0% found this document useful (0 votes)
25 views8 pages

View Completed Forms

This document provides personal and employment information for an individual named Samyak Jain. It includes details like contact information, addresses, education history, and current employment. Additional sections request consent for electronic document signing and sharing of information with Sterling for background screening services.

Uploaded by

samyak jain
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
0% found this document useful (0 votes)
25 views8 pages

View Completed Forms

This document provides personal and employment information for an individual named Samyak Jain. It includes details like contact information, addresses, education history, and current employment. Additional sections request consent for electronic document signing and sharing of information with Sterling for background screening services.

Uploaded by

samyak jain
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/ 8

Contact Information

Mr
Samyak
I do not have a Middle Name / Initial
Jain

Phone Numbers

Other India +91 7597832143

Email Addresses

Primary [email protected]

Current Address

India
761, Basant vihar
Near Aklank Public school
Kota, Rajasthan 324009
2021-Jul-08 - Current

Personal Information

1999-Feb-26
SSN: 976-62-0816

Additional Questions - Personal Info

Father's Full Name


Mahesh Jain

Location Info

In which country are you completing this process? India


In which country is the organization located? India
In which country will your activities be primarily located? India
In which country do you primarily reside? India
Employment

Cognizant Technology Solution


Software Engineer
Do Not Call This Employer
Resigned
India
CTS ,tower 10, sector 135
Noida, Uttar Pradesh
2021-Mar-13 - Current

I have No Additional Employers

Additional Questions - Employment

Please supply your employee code(s) for all employers in India.


Cognizant, 922553

For any employer(s) provided above in India, were you paid directly by a temporary / recruitment agency?
No

Education

Lovely Professional University


College/University
On-Campus
Computer science and engineering
Bachelor's Degree
India
BH6, Lovely Professional University
Phagwara, Punjab
2017-Aug-08 - 2021-Jul-21
Did you Graduate: Yes
Graduation Year: 2021

Required Documents and Forms

Document or Form File Name

Copy of Degree certificate Not Uploaded

Copy of final year mark sheet 14981525_Marksheet and Provisional And Degree Certificate.pdf

Service Certificate or Relieving Letter Not Uploaded


Document or Form File Name

Service Certificate or Relieving Letter Not Uploaded


Consent to Use of Electronic Records and Signatures

You have the opportunity to complete and sign documents, as well as receive notices and other documents related to
your application and interaction with Sterling's platform, in electronic rather than paper form. To agree to these uses of
electronic documents and signatures, and to sign this document with the same effect as physically signing your name,
click the "Sign" button at the bottom of this page after reviewing the information below.

In order to sign, complete and receive documents electronically you will need the following:

A personal e-mail address


A computer or other device with standard e-mail software
Current version of Chrome, Firefox, Edge or Safari
A connection to the internet
A printer if you want to print paper copies

Alternatively, you may choose to use and sign paper versions of documents related to your application and interaction
with Sterling's platform. To do so, please contact the company representative who sent you this request.

By clicking "Sign" below, you consent to electronically sign, complete and receive documents relating to your
application and interaction with Sterling's platform during both this session and any future sessions relating to this
process. Additionally, you consent to electronically receive: communications relating to your application and interaction
with Sterling's platform, including requests for additional information; notices of actions taken required by law,
(including the Fair Credit Reporting Act for US consumers); and notices of your rights under applicable laws.

Your consent applies to documents completed, signed or provided via this website, as well as to documents
transmitted via email.

You have the right to withdraw your consent at any time by calling Sterling on 1-800-943-2589 (in the US only),
emailing [email protected], or writing to: Sterling (ESign Center), 6150 Oak Tree Boulevard, Suite
490, Independence, OH, 44131 USA. If you withdraw consent, you will no longer have the ability to sign documents
electronically and to receive disclosures and other documents electronically. Your withdrawal of consent is prospective
only and will become effective after we have had a reasonable opportunity to act upon it. After withdrawing your
consent, please also contact the company representative who sent you this request to make arrangements to receive
paper copies of documents and communications.

If your contact information changes, please call Sterling on 1-800-943-2589 (in the US only), email:
[email protected], or write to: Sterling (ESign Center), 6150 Oak Tree Boulevard, Suite 490,
Independence, OH, 44131 USA.

After consenting, you can obtain copies of documents and communications relating to your application and interaction
with Sterling's platform by: (1) using your browser to print paper copies or save electronic copies of documents or
screens during this session and future sessions; (2) selecting one of the options on the “Confirmation” page at the end
of this session; or (3) calling Sterling on 1-800-943-2589 (in the US only) or emailing [email protected]
to request that paper copies be mailed to you at no charge.
I understand that by typing my name where indicated below, and then clicking on “Sign”, I consent to the use of
electronic records and signatures in the manner described above, and the electronic storage of such documents.

Type name: Samyak


Global Privacy Notice

Kronos India ("we" or "us") has engaged Sterling Infosystems Inc. and its subsidiaries around the world (collectively,
“Sterling”) to conduct background screening services before and during employment, volunteer, tenancy or other
contractual relationships. You can find complete information about how Sterling handles and protects your personal
information and how to contact Sterling here.

Sterling’s services include verification of some or all of the following types of information, depending on the services
ordered by Kronos India:

Address, contact information and address history


Criminal, police or court records*
Driving records
Education history
Eligibility to work
Employment or volunteering history, including fiduciary or directorship responsibilities
Financial history, including credit history, bankruptcy and financial judgments*
Gap activities, including travel
Health information, including drug tests*
Identity, including identifying numbers and identity documents*
Inclusion on watch or sanctions lists*
Membership, registration or disciplinary action with regulatory or professional bodies
Mentions in online or print media
Other people’s opinions about your performance or character
Social media activity

We may collect some personal information that is sensitive or subject to special protections under the law
where you reside. These are denoted with an asterisk (*) in the list above. A complete list of the types and sources of
personal information we and Sterling may collect to carry out these services are listed here. Some of these checks
can only be carried out for specific roles or in certain countries. To understand exactly which types of personal
information will be collected in your case and how they will be used, contact Kronos India.

Your personal information is collected and processed based on one or more of the following:

It is necessary for us to carry out obligations in our contract with you.


It is necessary for us to comply with our obligations under employment or other laws.
We have legitimate interests to do so, taking into consideration your rights. Our legitimate interests may include one or
more of the following:
Ensuring the reliability of employees and contractors
Protection of our workers, property and reputation
Compliance with foreign laws
Compliance with contractual obligations
We have your freely given, specific, informed and unambiguous consent.
It is otherwise permitted by law.

Sterling may share your personal information with third parties to validate its accuracy or obtain specialized
services, such as data storage or translation services. Information about how Sterling may share your personal
information can be found here.

Sterling will retain your personal information until we instruct them to delete it. Retention periods are determined
based on applicable laws and our business requirements. To understand how long we and Sterling may retain your
personal information, contact Kronos India.

Sterling will store your personal information in the United States (“US”). Once data is stored, Sterling will also
process your personal information in Australia, Brazil, Canada, Colombia, the European Union (“EU”), India,
Malaysia, Mexico, the Philippines, Singapore, the United Kingdom (“UK”) and the US. If you have residence,
education or employment connections to the People’s Republic of China (including Hong Kong SAR and Macau SAR),
Sterling will also process your personal information in China and Hong Kong. Sterling may also share your personal
information with third parties in other countries to collect or translate information, such as your educational
qualifications or employment history, from countries or regions where you have lived, worked or studied. Where there
are legal restrictions on transfers of personal information, these transfers are done based on one or more of the
following:

Regulators have decided that personal information will be adequately protected in the country to which it is
transferred. This is the case for personal information transferred between the EU, Switzerland and the UK (collectively,
“Europe”), for personal information that is transferred from From Europe to Canada, and for personal information that
is transferred from Europe to the US under the EU-US Data Privacy Framework and UK Extension, but not for
information transferred from Europe to other countries.
We or Sterling have signed contractual clauses with the recipient that are deemed by the relevant authority to ensure
adequate protection of personal information.
We have your consent for us to transfer your personal information outside of your country of residence.
The transfers are otherwise permitted by law.

You can find more information about international transfers of personal information here.

You may have legal rights concerning how we or Sterling handle your personal information, including rights to
access, correct or delete your personal information, have it sent to another organization, restrict or object to its
processing or complain to a regulator about how it is handled. You can find information about these rights here. To
exercise these rights, contact Kronos India or Sterling.

Providing your information to Sterling is voluntary. If your personal information is collected based on your
consent, you may also withdraw that consent. If you choose not to provide your personal information, or if you
withdraw consent, Sterling will not be able to complete services on our behalf. To understand the consequences of
deciding not to provide your personal information, contact Kronos India.
Global Authorization

By signing or otherwise making a mark below, you authorize us, Sterling and Sterling’s service providers to do the
following:

Collect and process your personal information as described above and here, including collection and processing of
sensitive personal information.
Share your personal information with, and obtain information from, the following third parties as necessary to carry out
the requested services: police, courts, suppliers of court and police information, employers, employment agencies,
educational institutions, credit and consumer reporting agencies, government agencies and other public bodies,
regulatory or professional bodies, references you provide, other organizations with which you have been associated,
and other publicly available print or online sources. You understand that these third parties may be located in
countries or regions other than your country of residence, including places where you have previously lived, studied or
worked.
Where necessary, act as your agent to share or obtain your personal information when carrying out the services.

You declare that the information you provide to us and to Sterling is complete and accurate to the best of your
knowledge. You understand that we will rely on the information you have provided when making a decision about your
relationship with us, and a false statement or omission of facts may disqualify you from, or otherwise affect, your
relationship with us.

This authorization is valid for the duration of your relationship with us, to the extent permitted by law.

Please Type Your Name * Samyak


Dated (mm/dd/yyyy) * 2/29/2024

For Purposes of Audit - E-SignID: 39453779, Samyak, Date Signed on 2/29/2024 at 5:17 AM -05:00

You might also like