Job Application Form

Position Applied For :

Total Experience : Year(s) month(s)

Photograph

Section – A (Personal Details)

Name : Gender: Male Female DOB D D M M Y Y Y Y

Father Name : Nationality : E-Mail :

D D M M Y Y Y Y
Marital Status : Single Married Spouse Name : Date of Marriage

Language Known : Speak , , Write , ,

Contact Person in Case of Emergency

PRESENT Name :
Address :
ADDRESS

CITY: PIN CODE:

Tel No. with Area Code: Ph Mobile:
PIN Code :
PERMANENT Relationship : Tel
No. with Area Code:
ADDRESS
Mobile No. :
CITY: PIN CODE:
Any Criminal Record

KYC Information

S.No. Document Type Name as per bank A/c Number Bank name IFSC

1 Bank*

S.No. Document Type Name as per document Document Number Date of Issue Valid till

2 PAN*

3 AADHAAR*

4 Election Card

5 Driving License

6 2-Wheeler Details

UAN : ESI No. :

Family Details

Educational DOB Contact Info./

Relationship Name Occupation
Qualifications DD-MM-YYYY Tel. No. or Address
Father
Mother
Spouse
Child 1
Child 2

Section B – Education & Professional Information

Educational Qualification
Degree/ %Marks/ Year of Regular/
Level School/college Board/university
Course CGPA Passing Correspondence
Xth Std
Xllth Std
Graduation
Post-Graduation

Previous Employment Detail

Company: Joining Leaving
Industry Type: Date D D M M Y Y Y Y D D M M Y Y Y Y
Address: Position
TCTC Salary
Name & Designation of immediate Superior:
KRAs

Reasons for leaving:

I certify that the particular given above are correct and to the best of my knowledge and nothing has been concealed
therein. In case any aforesaid information is found to be false, I may be summarily dismissed from the services of Aerial
Telecom Solutions Pvt. Ltd.

Date: Candidate Signature

 ?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. 9- fu;kstd dh dwV la[;k

Employer's Code No.
2- uke ¼Li"V v{kjks esa½
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
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 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,
6-fyax@Sex iq-e-/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.
______________________ ______________________ ¼[k½ fu;kstd dwV la[;k
______________________ ______________________ (b) Employer's Code No.
fiu dksM fiu dksM
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

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
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
 (FORM 2 REVISED)

NOMINATION AND DECLARATION FORM FOR UNEXEMPTED/EXEMPTED ESTABLISHMENTS

Declaration and Nomination Form under the Employees Provident Funds and Employees Pension Schemes
(Paragraph 33 and 61 (1) of the Employees Provident Fund Scheme 1952 and Paragraph 18 of the Employees
Pension Scheme 1995)

1. Name (IN BLOCK LETTERS) : _______________________________________________________________________________

Name Father’s / Husband’s Name Surname

2. Date of Birth : ___________________ 3. Account No. ___________________

4. *Sex : MALE/FEMALE: ______________________ 5. Marital Status ________________________________________

6. Address Permanent / Temporary : _____________________________________________________________________________

________________________________________________________________________________

PART – A (EPF)
I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s) mentioned below
to receive the amount standing to my credit in the Employees Provident Fund, in the event of my death.
If the nominee is minor
Name of the Address Nominee’s Date of Total amount or share of name and address of the
Nominee (s) relationship with Birth accumulations in guardian who may receive
the member Provident Funds to be the amount during the
paid to each nominee minority of the nominee

1 2 3 4 5 6

1 *Certified that I have no family as defined in para 2 (g) of the Employees 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.

Strike out whichever is not applicable Signature/or thumb impression

of the subscriber

PART – (EPS)
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 premature death in service.

Sr. No Name & Address of the Family Member Age Relationship with the member

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

Certified that I have no family as defined in para 2 (vii) of the Employees’s Family Pension Scheme 1995 and should I acquire a
family hereafter I shall furnish Particulars there on in the above form.

I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 2 (a) (i) & (ii) in the
event of my death without leaving any eligible family member for receiving pension.

Name and Address of Date of Birth Relationship with member

the nominee

Date ___________________

Signature or thumb impression

of the subscriber

____________________________________________________________________________________________________________

CERTIFICATE BY EMPLOYER

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

Date : _____________________ Signature of the employer or other authorised officer of the

establishment

Place :
Name & address of the Factory /Establishment
Date :
 www.epfindia.gov.in

Composite Declaration Form -11

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

I Name of the member

2
Father's Name D
Spouse's Name
D
3 Date ofBirth: ( DD/ MM I YYYY )

4 Gender: (Male/Femaleffransgender)
5 Marital Status: (Married/U nmarried/W idow/W idower/Divorcee)
(a) Email ID:
6
(b) Mobile No.:
Present employment details:
7 Date of joining in the current establishment (DD/MM/YYYY)

KYC Details: (attach selfattested copies of following KYCs)

a) Bank Account No. :
8 b) IFS Code of the branch:
c) AADHAR Number
d) Permanent Account Number (PAN), if available
Whether earlier a member of Employees' Provident Fund Scheme, Yes/No
9
1952
10 Whether earlier a member of Employees' Pension Scheme, 1995 Yes/No
Previous employment details: (if Yes to 9 AND/OR 10 above I - Un-exempted
Establishment Universal PF Account Date of joining Date of exit Scheme PPONumber Non
Name & Address Account Number (DD/MM/ (DD/MM/ Certificate (if issued) Contributory
Number YYYY) YYYY) No. (if Period
issued (NCP) Days

11

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

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

a) International Worker: Yes /No

13 b) If yes, state country of origin (India/Name of other country)

c) Passport No.

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

 UNDERTAKJNG

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

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

Date:
Place: Signature of Member

DECLARATION BY PRESENT EMPLOYER

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

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

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

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

Date: Signature of Employer with Seal of

Establishment

*Auto transfer of previous PF account would be possible in respect of Aadhar verified employees only. Other employees are requested to
file physical claim (Form-13) for transfer of account from the previous establishment.
0 Aerial Telecom Solutions Pvt. Ltd.
ZERO TOLERANCE ON OHS

Follow(10 AbsoluteSafety Rules)

BE AWARE,ALERT,ALIVE

1.Use PPE when working at height

(ऊचाई पर कार्य करते समर् पीपीई का प्रोर्ोग करें )

2.Buckle up when traveling in, or operating vehicles

(वाहन चलाते समर् और र्ात्रा के दौरान सीट बेल्ट अवश्र् लगाए )

3.Any personnel working at height must be trained and qualified

(ऊचाई पर काम कर रहे सभी कर्मयर्ो का प्रर्िक्षितत और र्ोग्र् होना अतनवार्य है )

4.Don’t use a cell phone while driving

(ड्राइवविंग करते समर् मोबाइल फोन का प्रर्ोग ना करें )

5.Driving over the regulated speed limit is prohibited

(ववतनर्र्मत गतत सीमा से अधिक गतत से ड्राइवविंग तनविद है )

6.Don’t work under the influence of alcohol or drugs

(िराब /निीले पदार्थों र्ा दवा के प्रभाव में काम न करें )

7.No driving whilst fatigued

(र्थकान होने पर ड्राइवविंग ना करें )

8.Don’t drop tools or other objects from height

(ऊँचाई से उपकरण र्ा अन्र् वस्तओ
ु िं को ना फेंके )

9.Unlicensed staff are prohibited from any electrical work

(बबना लाइसेंस के कमयचाररर्ों को बबजली सम्बधित ककसी भी कार्य को करने की अनम
ु तत
नही है )

10.Don’t walk or stay under construction areas

(तनमायण िेत्रों के नीचे चलना और रुकना नही चाहहए )
 Code of Conduct

Purpose

The purpose of this “CODE OF CONDUCT” is to provide a summary of Organization’s principal ethics
and an easy reference for our proper conduct in our day-to-day business.

We are committed to the highest standards of business conduct, derives strength, and prospers by
dealing fairly honesty with employees, clients, suppliers, competitors, governments, regulatory
authorities, and the public.

It is not however, a substitute for the various Corporate Instructions dealing in more detail with some
of the topics covered.

1. Confidentiality

All employees are required to devote themselves exclusively to the company’s business and during
their employment with the Company, no employee should be engaged in any trade, business or
profession, either directly or indirectly other than that of the Company unless permitted by the
Company in writing to do so.

During the employment with the Company or after termination or separation of such employment,
no employee should divulge to anyone any information, relating to the Company’s business or the
business of any of the Company’s subsidiaries or associated Companies.

If, during the employment with the Company, employees either wholly or partly discover, invent
and/or make improvements in plants, machinery, process or other things used or may be used in the
production or business of the Company, the same will be deemed to have been made, invented,
suggested or acquired on behalf of and for the benefit of the Company alone and all rights, privileges
and titles will rest only with the Company.

2. Time Management

• Self-discipline calls for an employee to report at his respective workplace at the time fixed and
notified by the management and it should be an endeavor of all the employees to attend the
meeting by the scheduled time.

• Prior approvals are required for taking leave, extending leave and for leaving the station of his
posting.

• Not picking up the official calls & not reverting to the mails is not at all expected & is
considered to be a part of COC & there cannot be any exception to this.

Signature of Employee
3. Misconduct

Any of the following acts of commission or omission on the part of an employee shall amount to
misconduct :-

a) Willful insubordination or disobedience, whether or not in combination with another, of any lawful
and reasonable order of superior.

b) Going on a illegal strike or abetting, inciting, or acting in furtherance thereof.

c) Willful slowing down in performance of work, or abetment or instigation thereof.

d) Theft, fraud or dishonesty in connection with the Company's business or property (or the theft of
property of another employee within the premises of the company including residential premises)

e) Taking or giving bribes or any illegal gratification.

f) Habitual absence without leaves or absence without leave for more than 7 consecutive days or
overstaying the sanctioned leave without sufficient grounds or proper and satisfactory explanation.

g) Late Attendance on not less than four occasions within a month.

h) Habitual breach of any Standing Order or any law applicable to the establishment or any rules made
there under.

i) Collection without the permission of the Management of any money within the premises of the
establishment except sanctioned by any law for the time being in force.

j) Engaging in trade within the premises of the establishment or setting up own firm/ establishment.

k) Drunkenness, riotous, disorderly or indecent behavior in the premises of the establishment; or any
residential premises owned or leased by the company.

l) Commission of any act subversive of discipline or bad behavior in the premises of the establishment.

m) Habitual neglect of work, or gross habitual negligence.

n) Any conduct referred herein or which is punishable under the Indian Penal Code, CRPC and / or any
other act if proved in a court of trial may be taken cognizance of and the employees concerned shall
be dealt accordingly.

o) Habitual breach of any rules or instructions for the maintenance and for proper conduct of work in
any department, or the maintenance of the cleanliness of any portion of the establishment.

p) Habitual omission of any act or omission for which a fine may be imposed under the payment of
Wages Act, 1936.

q) Canvassing for union membership or the collection of union dues within the Premises of the
establishment, except in accordance with any law or with the Permission of the Manager.

r) Willful damage to work in progress or to any property of the establishment.

Signature of Employee
s) Holding meetings inside the premises of the establishment without the previous permission of the
Management or except in accordance with the provisions of any law for the time being in force.

t) Disclosing to any unauthorized person any information in regard to the processes of the
establishment which may come into the possession of the employee in the course of his work.

u) Gambling within the premises of the establishment.

v) Smoking or spitting on the premises of the establishment which it is prohibited by the management.

w) Failure to observe safety instruction notified by the Management or interference with any safety
device or equipment installed within the establishment.

x) Distributing or exhibiting within the premises of the establishment handbills, pamphlets and such
other things or causing to be displayed by means of signs or writing or other visible representation on
any matter without previous sanction of the Management.

y) Refusal to accept a charge sheet order or other communication served in Accordance with these
standing orders.

z) Unauthorized possession of any lethal weapon in the establishment.

za) Taking part in or abetting, aiding, supporting the following acts viz., Riotous behavior, Assault,
Physical Intimidation, Dharna, Kidnapping, Blackmail, Unlawful detention on or outside the premises
of the Telecom tower, Company's Offices, or at the Residence of the Officers / Staff of the Company.

4. General:

Every employee shall conform to and abide by the rules incorporated herein and shall observe, comply
with and obey all lawful orders and directions which may, from time to time, be given to him/her in
the course of his/her officials duties by any person or persons under whose jurisdiction,
superintendence or control he/she may, for the time being, be placed.

The following acts and omissions on part of an employee shall lead to “misconduct” in accordance
with the standard orders:

❖ Absence from work without any intimation.

❖ Habitual Late-coming.
❖ Taking out any property/document/ letterheads of outside the premises without prior
approval of the immediate superior.
❖ Willful insubordination or disobedience.
❖ Drunkenness or disorderly behavior during working hours.
❖ Not wearing the I-Card during office hours.
❖ Misuse of power/authority for personal gains.
❖ False claims/declarations.

Signature of Employee
 ❖ Extension of leave without prior intimation.
❖ Raising voice while in office, use of abusive / unparliamentarily Language.

❖ Use of alcohol during office hours.

❖ Sleeping while on duty.
❖ Refusal to accept transfer.
❖ You are expected to be in decent dress while in office/ at site.
❖ Refusal to accept any charge sheet or order or notice communicated in writing.
❖ Willful slowing down in performance of work.
❖ Act subversive of discipline.
❖ Any sharing of compensation details with other employees or Seeking compensation details
from other employees.
❖ Any act committed by you which may raise a question on your integrity.

An employee found guilty of misconduct may be :

➢ Warned or censured.
➢ Fined, subject to and in accordance with the provisions of the payment of Wages Act, 1936.
➢ Suspended by an order in writing for a period not exceeding four days.
➢ Dismissed without notice.
➢ Legal Proceeding as per Company Norms.

5. Scope

• You have to maintain all the KPI’s of sites that are allocated to you as per compliance.

Declaration of Code of Conduct

I S/D/o

Working as , have read and understood the Code of Conduct and

confirm that to the best of my knowledge the information disclosed on this form, is complete and
accurate in accordance with the Code. I understand that any false declarations or omissions may lead
to disciplinary and/or criminal proceedings where appropriate.

Employee Name

Signature

Signature of Employee
 AERIAL TELECOM SOLUTIONS PVT.LTD

Code of Business Ethics and Conduct

ACKNOWLEDGEMENT

I, ............................................................ SON/DAUGHTER OF…………………………………………………….

WORKING AS ....................................................................ON THE PAYROLLS OF

M/S AERIAL TELECOM SOLUTIONS PVT.LTD hereby undertake to strictl abide by
terms of the Code of Business Ethics & Conduct which I have read / been fully
explained to me in my vernacular language and fully understood by me.

Employee Name……………………………………………………………….………

Employee Code………………………………………………………………….……..

Place…………………………………………………………………………….............

Date………………………………………………………………………………………

Signature………………………………………………………………………………….

The completed form should be sent to your Human Resources/Personnel representative

or other person authorized by your Manager.
 Aerial Telecom Solutions Pvt.Ltd.
E-93,4 Floor, Industrial Area, Phase –VIII, Mohali (Pb.) 160071
th

Asset Acknowledgement Form

This form is an acknowledgement for Laptop, Tablets Phone, Terms or any other assets provided by ATS
to Employee’s for official purpose/use.

Name of Employee Date:

Emp_Id Location

Permanent Address of Employee

Contact No Email_Id
Emergency No

S.No Item Description Quantity Serial No (Asset) Remarks

1 Laptop
2 Sim
3 Smart Phones
4 GPS with serial no
5 USB Hub
6 Dongle
7 Testing Phones
8 Data Card
9 Invertor
10 Car
11 Safety Harness
12 Safety Shoes
13 Safety Helmet
14 Tool Kit

Signature of the person handing over Signature of Recipient

NAME OF RECIPIENT IS NOW CUSTODIAN OF THE

ITEMS ABOVE
I hereby, confirm that I have received the asset in proper working
condition. I will only be using ATS assets for business or official purpose only. Any additional/external
software or hardware installed to have prior approval before installation. In the event of my separation
from the company, I understand that it is responsibility to return all company assets that has been
assigned to me within 24 hours & take no dues from ATS.In addition I acknowledge that I will not
receive my last paycheck, unless I return the above mentioned assets, failure to do so ATS retains the
right to file legal proceedings against me.
Employee’s Name Date:

Signature