SK Finance Ltd

JOINING CHECK-LIST
Name: ________ Designation: ______________________________________________

Department: Location: Contact No.: _

Referral Detail - Name of Employee ………………………………Emp. Code-….……………… Designation ……………….….

Local Address (Mandatory) _________________________________________________________________________________________________

Part: A (To be completed at the time of Offer / Prior Joining) -

S. No. Documents Status Remarks

1 Copy of Resume
2 Employee Joining Form
3 Background Authorization Form
4 Acceptance Copy of SK Offer Cum Appointment Letter with
Terms & Conditions Duly Signed each page
5 Qualification Certificates (10th Onwards to Highest Education)
6 Identity Proof- AADHAR with clear DOB (DDMMYY), PAN/
Form 60 (Compulsory)
DL (Mandatory for Sales/Collection Field Staff)
7 Aadhar Card of Father, Mother, Spouse & Children (For ESIC
Purpose)
8 Passport Size Photograph (Recently clicked)
9 Bank Details - Cancelled Cheque/ Bank Passbook/ Bank
Statement with Name, Account Number & IFSC Code.
10 Resignation Acceptance from current employer with LWD
(Relieving letter need to submit within 60 days of joining)
11 Last 3 Month’s Salary Slips/Bank statement/Salary Proof
12 UAN & Provident Fund Details (Form 11) (UAN is Compulsory
if candidate was member of EPF in previous Company). In case Mention UAN No:-
of no UAN than need to provide recently downloaded E Aadhar.
13 Nomination form for Provident Fund (Form 2)
14 ESIC No. & Registration Form (If Applicable) Mention ESIC No:-
If not provided - New IP will be generated
15 Self-Medical Fitness Declaration Form
16 Form F (Gratuity Nomination form)

Part: B (For Office use at H.O.)

S. No. Documents Status Remarks
1. Boarding Sheet With Approval (Mandatory)
2. CIBIL Report

RHR Name
RHR Code

Auditor Remarks & Signature

 SK FINANCE LTD
EMPLOYEE JOINING FORM

Personal Detail

Name of Employee _______________________________________________ Passport Size Photo

Father's Name ________________________________________________________ (Recently Clicked
Colored)
Date of Joining _______________ Designation _____________________________

Department _______________________ Location ______________________

Date of Birth ______________________

Marital Status ________________________ Date of Marriage: …. /…../…..…..

Present Address:

Address Line_1
Address Line_2 ___________________________________________City/Village ______________________________
District _______________________ State _________________________ PIN Code _____________

Mobile No_1 __________________________ Mobile No_2 _____________________________

E Mail ID _________________________________________________________________________

Permanent address: -

Address Line_1
Address Line_2 ___________________________________________City/Village ______________________________
District _______________________ State _________________________ PIN Code _____________
Name of Contact person
In Case of Emergency _______________________________ Relationship with Candidate ______________________

Emergency Contact Number __________________________ Landline Number ______________________________

Family Details: -
RELATIONSHIP NAME DOB (DD/MM/YY) OCCUPATION CONTACT NO.
Father
Mother

Siblings (Brother/Sister)

Spouse (Husband/Wife)
Child 1
Child 2

Physical details:
Height
Weight
Blood Group

Personal Asset Detail: -

(a) Self-Vehicle (Two/Four Wheeler) (if yes, please mention vehicle detail) - ……………………………

Page 1 of 2
 Educational Details: (Need to Fill in Descending Order – Highest to 10th) -
Class/Degree Name of College/Institute University/Board Year S Subject
Post-Graduation
Graduation
12th
10th
Other Diploma/Degree

Experience detail: -
Total Experience: ____________ Years _____________ Months

UAN in Last Organization ____________________________ PF No. in Last Organization: _______________________________

ESI Number in last organization ____________________________

_____________________________

Employment Details: (Need to Fil in Descending Order - latest to previous) -

Name of Organization Location From To Designation Reason of Leaving

(DD/MM/YY) (DD/MM/YY)

Whether you have worked previously with SK Finance: Yes ____ No ____ _

If Yes – E Code ____ _____ Designation ____ _____ _F & F Status _____ _____
____________
Whether any of your relative working in SK Finance: Yes _______ No ___________

If Yes – Name ____ _____ __Relation _____ _____ ____E Code ____ _____ Department ____ _____ __________

*Hiding previous employment & relative working is against company Policy. Provide complete and true description of the same.

Bank Related Details: -

Name as per Bank Account: - _________________________________ PAN _______________________
Bank A/c Number: - IFSC Code: - ____________________
Bank Name: -
Bank Branch Name & Address: -.

Reference 1: - (Relative) Reference 2: - (Friend)

Name: - Name: -
Phone No: - Phone No: -
Address - Address:-

Employee Signature HR Signature

Page 2 of 2
 FORM 2 (Revised)

NOMINATION AND DECLARATION FORM FOR UNEXEMPTED/

EXEMPTED ESTABLISHMENTS
Declaration and Nomination Form under the Employees’ Provident Funds and
Employees’ Pension Scheme

(Paragraphs 33 & 61 (1) of the Employees Provident Fund Scheme, 1952 and Paragraph 18 of the Employees’ Pension scheme, 1995)

1. Name (in Block letters) :

2. Father’s/Husband’s Name :

3. Date of Birth :

4. Sex :

5. Marital Status :

6. Account No. :

7. Address Permanent :

Temporary :

8. Date of joining :

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:

Name of
Nominee/ Address Nominee’s relation- Date of Total amount of share of If the nominee is a minor,
Nominees ship with the member Birth Accumulations in Provi- name & relationship & address
dent Fund to be paid to of the guardian who may
each nominee receive the amount during the
minority of 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.

Signature or thumb impression of the subscriber

*Strike out whichever is not applicable.

 Part B (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 death.

S.No. Name of the family Address Date of Birth Relationship with the member
member

1 2 3 4 5
1

** Certified that I have no family, as defined in para 2(vii) of Employees’ Pension Scheme, 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 widow pension (admissible under para 16 2(a)(i) and (ii)
in the event of my death without leaving any eligible family member for receiving Pension.

Name and Address of the Nominee Date of Birth Relationship with the member

1 2 3

1.

2.

3.

4.

Date:

Signature or thumb impression of the subscriber

**Strike out whichever is not applicable.

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/entries have been read over to him/her

by me and got confirmed by him/her.

Place :

Signature of the employer or other

Authoried Officers of the Establishment.

Designation
Dated the :

Name & Address of the Factory/

Establishment or Rubber Stamp Thereon
 SK FINANCE LTD
ESI REGISTRATION APPLICATION FORM
(Applicable for ESI Covered Employees only)
DATE:

ESIC (IP No.) in Last Organization (If not available or not filled, will generate new IP): -

Employee Name
Date of Birth (DD/MM/YY)
Father/Husband Name
Gender (Male/Female/Transgender)

Temporary Address

Permanent Address
1.Dispensary Preferred Location (Self)
2.Dispensary Preferred Location (Family)

Family Details (Parents, Spouse & Children detail with complete DOB & name as per Aadhar records)

SL Family Person’s Name Relationship DOB (DD/MM/YY)

2
3
4
5
6

Nominee Details -

SL Name Relationship DOB (DD/MM/YY)

Declaration: -
I declare that I will update my eligible family detail in ESI records at ESIC portal from my end and it
is my responsibility to update the same.

Signature by Employee
 In Case of Non Submission of PAN/applied

Income-tax Rules, 1962

FORM NO. 60
[See second proviso to rule 114B]
Form for declaration to be filed by an individual or a person (not being a company or firm) who does not have a permanent
account number and who enters into any transaction specified in rule 114B.

Name

Mob No

Email ID

21. If applied for PAN and it is not yet generated enter date of application D D M M Y Y
acknowledgement number

22. If PAN not applied, fill estimated total income (including income of spouse, minor child etc. as per section 64 of Income-tax
Act, 1961) for the financial year in which the above transaction is held

a Agricultural income (Rs.)

b Other than agricultural income (Rs.)

Verification

I, do hereby declare that what is stated above is true to the best of

my knowledge and belief. I further declare that I do not have a Permanent Account Number and my/ our estimated total
income (including income of spouse, minor child etc. as per section 64 of Income-tax Act, 1961) computed in accordance with
the provisions of Income-tax Act, 1961 for the financial year in which the above transaction is held will be less than maximum
amount not chargeable to tax. Verified today, the day of 20

Place: (Signature of declarant)

 SELF MEDICAL FITNESS DECLARATION

(At the time of Joining at S K Finance Limited)

1. Are you suffering from any infectious, chronic or any other disease, which makes you, unfit for your applied work
profile during your employment? (Yes/No)
2. Are you suffering from asthma, epilepsy or any other medical problem which requires immediate medical attention?
(Yes/No)
3. In case, you have any medical problem requiring any specific facility during your employment, the same needs to
be indicated along with supporting documents. (Yes/No)
4. Specify your: Height: …………….
Weight: ……………
Blood Group: …………….
5. Is there any evidence of any morbid condition of either eye of the lids of either eye which may be liable to risk of
aggravation of recurrence? (Yes/No)
6. Can you readily distinguish the pigmented colours, red and green? (Yes/No)
7. Hearing must be good in both ears and there should be no sign of suppurative disease. No hearing aid shall be
permitted. Is there any condition that affects your hearing in any way? (Yes/No)
8. Is there any evidence of acute or chronic skin disease or chronic ulceration? (Yes/No)
9. Speech should preferably be without impediment. (Yes/No)
10. You should be free from all diseases of respiratory system. There should be no deformity of chest which may cause
impediment to breathing. (Yes/No)
11. Is there any evidence of any disease of nervous system or any mental disease? (Yes/No)
12. Is there any evidence of tuberculosis or other contagious disease? (Yes/No)
13. Have you ever been disqualified on medical grounds from any previous employment opportunity? (Yes/No)
14. Have you had any form of critical illness or operation in the last two years? (Yes/No)
15. Have you ever been diagnosed to have any Psychiatric ailment including Depression, Anxiety Neurosis, Phobic
disorders, Schizophrenia, Maniac Depressive Psychosis or any other Psychiatric illness? (Yes/No)
16. Do you have any back, neck or spinal problems that may affect your ability to work in a safe manner? (Yes/No)

Are you under regular medication for any particular ailment or condition? If Yes, please specify below
………………………………………..

Declaration: I hereby declare that the information given above is true and nothing has been concealed therein. If any discrepancy
found in the information so provided, the Company reserves the right to take appropriate action as per Company’s Code of
Conduct.

Name of Employee ____________________________

Father’s Name ________________________________

Mobile Number _______________________________

Signature of the Employee

Date: …………………
 Payment of Gratuity (Central) Rules (FORM 'F')
See sub-rule (1) of Rule 6
Nomination

To,
SK Finance Limited,

I, Shri/Shrimati/Kumari
(Name in full here)
whose particulars are given in the statement below, hereby nominate the person(s) mentioned below to
receive the gratuity payable after my death as also the gratuity standing to my credit in the event of my death
before that amount has become payable, or having become payable has not been paid and direct that the
said amount of gratuity shall be paid in proportion indicated against the name(s) of the nominee(s).
2. I hereby certify that the person(s) mentioned is/are a member(s) of my family within the meaning of clause
(h) of Section 2 of the Payment of Gratuity Act, 1972.
3. I hereby declare that I have no family within the meaning of clause (h) of Section 2 of the said Act.

4 (a) My father/mother/parents is/are not dependent on me.

(b) My husband's father/mother/parents is/are not dependent on my husband.
5. I have excluded my husband from my family by a notice dated the to
the controlling authority in terms of the proviso to clause (h) of Section 2 of the said Act.
6. Nomination made herein invalidates my previous nomination.
Nominee(s)

Name in full with full Relationship with Age of Proportion by which

address of nominee(s) the employee nominee the gratuity will be
shared

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

1.
2.
3.

Statement
1. Name of employee in full
2. Sex
3. Religion
4. Whether unmarried/married/widow/widower
5. Department/Branch/Section where employed
7. Date of appointment
8. Permanent address:
Village Thana Sub-division
Post Office District State

Place:
Signature/Thumb-impression of the
Employee
Date:

Declaration by Witnesses

Nomination signed/thumb-impressed before me

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

2. 2.

Place:
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 authorised
Designation

Date: Name and address of the establishment or

rubber stamp thereof.

Acknowledgement by the Employee

Received the duplicate copy of nomination in Form 'F' filed by me and duly certified by the employer.

Date: Signature of the Employee

 BGV Authorization Form
EMPLOYEE PERSONAL INFORMATION
Name of Employee : ……………………………………………………………………………………………..

Father’s Name : ……………………………………………………………………………………………..

Mother’s Name : ……………………………………………………………………………………………..

Date of Birth : ……………………………………………………………………………………………..

Marital Status : Married / Unmarried ………. Date of Marriage ……………………………

Spouse Name : ……………………………………………..…………… DOB ………………………

Child Name (1st) : ………………………………………….………………. DOB ……………………...

Child Name (2nd) : ……………………………………….…………………. DOB ……………………..

Present Address : …………………………………………………………...…………………………….

…………………………………………………………………………………………………………….………………

…………………………………………………………………………………………………………….………………

Permanent Address : ……………………………………………………………………………….…………

…………………………………………………………………………………………………………….……………….

Aadhar Card No: …………………………………………………… PAN ……………………………………

Driving License No : …………………………………… (Mandate for Sales / Collection / Field Staff)

Bank Name : …………………………………………………………………………………………

IFSC Code : ………………………. Bank Account No………….………………………………..

PF Account No : ………………………..……………… UAN ………………………………….……..

ESIC IP : ………………………………………………………................................................

Highest Qualification : ………………………………………………………………………………..……….

College/Study Center Name: ………………………………………………………………………………..………..

College/Study Center City/State ……………………………………………………………………………………..

University Name: ………………………………………………………………………………..……………………..

University City/State: ………………………………………………………………………………..…………………

Course Type: Regular ( ) Distance ( )

Course completion Year: ……………………………..

 Details for Back Ground Verification

Employment Detail (Starting from First Organization to Current)

1 Name of the Organization From (DD/MM/YYYY) To (DD/MM/YYYY) Last Designation

Reporting Manager Name Designation E Mail ID Contact Number

HR Name Designation E Mail ID Contact Number

2 Name of the Organization From (DD/MM/YYYY) To (DD/MM/YYYY) Last Designation

Reporting Manager Name Designation E Mail ID Contact Number

HR Name Designation E Mail ID Contact Number

3 Name of the Organization From (DD/MM/YYYY) To (DD/MM/YYYY) Last Designation

Reporting Manager Name Designation E Mail ID Contact Number

HR Name Designation E Mail ID Contact Number

4 Name of the Organization From (DD/MM/YYYY) To (DD/MM/YYYY) Last Designation

Reporting Manager Name Designation E Mail ID Contact Number

HR Name Designation E Mail ID Contact Number

 Back Ground Verification Authorization/Declaration

TO WHOM IT MAY CONCERN

I hereby authorize SK Finance and its representative(s) or any aligned background verification organization to
authenticate information provided in my resume, application of employment and the necessary documents provided for
the employment to conduct background verification process as may be necessary, at the company's discretion. I also
authorize (for inclusion of checks mentioned in below but not limited to) all persons who may have information relevant
to this verification to disclose it to SK Finance and its representative(s) or any aligned background verification
organization.

I release all persons from any liability whatsoever on account of such disclosure to SK Finance and its representative or
any aligned background verification organization or its representative that the information provided is authentic, and I am
liable for all inaccuracies and omissions.

1) Education Check (Pre-On-boarding)

2) Employment check (Previous Employers - Pre- On-boarding; Current Employer – Post On-boarding)
3) Address Check (Pre-On-boarding)
4) Criminal Record check (Pre-On-boarding)
5) Identity Check (Pre-On-boarding)
6) CIBIL (Pre-Offer)
7) Police Intimation (Post On-boarding)

Signature

Name in Block Capitals

Place

Date (DD/MM/YYYY)
 UNDERTAKING

I _______________________________ S/o /D/o W/o _____________________________

aged about ______ years, residing at __________________________________________
_____________________________________ (“Applicant”) do hereby agree, confirms and

undertakes to SK Finance Limited (“Company”) that I have done 10th/12th/graduation/post-

graduation in ______________ the year __________ from _____________________ and

have an experience of _________ years. That during my entire the employment history I

have a break/gap of ___________________ period in my professional career, which is as

mentioned below -

S. Gap in months/years Period of Gap in Reason of Gap

No. Employment (from to)

1. That during my entire professional career, I neither have assisted nor was involved in any
activity barred under the country’s laws and that I have no cr iminal case pending against me
in any court of law.
2. I declare that I have not rece ived any resignation acceptance, relieving, or experience letter
from the organization; hence, I am unable to prov ide the said documents - Yes/NA
3. I declare that I have furn ished all the information related to UAN…………………….... and
ESI……………………………………. correctly to the organizat ion.
4. I declare that I will update my KYC & Nominee detail at EPFO portal from my end and its my
responsibility to update same.
5. I declare that I will update my eligible family detail in records at ESI portal from my end and
it’s my responsibility to update same (If covered under ESIC Scheme).
6. I declare that the above information mentioned is true to the best of my knowledge and belief
and no material fact has been concealed by me in any manner whatsoever.
7. That if the facts given above are proved false at any point in the future, I shall accept full
responsibility of the same and the Company may take all appropriate action against me at
my sole cost risk.

Yours Faithfully

Signature:
Name:
Place:
Date this _______ day of ________ 20__ at ______