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The document lists the documents required for a job application. These include resignation/experience letters, salary slips, educational documents like marksheets and certificates, ID proofs, CV and PAN card. A note specifies that offer letter and experience letter are mandatory, otherwise resignation proof and salary documents are needed.

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0% found this document useful (0 votes)
96 views47 pages

Bell

The document lists the documents required for a job application. These include resignation/experience letters, salary slips, educational documents like marksheets and certificates, ID proofs, CV and PAN card. A note specifies that offer letter and experience letter are mandatory, otherwise resignation proof and salary documents are needed.

Uploaded by

Sam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 47

DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Whichever documents are mentioned in resume require to be upload


a. Resignation Mail / Acceptance / Relieving cum experience letter from previous employer -----

b. Last 3 months Salary Slips (With UAN) / Payslips / Bank Statement ----

c. Latest Appointment / Offer Letter -----

d. Educational documents (SSC, HSC, Graduation( Mark sheet and Passing Certificate) -----

1 – SSC 2 -HSC

3-Gradaute ( All Semister Mark Sheet, Passing Certificate) 5th Semester 6th Semester

Provisional/ Passing Certificate

e. 1 passport size photograph -----

f. Current address proof, Passport/ Rent Agreement/Electricity Bill/ Voters ID.

g. Latest CV-----

h. PAN card -----

J. Adhar Card ( Both Side)—

Note – *offer letter and experience letter are mandatory if the candidate doesn’t have both then
Resignation Email and salary slip or bank statement required*
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

CURRICULUM VITAE

Name : Samuvel.S
D.O.B. : 05/10/2002
Age : 20
Gender : Male
Qualification : Bachelor of Computer Applications
Nationality : Indian
Religion : Christian
Father’s Name : Selvaraj.A
Mother’s Name : Shenbagam.S
Mobile : 8667624162
Email : [email protected]
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
APPLICATION FORM

Please fill in the details with utmost attention, as these shall be verified by Sitel. and/ or by its authorized representatives.
09/08/2023
All details are compulsory. Date of Joining: ________________
(dd/mm/yyyy)
Customer Support
POSITION________________________

PERSONAL DETAILS
Name of Applicant: First Middle Last
Samuvel N/A Selvaraj

05/10/2002 Chennai
Date of Birth (dd/mm/yyyy): Place of Birth:

Male
Gender: Nationality: Indian Father’s Name: Selvaraj

O+ 8667624162
Blood group : Home Phone: Mobile:

Passport No.: Marital Status: Unmarried

RESIDENTIAL ADDRESSES

PERMANENT ADDRESS:
18A/148, Egavalliamman Koil street, Thiruvottriyur, Chennai-19.

Duration of Stay: From (mm/yy) To (mm/yy)


06/2022 - 08/2023 Nature of location: X Rented Own Other (Specify)

CURRENT ADDRESS:

Duration of Stay: From (mm/yy) To (mm/yy)


Nature of location: Rented Own Other (Specify)

All fields are mandatory Strictly Private & Confidential


DocuSign
**If fieldEnvelope
isn'tID:applicable
AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
please enter
N/A** PERSONAL DETAILS:

FAMILY
NAME AGE EDUCATION OCCUPATION
BACKGROUND
FATHER Selvaraj 49 SSLC Vendor

MOTHER Shenbagam 44 N/A Vendor

SISTER(S)

BROTHER(S)

SPOUSE

CHILDREN

ARE YOU AT PRESENT A REGULAR COLLEGE STUDENT? ( PL.TICK ) X (NO/YES)

IF YES, NAME OF THE COLLEGE _________________________________________

COMPUTER/PROFESSIONAL SKILLS
COURSE/SKILL PERIOD INSTITUTION CERTIIFICATE

Have you been convicted of any crime? ( PL.TICK ) ( NO / YES ) If yes, describe in full, including dates
X
______________________________________________________________________________________
(Conviction will not necessarily disqualify applicant. Conviction recency, severity and pertinence to the job will be
considered.)

LANGUAGES- (INDIAN AND FOREIGN) UNDERLINE MOTHER TONGUE


SPEAK
READ
WRITE

ANY OF YOUR RELATIVES WORKING WITH SITEL? (PL.TICK) X (NO/YES)


If yes provide details-
_______________________________________________________________________________________________________

HAVE YOU WORKED FOR SITEL IN PAST? (PL.TICK) X (NO/YES)


If yes provide details-
_______________________________________________________________________________________________________

Regd. Office: 501, Boomerang, Chandivali Farm Road, Andheri (East) , Mumbai - 400072
All fields are mandatory Strictly Private & Confidential
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

EDUCATION DETAILS
DATES ATTENDED ROLL NUMBER/
NAME OF
NAME OF BOARD / UNIVERSITY PART TIME/ YEAR OF REGISTRATION
QUALIFICATION COLLEGE/ YEAR
FULL TIME ENROLM NUMBER/ EXAM
INSTITUTE PASSED
ENT SEAT NUMBER
(MM/YY)
(MM/YY)
UNDER GRADUATION /
HSC / 12TH
Bachelor University of Full time 08/20 06/23 212003918
of Madras
Computer
Applicatio
ns

GRADUATION

DIPLOMA

REASONS FOR BREAKS IN EDUCATION: _______________________________________________

EMPLOYMENT RECORD: Starting with your present or most recent employer, please list last 3 employments. When listing consulting or temporary
assignments, under “Employer”, state the name of the consulting or temporary agency that placed you at the client site. Complete and accurate dates
(month/year) must be provided.
PREVIOUS COMPANY: Employee Id: From (mm/yy): To (mm/yy):

Street Address: Employer’s


Phone No.:
City: State: Country:

Designation: Reason for Leaving:

Employment Status: (Please check the relevant box) Team leader/Supervisor/Reporting manager’s Details:
Name:
X Full Time
Designation:
Contract /Through Outsourcing Agency
Phone No.:
Outsourcing Agency Details: E-mail id:
Name: (Preferably official)
Address: HR Manager’s Details:
Tel No.: Name:

Job Profile: Phone No.:


E-mail id:
(Preferably official)

All fields are mandatory Strictly Private & Confidential


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Are you currently under any service Agreement/Bond?


If Yes, please specify details -

EXTRA CURRICULAR ACTIVITIES


PROFESSIONAL,
SPORTS & GAMES CULTURAL HOBBIES ANYOTHER INFORMATION MEMBERSHIP CARDS

CAREER OBJECTIVE
ANY PLANS FOR FURTHER STUDIES? STATE YOUR CAREER OBJECTIVE FOR
IF YES, GIVE DETAILS NEXT THREE YEARS(PLEASE BE SPECIFIC)

REFERENCES(Emergency contact details)


SR NO NAME MOBILE NUMBER OCCUPATION

DECLARATION
CLARIFY THAT THE INFORMATION FURNISHED ABOVE US FACTUALLY CORRECT AND SUBJECT TO VERIFICATION BY SITEL INDIA PVT LTD. I
ALSO CERTIFY THAT I AM AT PRESENT IN SOUND MENTAL AND PHYSICAL CONDITION TO UNDERTAKE EMPLOYMENT WITH ACCEPT THAT
AND APPOINTMENT GIVEN TO ME ON THIS BASIS CAN BE REVOKED AND OR TERMINATED AT ANY TIME IN FUTURE IF ANY INFORMATION
HAS BEEN MISSTATED OR UNSTATED.

Chennai 08/08/2023
PLACE SIGNATURE OF APPLICANT DATE

All fields are mandatory Strictly Private & Confidential


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

INFORMATION RELEASE AUTHORIZATION

I certify that the statements made in this application are valid and complete to the best of my knowledge. I understand that false or
misleading information may disqualify me from employment and /or result in termination of employment.

I understand that Sitel. may request a verification of information provided by me and /or background check from an agency hired by
Sitel. for this purpose.

I further understand that the results of verification and checks and any records made out of that information will be used for
employment purposes only and will not be given to unauthorized persons.

I authorize Sitel. and/or its agents to conduct a verification and background check including but not limited to the verification and check
of information and references stated by me in this application for the consideration of Sitel. to be used only for my employment
purposes.

I also authorize all the concerned persons, authorities, organizations, their employees, agents or authorized representatives, whether
named in the application or not, to release the information in their knowledge / possession / records relevant to my employment.

In the event that Sitel. and /or its agents are unable to verify any information and references stated in this application, it is my
responsibility to furnish the necessary documentation in support of that information.

I fully understand that this application or subsequent employment does not create a contract of employment nor guarantee employment
for any definite period of time and my employment decision will always be at the sole discretion of Sitel.

I have read, understood, and by my signature consent to these statements.

I authorize Sitel. to contact my present employer. X Yes No

SIGNATURE:
08/08/2023
DATE:
NAME (IN BLOCK LETTERS): Samuvel Selvaraj

All fields are mandatory Strictly Private & Confidential


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

To
Sitel India Pvt Ltd

Sub: Declaration of Bank Account Details

Submission of Bank Account Number:


1. It is Mandatory for every new joinee joining SITEL to open a bank account either with HDFC or
ICICI through SITEL bank representatives only.
2. This needs to be completed on the day of joining.
3. Employees need to furnish the information if he/she holds any existing salary account with either of
the banks. (ICICI Bank / HDFC Bank) such as the active salary accounts if any with either of the
banks with cancelled cheque and application with all details mentioned including the customer ID.
4. In the event of an employee not declaring that he/she has an existing account with any of these
banks and opens a fresh account, as per RBI norms and mandate the account will be linked to the old
account and if any charges are pending the same will be levied.
5. The company will not be liable for the charges levied by the bank.
6. Also an employee cannot at any point close the salary account without intimating the company by
means of a written application with justification. Once done so the same will be analyzed and
checked with the concerned bank.
7. If employee fails to open the salary account as per the stipulated timelines, the salary will go on
hold and will not be credited.

09/08/202
Samuvel Selvaraj
I Employee Name:_______________________, Date of Joining: 3 __________ have read & understood
the above guidelines and hereby agree to abide to the above terms and conditions.

Signature ______________
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

09/08/2023
Date of Joining:______________
10/09/2023
Deduction date:______________

PROVIDENT FUND NOMINATION AND DECLARATION FORM


(For Unexempted/Exempted Establishment)
Declaration and Nomination Form under the Employees Provident Fund & Employees Pension Scheme
(Paragraph 33 and 61 (1) of the Employees Provident Fund Scheme, 1952 & Paragraph 18 of the
Employees Pension Scheme, 1995)
Samuvel Selvaraj
1. Name
05/10/2002 (In capital letters) Male
2. Date of Birth ___________________ 3. Sex________________
Unmarried N/A
4. Marital Status ___________________ 5. P.F. Account No.___________________________
18A/148, Egavalliamman Koil street, Thiruvottriyur, Chennai-19
6. (A) Address Permanent
18A/148, Egavalliamman Koil street, Thiruvottriyur, Chennai-19
(B) Address Temporary___________________________________________________________________

PART A (Employee Provident Fund)


If the Nominee is a
minor, Name &
Total amount of
Relationship &
Nominees share of
Name and Address of the Date of Birth/ Address of the
relation with Accumulation in
Nominee/Nominees Age guardian who may
the member PF to be paid to
receive the amount
each Nominee
during minority of
nominee
1 2 3 4 5
Selvaraj Father 13/07/1974 N/A N/A
18A/148, Egavalliamman Koil
street, Thiruvottriyur,
Chennai-19

1. *Certified that I have no family as defined in para 2(g) of the Employee’s Provident Fund Scheme,
1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.
2. *Certified that my father/mother is/are dependent upon me.

Signature _________________________
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

PART B (Eemployee Pension Scheme) (Para 18)


I hereby furnish below particulars of the members of my family who would be eligible to receive widow children pension in the
event of my death.

Sr. No. Name & address of the Nominee Date of Relationship with the member.
birth/Age
1 2 3 4
1 Selvaraj 13/07/19 Father
18A/148, Egavalliamman Koil street, 74
Thiruvottriyur, Chennai-19

** Certified that I have no family as defined in Para 2 (vii) of Employees’ Pension Sheme, 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 event of my death without
leaving any eligible family member for receiving pension.

Sr. No. Name & address of the Nominee Date of Relationship with the member.
birth/Age
1 2 3 4
1 Selvaraj 13/07/197 Father
18A/148, Egavalliamman Koil street, 4
Thiruvottriyur, Chennai-19

08/08/2023
Date: ____________

Signature or Thumb impression of a member

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 have
read over to him/her by me and got confirmed by him/her.

Signature of the employer or other


Authorized officers of the establishment :- ____________________

Place : _____________________ Designation :- _____________________

Name and address of the factory


Dated :- _________________ Establishment or rubber stamp there of :______________________
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

PAYMENT OF GRATUITY ACT(FORM _ F)


NOMINATION
To,…….. Sitel India Pvt Ltd……..
Samuvel Selvaraj
1. Kumari/Shri/Shrimati……………………………………………….. ……………………………
Whose particulars are given in the statement below. I 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 the 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 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 provision to clause (h) of section 2 of the said Act.

6. Nomination made herein invalidates my previous nomination.

NOMINEE’S
Proportion by
which the gratuity
will be shared
Name in full with full Relationship with the Age of If 2 nominees have
address of nominee(s) employee nominee mention-50% for
each nominee
If only one
nominee-100%

1 2 3 4

Siganture____________________
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

STATEMENT

Name of the employee in full

Sex
Religion
Whether
unmarried/married/widow/widower
Process/Department Branch/Section
where employed
Post/Designation
Date of appointment
Village
Post Office
Disctrict
State
Place

08/08/2023 Signature/Thumb Impression


Date……………. of the employee

Declaration by witnesses
Nomination signed/Thumb impressed before me
Name in full and full address of witnesses

signature of witnesses
Place:

Date………………………

Certificate by the employer


Certified that the particulars of the above nomination have been verified and recorded in this establishment

Employer’s reference No, if any Signature of the employer/Officer authorized


Designation

Name address of the establishment


Date……………….. or rubber stamp there of

Acknowledgment by the employee


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

08/08/2023
Date……………………

Signature of the employee


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

DATA SECURITY STANDARDS POLICY

Due to the nature of our business, Employees may have access to personal information from our customers,
including names, addresses, and phone numbers; bank and credit card account numbers; income and credit
histories; and Social Security numbers. Since our client’s entrust us with this information, we have a responsibility
to safeguard this information and take proactive steps to ensure customer information is protected.

Every Employee has a role in the commitment to safeguard customer information and combating fraud. Practicing
professional ethics such as honesty and integrity is an expectation for all employees. To provide further protection,
Sitel has developed policies and procedures to provide our clients and their customers with confidence in our
ability to safeguard sensitive information.

The Data Security Standards Policy provides guidelines for all Employees to follow to ensure customer information
is not intentionally or accidentally shared and then used in a manner that damages the customer or our
reputation as a Business Process Outsourcing Partner.
The following guidelines must be strictly adhered to in order to ensure the protection of customer information:

1 Desks must be kept clean of printouts or other paper media that may contain confidential information. At no
time should confidential information or media be left unsecured on a desk or workspace or in an unlocked
shred bin. Leave workstations "neat and tidy". If you have a messy workstation, you may not notice when
something is missing.

2 Ensure the appropriate arrangements have been made to prevent unauthorized persons from having access
to IT applications or to data.

3 Papers or documents with customer information or other sensitive information should be stored in a secure
place not lying around on top of an unattended desk.

4 Computer media such as CD’s, floppy disks, thumb drives, flash drives, and backup tapes containing
customer information must be maintained in a locked drawer, locked filing cabinet, or other secured area.

5 Employees must follow established verification procedures before accessing, viewing, and providing
customer information. This will help ensure sensitive information is not given to unauthorized individuals.

6 Employees should only access an account as part of performing assigned job duties or with permission from a
supervisor or manager.

7 Employees must have permission from the customer, a supervisor, or have a valid business purpose to access
or view personal account information.

8 Employees must have authorization from the customer or a supervisor before making changes to a
customer’s account. This includes enrolling a customer into services and/or products.

9 Employees may not access another Employee's account if they have personal knowledge that the account
holder is an Employee. In addition, Employees may not access an account held by someone they know outside
of work.

10 Employees may not write down, record, or retain customer information for personal gain, use, or profit.

11 Employees may only disclose customer information to other Sitel Employees when performing assigned job
duties and only on a “need to know” basis.

12 Documents containing customer information (ex. Downtime Forms) must not be removed from the building
without prior authorization from a supervisor or manager.

13 Employees must lock down the computer when leaving their workstation for breaks, meal periods, or for any
other situation requiring the Employee to leave their workstation for an extended period of time. Locking the
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

computer down will prevent unauthorized persons from accessing customer information. Employees should
also follow established computer logout procedures at the end of their shift to prevent unauthorized
individuals from accessing information inappropriately.

14 Personal items should be stored under the desk, in a secured drawer or in a locker. Personal items should not
be placed or stored on the desktop.

15 Under no circumstances should any associate set up a web site on behalf of Sitel or any Sitel clients or
suppliers unless authorized by the Sitel’s IT Department. Technology included within the scope of this policy
includes but is not limited to Company-sponsored web pages, external web sites, social media pages, or any
other external electronic forum. Under no circumstances should any associate publish, on behalf of the
Company, any content about Sitel, Sitel clients or services performed on behalf of Sitel clients without prior
approval of Sitel’s Marketing Department. This includes use of the Sitel name or logo in any post or comment
made on behalf of Sitel or that would reasonably be attributed to Sitel. Authorization is also required prior to
approving links from any other web sites (client, vendor, partner, etc.) to the www.Sitel.com web site.

16 Use of any device to neither record pictures, video, and/or sound without Sitel’s authorization is strictly
prohibited within our facilities nor can the same be shared on external websites or social media sites.

17 Employees must not destroy or dispose of potentially important Sitel records or information without
direction and approval from management.

Physical security guidelines also play an important role in our commitment to safeguard customer information and
combating fraud. The following guidelines must be strictly adhered to in order to ensure safeguarding of Sitel’s
Employees and our data security interests:
18 Each Sitel facility has a main reception area which will be open to visitors from 8:00am to 5:00pm
Monday thru Friday.
19 No visitors are allowed into the building through the Employee Entrance at anytime unless the visitor has
already signed in and are being escorted through the building.
20 If a vendor or guest is trying to get into the building outside of business hours, please explain to them
that visitor’s are only allowed into the building during normal business hours (8:00am – 5:00pm).
21 If an Employee allows a visitor in through the Employee entrance, the Employee will be held accountable for
them throughout the duration of their visit or until responsibility for their visit has been transferred to the
original host.
22 Visitors will not be permitted to tour the building without an escort.

I acknowledge that I am expected to read, understand, and adhere to this policy. If I do not understand the
material or have questions related to material in this Policy I will contact my supervisor or Human Resources.

I am aware and understand that any violation of these guidelines will result in corrective action up to and including
termination of employment. I also understand that violations of these guidelines may be subject to investigation
by the Federal, State and Local Law Enforcement Agencies for criminal prosecution.

I understand that I must report any suspect behavior or violation of the above guidelines to a Supervisor, Manager,
Human Resources or through the Sitel Ethics Hotline at 800-245-2514.
Samuvel Selvaraj 08/08/2023
___________________________________ _____________________________
Employee Printed Name Date

__________________________ _____________________________
Employee Signature SITEL Employee Number
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

PERSONAL UNDERTAKING

Samuvel Selvaraj Selvaraj


I , ________________________________________S/D of ___________________
20 Chennai
Aged_______, resident of ______________________________ do

Solemnly affirm and sincerely state as follows-

Customer Support
1. I wish to join SITEL India Limited as _________________ in terms of the offer /
09/08/2023
appointment letter dated ___________________ issued to me.
2. Earlier I was employed/associated with N/A __________________as
N/A
______________and resigned the job on N/A
_________ as per my free will.
3. I am unable to produce the relieving letter from my earlier employer and the same
was informed to the officials of SITEL India Limited and on their advice I am
submitting this undertaking.
4. I confirm that I have no obligation towards my previous employer(s) in terms of
service agreement or in any other way. If in future, anything is found, it shall be at
my own risk and responsibility.
5. I hereby undertake that in future, if my earlier employer initiates any action against
me it shall by my sole responsibility to defend my self and SITEL India Limited
shall not be responsible in any way and only I shall be held responsible for all the
costs and consequences thereof.
6. I have given this undertaking after fully knowing the consequences thereof and
without any force, or coercion and with free will and consent.

This Personal Undertaking is executed by me on this 9__ day of


_________________ at ________________________.

Sign :
Name : Samuvel Selvaraj

Encl : copy of my resignation letter submitted to my previous employer.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Global Policy
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Global Policy – Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Author: Joe Trias Updated by: Stuart Hughes
Release Date: August 21, 2020 Last Reviewed: August 27, 2022
Status: Approved Owner: Global Security
Version: 1.2 Custodian: Sr. Director Security Assurance

1. PURPOSE ................................................................................................................................4
SCOPE………………… .................................................................................................................................... 4
SITEL AT HOME RISKS ................................................................................................................................... 4
DEFINITIONS .............................................................................................................................................. 5

2. SITEL AT HOME PCI CONTROLS ...................................................................................................5


NETWORK SECURITY CONTROLS ....................................................................................................................... 5
Amazon Web Services – AWS .......................................................................................................................... 5

3. HARDENING ............................................................................................................................5

4. AUTHENTICATION AND AUTHORIZATION .......................................................................................5

5. NETWORK SECURITY .................................................................................................................6

6. MONITORING AND LOGGING ......................................................................................................6


DIZZION ........................................................................................................................................................... 6

7. HARDENING ............................................................................................................................6

8. AUTHENTICATION AND AUTHORIZATION .......................................................................................7

9. NETWORK SECURITY .................................................................................................................7

10. MONITORING AND LOGGING ......................................................................................................7


SECURITY CONTROLS FOR ENDPOINT DEVICES ...................................................................................................... 7
SRW (Secure Remote Worker) ......................................................................................................................... 7
USB Linux Stick................................................................................................................................................. 8
PHYSICAL SECURITY CONTROLS ........................................................................................................................ 8
ASSOCIATE AGREEMENTS ............................................................................................................................... 8
Data Declaration Form .................................................................................................................................... 8

11. ADDITIONAL CONTROLS OUTSIDE OF PCI CERTIFICATION SCOPE .........................................................9


ASSOCIATE AGREEMENTS ............................................................................................................................... 9
Workstation Monitoring Agreement ............................................................................................................... 9
Distraction Free Workplace ............................................................................................................................. 9
Social Media Responsibility (Global Code of Conduct) .................................................................................... 9

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Agent Obligation Agreement ........................................................................................................................... 9


Sitel at Home Equipment Agreement ............................................................................................................ 10
Non-Disclosure Agreement ............................................................................................................................ 10
Bring Your Own Device (BYOD) Acceptable Usage Agreement ..................................................................... 10
ADDITIONAL MITIGATING CONTROLS ............................................................................................................... 10
Data Loss Prevention (DLP) Tool .................................................................................................................... 10
CLIENT CONTRACTS .................................................................................................................................... 10

12. GENERAL .............................................................................................................................. 11


AUDIT RESPONSIBILITIES .............................................................................................................................. 11

13. APPENDIX............................................................................................................................. 11
APPENDIX 1 ............................................................................................................................................. 11

14. DATA DECLARATION FORM ...................................................................................................... 11

DOCUMENT CONTROL PAGE ................................................................................................................. 13

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 4 of 13

The purpose of this policy is to define Sitel’s security framework with respect to Payment Card Industry (PCI)
compliance within a Sitel at Home environment. Specifically, the policy strives to ensure that the security
requirements needed to meet PCI security standards within a Sitel at Home infrastructure are met in order
to meet the certification guidelines.

Although the primary security principles and theories of the PCI-DSS Requirements remains in effect
regardless of a Sitel at Home or Brick and Mortar (B&M) environment, the mitigating controls can vary
depending on the operating location. As such, certain critical areas in the Sitel at Home environment need
to receive specific focus in order to meet compliance standards.

This policy is meant to ensure that by applying and meeting the compliance standards as defined by the
PCI-DSS Requirements, Sitel will be in a position to not only meet the certification requirements, but more
importantly, protect the data of Sitel Group, its’ customers and clients.

Scope…………………
This policy applies to campaigns which fall into the following categories:

 Client operations which take place in an environment outside of Sitel Group B&M facilities; and
 Campaign operations which require the storage, processing or transmission of cardholder data
(Primary Account Number (PAN), expiration date, customer name and security code); and/or
 Client contractual requirements specifying PCI compliance and certification.

Where client requirements differ from this policy, they shall be clearly defined and agreed within contractual
agreements and communicated to appropriate functional and operational teams.

Sitel at Home Risks


The lack of direct supervision or physical controls such as CCTV and badge access controls increases the risk
of fraud within a Sitel at Home environment. This is particularly true when it comes to data protection
breaches related to cardholder data. Without ways of consistently enforcing physical security controls as
specified in PCI Requirement 9 of the PCI-DSS guidelines, associates have more freedom than usually
permitted within B&M operations. This latitude increases the opportunity for cardholder data to be possibly
breached or misused. As a result, it is critical that areas that can be controlled, such as, the operating network
and endpoint devices are properly secured within the guidelines of the PCI-DSS.

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 5 of 13

Definitions
For purposes of this policy, Sitel at Home operations is defined as any environment in which employees
perform their functions and responsibilities as specified in the Client Statement of Work (SOW) outside Sitel
Group controlled B&M facilities. These external environments are typically the employee’s home or
residence. Any Sitel at Home locations outside of the employee’s home or residence (i.e. internet cafe,
friend’s home, etc.), are not authorized unless prior written approval has been agreed by Regional
Management with the consent from Global Security.

In order to meet the requirements as established by the PCI-DSS for a PCI compliance certification within a
Sitel at Home environment, the following controls need to be established as identified in this policy.

Network Security Controls


Access from the Sitel at Home environment to the Client Systems must be routed through approved
networking systems. The following are the approved tools that meet PCI compliance eligibility:

Amazon Web Services – AWS

In order to protect the AWS environment, the host device must be hardened using the Secure Remote
Worker (SRW) tool or USB Linux Stick. Both of these tools will transform the host device into a thin kiosk
without any capacity to store information locally in the host and allowing only the approved applications and
services.

Desktop images must be configured by Sitel based on current client’s in-center desktop images based on
Microsoft SCCM images for each client; AWS uses server OS rather than Windows 10.

AWS access must be controlled via security groups linked directly to the current Active Directory
infrastructure supporting Single Sign on (SSO) for consistent onboarding, maintenance and removal of users.
In addition, two-factor authentication (2FA) must be implemented as an additional control. Management of
this environment is to be performed via a small group of users, with all of them using domain credentials
with 2FA.

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 6 of 13

Authorization for the AWS image must be controlled via Active Directory groups, allowing access to the users
only to the authorized virtual image linked to the role.

This is the dedicated AWS environment for Sitel.

Connectivity to Sitel’s America datacenters is powered by the Sitel AT&T MPLS using AT&T Net bond with
AWS cloud and to the EMEA Data Centers using private Equinix cloud exchange connectivity. Sitel is to
maintain firewalls for all client connections and PCI systems.

The network inside AWS must be segmented by program, allowing only the required traffic to the
authorized services. The traffic inside AWS is controlled via Security Groups, which block all inbound
connections by default, unless explicitly allowed. Access Control Lists are used to control traffic between
subnets.

Internet browsing must be controlled via the current Cisco Web Security Appliance (WSA). The same proxy
rules applicable to the Brick & Mortar workstations will also be applicable to the AWS images.

AWS includes out of the box monitoring and logging services to capture events for users, services, devices,
and internet protocols (IPs) and traffic in and out of the environment. These logs are stored inside AWS and
protected from modification.

DIZZION

Dizzion access is only to be approved from authorized thin client owned by Sitel or via Secure Remote Worker
(SRW). Both of the options are must be hardened by Sitel to allow only access to the virtual environment
(Dizzion) and limiting the features of the host to remove any option to store data locally and allowing only
the approved applications and services.

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 7 of 13

Dizzion access must be controlled via security groups linked directly to the current Active Directory
infrastructure supporting SSO for consistent onboarding, maintenance and removal of users. Two-factor
authentication is available to be implemented where required.

Authorization for the Dizzion images is to be controlled via Active Directory groups, allowing access to the
users only to the authorized virtual image linked to the role.

The Dizzion environment will have network segmentation in place with the traffic controlled via firewall rules
to allow only the specific services required. Internet browsing will be controlled via the current Cisco Web
Security Appliance (WSA). The same proxy rules applicable to the Brick & Mortar workstations will also be
applicable to the Dizzion images.

All Dizzion connections are to be logged to the corporate Security Information and Event Management
(SIEM) where the appropriate alerts and reports are built to detect any abnormal or malicious behavior.
User activities will be logged in the same way as B&M operations, via Active Directory or Cisco WSA for
which standard alerts and reports are already in place.

Security Controls for Endpoint Devices


Endpoint devices, which are defined as internet capable computer hardware, must be hardened in order to
prevent unauthorized access or breaches. Be it a desktop or laptop, a Sitel or associate owned device (BYOD),
in order to meet the PCI-DSS guidelines, those devices must be configured with one of the following two
solutions:
 SRW (Secure Remote Worker)
 USB Linux Stick

SRW (Secure Remote Worker)


The installation of SRW allows for the transformation of the end-user device into a thin kiosk.
In addition to the installation of SRW, the following applications/tools options must be disabled within the
device:
 Access to the host Operating System or local storage;
 Wifi and Bluetooth connectivity;
 Printing;
 Local save/storage;

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 8 of 13

 Removable storage media;


 Copy/Paste/Screen capture;
 Interaction between the host and the virtual environment;
 Video devices; and
 Default applications.

USB Linux Stick


Although the use of a USB Linux Stick does not require any installation within the end-user device, the
computer must be booted from the USB Linux Stick authorized and designed by Sitel, containing a hardened
version of Linux live.

In addition to use of the USB Linux Stick, the following options must be disabled within the device:
 Access to the host Operating System or local storage;
 Wifi and Bluetooth connectivity;
 Printing;
 Local save;
 Removable storage media;
 Copy/Paste/Screen capture;
 Interaction between the host and the virtual environment;
 Video devices; and
 Default applications.

Physical Security Controls


Physical Security controls still remain in place regardless of the Sitel at Home environment. Associates are
required to maintain adherence to the Sitel Global Policies and Procedures specifically as they apply to clear
desk standards (no cell phones, no pen and paper etc.).

Sitel should make every effort to ensure that these policies are being abided with by using tools and
techniques that allow for remote screen monitoring and virtual meetings that allow for the scanning of the
associates immediate environment. Any use of scanning or monitoring equipment must be reviewed by the
Regional Legal Representative in order to ensure compliance with local laws and regulations, as well as, the
local IT team in order to ensure that the technical framework exists, such as bandwidth capability, to support
the efforts.

Associate Agreements
Data Declaration Form
As part of the PCI-DSS guidelines all associates working with cardholder data within a PCI campaign are
required to sign a Data Declaration Form (See Appendix 1). The Data Declaration Form attests that the
associate is aware of how to handle cardholder data and the mishandling of such may be subject to
disciplinary review and possible legal consequences.

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 9 of 13

Data Declaration Forms shall be maintained in the employees personnel file. Operations managers shall be
responsible for maintaining a summary record of the names and dates of each authorized associate within
their client program that completed the declaration and have these records available for audit upon request.

Although not specifically required by the PCI-DSS guidelines, the following mitigating controls should be
considered in a PCI Sitel at Home environment:

Associate Agreements

All these documents must be filed in the employees personnel folder and be available for audit upon request
wherever legally and practically permissible.

Workstation Monitoring Agreement


Written agreement in which associates acknowledge that they are subject to periodic auditing and
monitoring measures in order to ensure that they are complying with applicable policies and procedures.
Acknowledgement of the document by the associate, authorizes the Sitel Group to monitor and audit the
Sitel at Home workspace and equipment during work hours. Any use of scanning or monitoring equipment
must be reviewed by the Regional Legal Representative in order to ensure compliance with local laws and
regulations.

Distraction Free Workplace


Written agreement in which the associate acknowledges that their Sitel at Home workspace should have
minimal distractions and background noise. The agreement also highlights the need of a clear desk and the
prohibition of additional individuals within the workspace area.

Social Media Responsibility (Global Code of Conduct)


Written agreement taken from the Sitel Global Code of Conduct and Ethics Policy highlighting the use of
Social Media platforms while performing official duties. The document emphasizes the prohibition of
disclosing any client and customer information without proper authorization.

Agent Obligation Agreement


The Agent Obligation Agreement reiterates that the agent is responsible for abiding by security practices to
include such things as maintaining a clear desk, shoulder surfing by family members/others and use of
equipment for business purposes only. Acknowledgement of the agreement by the associate indicates their
understanding of these policies and that violation of the same may be subject to disciplinary actions and
possible legal consequences.

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 10 of 13

Sitel at Home Equipment Agreement


The Sitel at Home Equipment Agreement sets the terms for agents to receive and care for Sitel loaned
equipment while the associate is in a Sitel at Home workspace. The agreement also stipulates that the
equipment must be returned in working order, as well as, the consequences of not doing so.

Non-Disclosure Agreement
The Non-Disclosure Agreement (NDA) documents that associates in the Sitel at Home environment
acknowledge that the Personal Customer Data and Confidential Client Data they have access to through client
service tools is protected and that the associate guarantees the security, confidentiality and integrity of that
data.

Bring Your Own Device (BYOD) Acceptable Usage Agreement


Associates using their own devices in a Sitel at Home environment acknowledge that they will adhere to the
standard Sitel Security Policy requirements and minimum Standard Device requirements in order to perform
Sitel operations. Acknowledgement of the agreement by the associate indicates their understanding of these
policies and that violation of the same may be subject to disciplinary actions and possible legal consequences.

It should be noted that due to varied local laws and regulations, the Regional Legal Representative should be
consulted prior to using any of the aforementioned agreements. The Regional Legal Representative should
review the document to ensure that its scope and verbiage fall within the legal framework of the relevant
operational area.

Additional Mitigating Controls


Data Loss Prevention (DLP) Tool
Based on client contractual requirements, Sitel workstations assigned to Sitel at Home may have an installed
DLP solution monitoring for credit card information, social security numbers and any other confidential
information processed within the campaign.

Client Contracts
All client contracts that encompass Sitel at Home should acknowledge any existing confidential or sensitive
customer or client data that is accessible to the Sitel at Home associate as part of the client service tools, as
well as, an acknowledgement that the Sitel at Home environment may increase the overall operational risk
profile and this should be taken into account during any potential fraud reimbursement agreements and
negotiations.

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 11 of 13

Audit Responsibilities
In order to ensure that compliance with the PCI-DSS guidelines is being adhered to, as well as, PCI certification
is achieved through a successful audit, the following individuals are accountable for specific actions within
their purview as specified below:

• Account Management – Responsible to ensure client PCI compliance, confirm client scope, updating
narrative, and ensure remediation work is completed.
• Site Director - Accountable for operating the campaign/site in compliance with PCI-DSS and providing
evidence of compliance for Operations, HR, Site IT, and Facilities
• IT Teams - Accountable for operating site and central IT services in compliance with PCI-DSS and
providing evidence of IT compliance
• Security Assurance Team - Accountable for managing third party auditors, co-ordinating evidence
collection (site/IT), site and data centre visits, reporting non-compliance/audit progress and
providing PCI-DSS consulting to operational and functional teams
• 3rd Party Auditors/Assessors - Working for Sitel to help us ensure that Sitel is working within
compliance with PCI-DSS and demonstrate to our clients that Sitel is meeting PCI DSS requirements.

Appendix 1

I _______NAME______________(print full name) confirm my understanding of the defined processes and


procedures, applications and tools provided to fulfil my role as an _____Job Role as per Job
Description________________ within the [CLIENT PROGRAM Name] client program and within my
responsibilities, understand that I shall only request, view, store, process, transmit or destroy customer
payment card information and/or PHI, in accordance with defined processes and that I shall make no attempt
to use any permissions assigned to me, tools, systems, computers or other electronic devices for any
unauthorized purposes.

I understand and agree that any unauthorized activity relating to the use of PCI/PHI relating to client
campaigns including the unauthorized removal, viewing, using, processing or destruction of information will
constitute an unauthorized act.

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 12 of 13

Compliance with this instruction shall remain in place unless formal written authorization from the
Operations Manager of the [ Client Program Name ] client program or a change of role
that formally removes the need for this instruction to be in place.

I acknowledge that if I break this agreement, or any operational procedure without written authorization, I
will be subject to disciplinary action and this may lead to termination of employment and/or legal action.

I confirm that I understand my responsibilities with respect to the applications and tools that I use and the
procedures and processes that I am requested to follow.

Samuvel Selvaraj

Signed ___________________ Name (Print):________________________________

08/08/2023
Date: _________________ Client Program: ______________________________

Chennai

Location: ___________________________________

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Sitel at Home PCI Compliance Policy


Location: Central Process Repository Document: SGLOBESECPL006
INTERNAL USE ONLY
Version: 1.2 Page 13 of 13

Document Identification

Title - # SITEL AT HOME PCI Compliance Policy - SGLOBESECPL006


Version: 1.2 Creation Date: 01 April 2020

Referenced Documents

Number Description
1. PCI DSS

History

Version Date Author Description


1.0 April 2020 Joe Trias Initial Draft
1.0 August 21 Joe Trias CWG Approved
2020
1.1 August 27, Robert Hutchinson Annual Review. CWG approved
2021
1.2 August 2022 Stuart Hughes Annual Review

Sitel Group attaches particular importance to the appropriate protection of the information assets of Sitel
and those of its clients (that it is responsible for) in terms of people, processes and systems. Sitel requires
that all Sitel associates and third party suppliers become familiar with, support and comply with the
appropriate parts of this policy. An organizational infrastructure has been established and is empowered to
ensure that this policy is appropriately and successfully deployed and supported across all Sitel’s
operations.

Confidential information and property of Sitel Group.


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

CANDIDATE DATA DECLARATION

Samuvel Selvaraj
 Name :
 Date of Birth : 05/10/2002
 Address : 18A/148, Egavalliamman Koil street, Thiruvottriyur, Chennai-19

Bachelor of Computer Applications


 Highest Qualification :
 Last Employer: N/A

 Personal email : [email protected]


(This will be used for correspondence)

 Mobile phone : 8667624162


(This will be used for correspondence)

 Alternate Mobile phone : 8939079384


(This will be used for correspondence)

 Emergency Contact Number (any two) :


(This will be used for correspondence)
1. < name > , < Number> Selvaraj 8939079384
2. < name > , < Number> Shenbagam
9087989384

 ID Proof ( DL/ Aadhar card/ Passport / PAN) : (I have sent a self-picture with this ID on
email / WhatsApp) 738454014384

I hereby declare that all information provided above is true to the best of my knowledge. I also agree
to accept all correspondence from Sitel on my above mentioned email ID. If any information that I
have declared found to be untrue, my services may be liable to be terminated

(Signature) :
Name : Samuvel Selvaraj
Date : 08/08/2023

Authorized by Head of HR, Sitel India


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

To,
The Human Resources
Sitel India Pvt.Ltd
Chennai

Declaration

I have been explained clearly about below mentioned details


I also agree to the following terms:
 Willingness to work in Rotational Night shifts & Weekends
 Have no plans of higher education
 Will not need any leaves for next 6 months.
 My family is aware and has accepted me to work in Nightshifts
 I am aware I may not get offs on Weekend, it may even be split or
continuous offs
 I am sure, I do not have Sinusitis, Headaches ,ENT Defects,
Communicable diseases and other health issues

08/08/2023
DATE: _____________________

Yours Sincerely,
<< Your Name >>> Samuvel Selvaraj

(Signature)
___________________________________________

Authorized by Head of HR, Sitel India


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

MEDICAL FITNESS UNDERTAKING FOR EMPLOYMENT

(TO BE SUBMITTED AT THE TIME OF JOINING)

Samuvel Selvaraj
I, Name: ................................................................................................................. . (In Block Letters)
Selvaraj
Father’s Name: .....................................................................................................................................
20 170 60
Age………………………Height............................................Weight..............................................BP…………………………………

HEREBY DECLARE THAT (tick as applicable)

NO
Undergone any major surgery /ailment in the past 12 months: Yes / No Details if Yes …………………………………………...
…………………………………………………………………………………………………………………………………………………………………………………

NO
Suffer from any respiratory ailments? Yes / No Details if Yes ……………………………………………………………………..
………………………………………………………………………………………………………………………………………………………………………………...
NO
Diagnosed with any heart related ailments? Yes / No Details if Yes………………………………………………………..
………………………………………………………………………………………………………………………………………………………………………………..

NO
Met with any accident / suffered from any disease requiring confinement? Yes / No Details if Yes ……..
…………………………………………………………………………………………………………………………………………………………………………………
N/A
Any other disease diagnosed in past: ………………………………………………………………………………………………………………………
N/A
Allergies, if any…………………………………………………………………………………………………………………………………………………………

List of prescribed medication, if any


N/A
1. …………………………………………………

2. …………………………………………………

3. ………………………………………………….
N/A
Family history of critical ailments if any ………………………………………………………………………………………………………………
Declaration: I certify that the details provided above in this document are valid and complete to the best of my knowledge.
I understand that false or misleading information may disqualify me from employment and /or result in termination of
employment.

Signature of the Candidate _________________________________________


Samuvel Selvaraj
Name of the Candidate___________________________
Chennai
Place:____________

08/08/2023
Date:____________

Authorized by Head of HR, Sitel India


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Information Release Form


To Whomever It May Concern

Samuvel Selvaraj
I ________________________________________________________________________________

Last name First name Middle name

I hereby authorize KPMG/PINKERTON or their representatives to verify information presented on my


employment application/resume and to procure an investigative report or consumer report for that
purpose.

I hereby grant authority for the bearer of this letter to access or be provided with full details

 Of my previous employment record held by any company or business for whom I previously
worked. This information should include the dates of employment; the nature of the
position held, [details of my salary upon departure] and an appraisal of my performance,
capabilities and character. In addition, please provide any other pertinent information
requested by the individual presenting this authority. I hereby release from liability all
persons or entities requesting or supplying such information.
 Information in respect to my character from the records maintained by global database/
India database/local authorities
 My signature can be processed for ESIC /PF / Application forms as a part of my
documentation for virtual onboarding process.

08/08/2023
__________________________ ______________________________
Signature Date: DD/MM/YYYY

Authorized by Head of HR, Sitel India


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
1DA56DBA-6B53-492E-A2D5-11BAC6A0ECA8
?kks"k.kk i=k DECLARATION FORM QkeZ&1@Form-1
?kks"k.kk i=k deZpkjh }kjk Hkjk tk,xkA QkeZ ds LkkFk iksLVdkMZ vkdkj ds nks QksVksxzkQ Hkh yxk, tkus pkfg,A QkeZ Hkjus ls igys
ihB i`"B ij nh xbZ fgnk;rksa dks Hkyh&Hkkafr i<+ ysuk pkfg,A ;g QkeZ fu%'kqYd gSA
To be filled by employee after reading instruction overleaf. Two Postcard Size phtographs to be attached with the
form. This form is free of cost.
¼d½ chekÑr O;fDr ds fooj.k ¼[k½ fu;kstd ds fooj.k
(A) INSURED PERSON'S PARTICULARS (B) EMPLOYER'S PARTICULARS

1- chek la[;k@Insurance No. N/A 9- fu;kstd dh dwV la[;k


Employer's Code No.
2- uke ¼Li"V v{kjks esa½ Samuvel Selvaraj
Name in block letters
10- fu;qfDr dh rkjh[k fnu eghuk o"kZ
Date of Appointment Day Month Year
3- firk@ifr dk uke Samuvel Selvaraj
Father's/Husband's Name 11- fu;kstd dk uke vkSj irk@Name & Address of the Employer
4- tUe dh frfFk fnu eghuk o"kZ 5- oSokfgd fookfgr@ __________________________________________________
Date of Birth Day Month Year U
izkfLFkfr vfookfgr __________________________________________________
Marital fo/kok __________________________________________________
Status M/U/W 12- ;fn igys fu;kstu esa jgs gSa rks Ñi;k fuEufyf[kr C;kSjs nhft,
05 10 20026-fyax@Sex iq-e-M/M.F. In case of any previous employment please fill up the details as under.

7- orZeku irk@Present Address 8- LFkk;h irk@Permanent Address ¼d½ fiNyh chek la[;k
______________________ ______________________ (a) Previous Ins. No.
18A/148, Egavalliamman Koil street, Thiruvottriyur, Chennai-19
______________________ ______________________ ¼[k½ fu;kstd dwV la[;k
______________________ ______________________ (b) Employer's Code No.
fiu dksM fiu dksM
600019
Pin Code Pin Code ¼x½ fu;kstd dk uke o irk
VsyhQksu uEcj@bZ&esy irk@ VsyhQksu uEcj@bZ&esy irk@ (c) Name & Address of the Employer

'kk[kk dk;kZy; vkS"k/kky;


Brach Office Dispensary
VsyhQksu uEcj@bZ&esy irk@e-mail address
¼d½ e`R;q dh fLFkfr esa udn fgrykHk ds Hkqxrku ds fy, d-jk-ch- vf/kfu;e] 1948 dh /kkjk 71@d-jk-ch- ¼dsUnzh;½ fu;e] 1950 ds fu;e 56¼2½ ds varxZr ukfer ds C;kSjsA
(c) Details of Nominee u/s 71 of ESI Act 1948/Rule-56(2) of ESI (Central) Rules, 1950 for payment of cash benefit in the event of death.

uke@Name ukrsnkjh@Relationship irk@Address


Selvaraj Father 18A/148, Egavalliamman Koil

eSa ,rn~}kjk ?kks"k.kk djrk@djrh gwa fd esjs }kjk izLrqr fd, x, fooj.k esjh tkudkjh vkSj fo'okl ds vuqlkj lgh gSA eSa vius ifjokj ds lnL;ksa esa gq, ifjorZu dh lwpuk
15 fnu ds Hkhrj izLrqr djus dk opu Hkh nsrk gwa@nsrh gwaA
I hereby decalare that the particulars given by me are correct to the best of my knowledge and belief. I undertake to intimate the corporation any
changes in the membership of my family within 15 days of such change.

fu;kstd ds izfrgLrk{kj chekÑr O;fDr ds gLrk{kj@vaxwBk fu'kku


Counter signature by the employer Signature /T.I.of IP.

lhy lfgr gLrk{kj


Signature with seal
¼?k½ chekÑr O;fDr ds ifjtuksa dk fooj.k
(D) Family Particulars of Insured person
Ø-la- uke QkeZ Hkjus dh rkjh[k deZpkjh ds lkFk ukrsnkjh D;k muds lkFk jg ;fn ugha rks vkokl
SI. No. Name dks vk;q@tUe&rkjh[k Relationship with the jgs gSa\ crk,a dk LFkku n'kkZ,a
Date of Birth/Age as on Employee Whether residing If' No' state Place of
date of filling form with him/her. Residence
Selvaraj 13/07/1974 Father gk¡@Yes ugha@No dLck@Town jkT;@State

d-jk-ch- fuxe vLFkk;h igpku i=k ¼fu;qfDr dh rkjh[k ls 3 eghus rd oS/k½


ESI Corporation Temporary Identity Card (Valid for 3 month from the date of appointment)
uke@Name
chek la[;k@Ins. No. fu;qfDr dh rkjh[k@Date of appointment
'kk[kk dk;kZy; vkS"k/kky; QksVks ds fy, LFkku
Branch Office Dispensary (Space for photograph)

fu;kstd dh dwV la[;k o irk


Employer's Code No. & Address

oS/krk
Validity
rkjh[k chekÑr O;fDr ds gLrk{kj@vaxwBs dk fu'kku lhy lfgr 'kk[kk izca/kd ds gLrk{kj
Dated Signature/T.I. of I.P. Signature of B.M. with seal
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
1DA56DBA-6B53-492E-A2D5-11BAC6A0ECA8
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INSTRUCTIONS

1- QkeZ&1 dk izs"k.k d-jk-ch- ¼lk/kkj.k½ fofu;e] 1950 ds fofu;e 11 o 12 ds varxZr fofu;fer fd;k tkrk gSA
Submission of Form-I is governed by regulation 11 & 12 of ESI (General) Regulations, 1950

2- ßdqVqEcÞ ls fdlh chekÑr O;fDr ds fuEufyf[kr lHkh vFkok dksbZ ukrsnkj vfHkizsr gS%&
vFkkZr~%& ¼1½ fookfgrh ¼2½ chekÑr O;fDr ij vkfJr dksbZ /keZt ;k nÙkd vo;Ld vkfJr ckyd] ¼3½ dksbZ ckyd tks chekÑr O;fDr
ds miktZuksa ij iw.kZr% vkfJr gS rFkk tks ¼d½ f'k{kk izkIr dj jgk gS] muds 21 o"Z dh vk;q izkIr dj ysus rd ¼[k½ dksbZ vfookfgr iq=kh]
¼4½ dksbZ ckyd tks fdlh 'kkjhfjd vFkok ekufld vilkekU;rk ;k pksV ds dkj.k f'kfFkykax gS rFkk f'kfFkykaxrk jgus rd chekÑr O;fDr
ds miktZuksa ij iw.kZr% vkfJr gS] ¼5½ vkfJr ekrk&firk] ¼C;ksjs gsrq d-jk-ch- vf/kfu;e] 1948 dh /kkjk 2 ds [kaM 11 dks ns[ksa½A
“Family” means all or any of the following relatives of an Insured Person namely:-

(i) a spouse (ii) a minor legitimate or adopted child dependant upon the I.P.; (iii) a child who is wholly dependant on the
earnings of the I.P. and who is (a) receiving education, till he or she attains the age of 21 years (b) an unmarried daughter;
(iv) a child who is infirm by reason of any physcial or mental abnormality or injury and is wholly dependant on the earnings
of the I.P. so long as the infirmity continues; (v) dependant parents (Please see Section 2 clause 11 of the ESI Act 1948 for
details.

3 igpku&i=k vgLrkUrj.kh; gSA


Identity Card is Non-Transferable.

4- igpku&i=k ds xqe gksus dh fLFkfr esa fu;kstd@'kk[kk izca/kd dks rRdky lwfpr fd;k tk,A
Loss of Identity Card be reported to Employer/Branch Manager immediately.

5- fdlh izdkj dh xyr lwpuk nsus dh fLFkfr esa d-jk-ch- vf/kfu;e] 1948 dh /kkjk&84 ds rgr dkuwuh dk;Zokgh dh tk ldrh gSA
Submission of false information attracts penal action Under Section 84 of ESI Act. 1948.

6- ubZ fu;qfDr dh fLFkfr esa Hkyh&Hkkafr Hkjk gqvk ;g QkeZ fu;qfDr ds nl fnu ds Hkhrj lacaf/kr 'kk[kk dk;kZy; esa vo'; gh izLrqr fd;k
tkuk pkfg,A foyEc dh fLFkfr esa fu;kstd ds fo#) /kkjk&85 ds rgr dkuwuh dk;Zokgh dh tk ldrh gSA
This form duly filled in must reach the concerned Branch Office within 10 days of appointment of an Employee. Delay
attracts penal action under Section 85 of the Act, against employer.

7- chekÑr O;fDr gksus ds ukrs vki o vkids ifjokj ds vkfJrtu fpfdRlk fgrykHk izkIr dj ldsaxsA vU; udn fgrykHk gSa] ¼1½ chekjh
fgrykHk ¼2½ vLFkk;h viaxrk fgrykHk ¼3½ LFkk;h viaxrk fgrykHk ¼4½ vkfJrtu fgrykHk ¼5½ izlwfr fgrykHk ¼efgyk deZpkjh ds fy,½A
As an insured person you and your dependant family membes are entitled to full medical care. The other benefits in cash
include (1) Sickness Benefit (2) Temporary Disablement benefit (3) Permanent disablement Benefit (4) Dependants benefit
and (5) Maternity Benefit (in case of woman employees) subject of fulfillment of contributory cnditions.

8- vf/kd tkudkjh ds fy;s Ñi;k fuxe ds osclkbV dks nsa[ksa ;k 'kk[kk dk;kZy; ;k {ks=kh; dk;kZy; ls laidZ djsaA
For more details please contact website of ESIC at www. esic.org. in. or contact Regional Office or Branch Office.

dsoy 'kk[kk dk;kZy; esa iz;ksx gsrq


For Branch Office Use only

1- chek la[;k vkoaVu dh rkjh[k %


Date of allotment of Ins. No. :_________________________________________

2- vLFkk;h igpku i=k tkjh djus dh rkjh[k %


Date of Issue of T.I.C. :______________________________________________

3- vkS"k/kky; dk uke@la[;k %
Name /No. of Dispensary : ___________________________________________

4- D;k vU;ksU; fpfdRlk O;oLFkk miyC/k gS\ ;fn gkaa] rks mYys[k djsa %
Whether reciprocal Medical arrangements involved. if yes, please indicate :

'kk[kk izcU/kd ds gLrk{kj


Signature of Branch Manager

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Date of Birth/Age as on Employee Whether residing If' No, state Place of
date of filling form with him/her. Residence
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8667624162
[email protected]
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05/10/2002 (,t,ur,t / yrt/\t/ clo ) :q1tg1oa1e6
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DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D
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DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Global Policy

Work At Home
Obligations

Document Version: 2.0


Issue Date: 1 July 2021
DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Work at Home Obligations


Location: Central Process Repository Document: Work At Home Obligations
INTERNAL USE ONLY
Author: Sandra Puttkammer Updated by: Sandra Puttkammer
Release Date: 1 July 2021 Last Reviewed: 24 May 2021
Status: Approved Owner: Sandra Puttkammer
Version: 2.0 Custodian: Krystina Gatica

Index of Content

1. PURPOSE............................................................................................................................. 3

2. SCOPE ................................................................................................................................ 3

3. POLICY............................................................................................................................. 3-4
3.1 AUDIT AND MONITORING MEASURES .................................................................................................. 4-5

4. VIOLATIONS OF POLICY ........................................................................................................... 5

DOCUMENT CONTROL PAGE ................................................................................................................ 6

Sitel Group www.sitel.com


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Work At Home Obligations


Location: Central Process Repository Document: Work At Home Obligations
INTERNAL USE ONLY
Version: 2.0 Page 3 of 6

Policy Overview
This policy is designed to serve as a guide to what is acceptable and not acceptable in a work at home
environment, whether you are working at home full time or on occasion as business needs dictate.

1. Purpose
At Sitel, maintaining the confidentiality and security of our client’s information, and the information of our
clients’ customers, is critical to our business. As part of your employment, you will be required to sign this
policy attesting to your understanding of your confidentiality obligations, and your adherence to those
obligations. Among other things, you may not disclose or reveal to others, or use for your own benefit, any
client or client customer information and confidential Sitel information accessed during the performance of
your duties (or otherwise).

2. Scope
This policy applies to employees who work in Operations including front line associates that service our
client’s customers and their direct manager.

3. Policy
Employee Obligations-
You are obligated to prevent shoulder surfacing/ or someone (including but not limited to family members)
looking over your shoulder to see your desktop and end point screens.

You will not take pictures or video, by any method, of your desktop and end point screens.

You will not take notes by any method (paper, screenshot, or any other method) of Confidential Information.

When working remote, you will only work at your home environment as specified in your Personnel Records.
You are not allowed to work outside of that location, i.e. No cyber cafés, internet cafés, vehicles, other
homes, cities or countries without prior specific written authorization from Management and Global Security
Teams.

You will ensure your desktop, to include the client end point / screens are not viewable thru windows or
doors.

You are the ONLY authorized user allowed to access client end point and screens. You will ensure no one else
uses the supplied desktop for any purpose.

You understand that your work activity must be performed in a distraction free workplace environment. This
includes a quiet location, i.e., no child, animals, music or TV playing in background.

Sitel Group www.sitel.com


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Work At Home Obligations


Location: Central Process Repository Document: Work At Home Obligations
INTERNAL USE ONLY
Version: 2.0 Page 4 of 6

You will remove/turn off all listening devices including but not limited to virtual assistant and all technology
devices.

You will ensure that calls and conversations to customers will not be overheard by any third party including
but not limited to family members.

You will ensure your desktop and client end point screens are locked prior to walking away for any reason to
include short breaks.

You will NOT use ANY USB devices that have not been provided as part of your work at home equipment.

You will ensure your equipment is wired into the local access router, Wi-Fi is not approved.

For agents utilizing their personal equipment, then you will ensure that the latest authorized version of
anti-malware/anti-virus software is uploaded and installed on your personal computer when it is used to
perform work for Sitel and its client.

You may not disclose or reveal, or use for your own benefit, any client customer information obtained
during the performance of your duties (or otherwise).

Camera on computer (if there is one) should be covered.

Associates cannot act as the primary caregiver for children or other dependents during working hours.

Associates should refrain from participating in non-work related activities during working hours and using
Sitel equipment for any personal use. Personal use consist of but not limited to: paying bills and online
shopping. (For those who provide their own equipment, would need to refrain from this during work hours
and while connected to Sitel network).

Associates will be expected and required to respond to communication requests from management within
a reasonable amount of time while clocked in and actively working (not on paid break).

You will ensure that any voice recognition/search devices such as Siri and Alexa are in the off mode during
work hours.

At no point in time is it acceptable to access your own account on our client’s platform.

3.1 Audit and Monitoring Measures


Sitel has established home work station audit and monitoring measures that may vary depending on the
client, but that can include the following actions:
Periodic or random confidentiality audits in the form of phone calls, chats, video conferences (Skype, Zoom,
etc.) between members of management and you.

Sitel Group www.sitel.com


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Work At Home Obligations


Location: Central Process Repository Document: Work At Home Obligations
INTERNAL USE ONLY
Version: 2.0 Page 5 of 6

Video monitoring and viewing of your physical, at-home work space and equipment during work hours
Remote monitoring of all aspects of equipment use, including remote access to Sitel-provided or client-
provided devices as applicable.
Equipment, software, and security compliance audits and updates
Periodic written reminders and sign-offs regarding your continued commitment to confidentiality
Training and re-training on Sitel and client expectations
These measures are provided as examples only. By signing this document, you are authorizing Sitel to monitor
and audit your home work space and equipment during work hours, including but not limited to the specific
measures described above. You also understand and agree that you have no expectation of privacy in your
home workstation, and the area surrounding your workstation, during working hours.

4. Violations of Policy
Sitel will actively and aggressively investigate and pursue any instances of breaches of client confidentiality
or fraudulent behavior, and will take disciplinary action and pursue criminal charges where applicable.
Failure to follow any of the above policies will lead to disciplinary action up to and including termination.

Sitel appreciates your continued adherence to these important obligations. Together we are committed to
providing the best service to our clients.

Sitel Group www.sitel.com


DocuSign Envelope ID: AAD9F5D0-B97C-4C2E-B82A-5C85DB3CC60D

Work At Home Obligations


Location: Central Process Repository Document: Work At Home Obligations
INTERNAL USE ONLY
Version: 2.0 Page 6 of 6

Document Control Page

Document Identification

Title
Work At Home Obligations 2.0 Creation Date: 24 May 2021

Referenced Documents

Number Description
1.
2.
3.

History

Version Date Author Description


1.0 undated unknown Sitel at Home- Associate Obligations &
Sign Off

Sitel attaches particular importance to the appropriate protection of the information assets of Sitel and
those of its clients (that it is responsible for) in terms of people, processes and systems. Sitel requires that
all Sitel associates and third party suppliers become familiar with, support and comply with the appropriate
parts of this policy. An organizational infrastructure has been established and is empowered to ensure that
this policy is appropriately and successfully deployed and supported across all Sitel’s operations.

Samuvel. S

Sitel Group www.sitel.com

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