Undertaking For Lacking Pre-Employment Requirement/S For New Hires

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UNDERTAKING FOR LACKING PRE-EMPLOYMENT REQUIREMENT/S FOR NEW HIRES

I, ​reynier gercio do hereby agree that my employment with ​Concentrix Services Corporation – Philippine Branch​ (the “Company”)
is subject to my passing the pre-employment medical exam given by the Company’s Medical Retainer as well as being cleared
with the criminal check and background verification conducted by the Company’s background investigation vendor. Furthermore, I
undertake to submit/complete the following documents to the Recruitment Department.
• Employment Forms
• Waiver for BIR Form 2316
• BIR Form 1902 with attachments
• BIR Form 2316 (If employed within the same year)
• Philhealth (PMRF) Form with attachments
• BI Form (For accounts with BGV only)
• Bank Application Form
• Life Insurance Form
• Type A Requirements
• Medical:
• SSS Document (3 copies)
• TIN/BIR Document (3 copies)
• TIN (BIR) Verification Slip (for Local Employment)
• Stamped 1904 (for Business Owner/Sole Proprietor)
• Stamped 1905
• Pag-Ibig (HDMF) Document (3 copies)
• Philhealth (PHIC) Document (3 copies)
• Personal Birth Certificate NSO/PSA (4 copies)
• Dependents’ Birth Certificate (4 copies)
• Marriage Certificate NSO/PSA (4 copies)
• Photocopy of 1 Government issued ID
• Original Copy of NBI Clearance (valid at least 3 months before expiry)
• Type B Requirements
• 2x2 & 1x1 picture (1 copy each)
• COE from last employer/ Signed Clearance Form/ Resignation Letter from your latest employer
• Transcript of Records (TOR)/ Diploma/ Certificate of Graduation (For accounts with BGV only)
• Other Documents (if applicable)
• Affidavit for Name discrepancy
• Affidavit for Unreadable Entry
• Annotation on Birth Certificate
• Annotation on Marriage Certificate

I do hereby acknowledge that failure on my part to comply with the above requirement/s within a period of 15 working days after
receipt of this letter on 11/29/2021​ From start dates ​12/06/2021​ will result to my non-regularization from the company as provided
for in the Employee Regularization Policy and that non-compliance of the same will have implications on my monetary
contributions – SSS, BIR and Philhealth benefits, as well as my pay release.

I certify that all the information provided herein are accurate and complete. I fully understand that correct government numbers
are required for Concentrix to properly and timely make remittances. Should I fail to provide correct government numbers
resulting to late or non-remittance of contributions, I shall indemnify Concentrix and hold it free and harmless from any damages,
or penalties and/or interests imposed by government agencies to Concentrix, in relation thereto. In this regard, I authorize
Concentrix to deduct from my next applicable payout (from imposition) or final pay (in case I am already separated) of the
corresponding penalties or interests. No such amount of penalty or interest will be deducted if the error is on the part of
Concentrix representatives who in turn will be made liable for such penalty or interest.

Further, I hereby discharge the company from any liability that may arise from this undertaking.
That in the event however, that I am allowed to commence with my employment with the company, without first having to comply
with the foregoing requirements. THAT THE SAME SHALL NOT BE DEEMED A WAIVER ON THE PART OF THE COMPANY. I
LIKEWISE undertake to comply therewith within the deadline provided above, otherwise my failure to comply shall constitute a
just cause for the termination of my employment for failure to meet minimum company standards.

**Kindly submit your lacking requirement/s to your site Onboarding POC during recruitment hours.

​reynier gercio​
Printed Name

29/11/2021, 6:08:53.924 PM GMT+8


Date and Time

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