination.
Nominee(s)
Name in full with full Relationship with Age of Proportion by which
address of nominee(s) the employee nominee the gratuity will be
shared

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

1. AMITH N M HUSBAND 28 50
2. KUMUDA MOTHER 52 50
3.
So
on.

Statement
1. Name of employee in full N P DEEPTI
2. Sex FEMALE
3. Religion HINDU
4. Whether unmarried/married/widow/widower MARRIED
5. Department/Branch/Section where employed
6. Post held with Ticket No. or Serial No., if any
7. Date of appointment 16/10/2024
8. Permanent address: #26 ASHIRVADA NILAYA,KACHANAYAKANAHALLI DINNE, NEAR SBI BOMMASANDRA INDUSTRIAL ESTATE
Village Thana Sub-division
Post Office District State

Place: Bangalore
Signature/Thumb-impression of the
Employee
16/10/2024
Date:

Declaration by Witnesses

Nomination signed/thumb-impressed before me

Name in full and full address of witnesses. Signature of Witnesses.
1. 1.

2. 2.

Place: Bangalore
Date: 16/10/2024

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 authorised
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

Signature: N P DEEPTI (Oct 15, 2024 18:58 GMT+5.5)

Email: [email protected]