No.

TM
TeamLease
Staffing Solutions

Employee Joining Kit

Welcome to Teamlease

Putting India to Work

 Table of Contents

Welcome Letter.........................................................................................................................1

Model Service Rules.................................................................................................................2

Information on Provident Fund.................................................................................................6

Frequently Asked Questions on Provident Fund.....................................................................7

Information on Employees State Insurance Scheme.................................................................8

Information on Gratuity / Mediclaim Process.........................................................................10

Information on Insurance.......................................................................................................11

Frequently Asked Questions On Insurance............................................................................12

Sample Form for Provident Fund.......................................................................................13

Sample Form for Gratuity.......................................................................................................15

Sample Form for ESIC (Employees State Insurance Scheme)................................................17

Employee Joining Form.........................................................................................................20

Provident Fund Form..............................................................................................................23

Gratuity Form.........................................................................................................................25

ESIC Form.............................................................................................................................27

Information Card........................................................................................................................

Business Reply Envelope..........................................................................................................

*Forms from page number 20 are to be duly filled and returned within 7 days of receipt of this kit.
Dear Employee,

Welcome to TeamLease family, you are now part of India's largest staffing company.

About Us

TeamLease Services Private Ltd is India's largest People Supply Chain & HR Outsourcing Company and has
spearheaded India's Temporary Staffing Revolution. TeamLease has been recognized for having pioneered
temporary staffing in India. Currently we have over 75,000 employees on our rolls, presence across 800
locations with 15 offices in India. We supply a range of temporary and permanent manpower solutions to more
than 1200 clients across India.

Our core team of employees operate via a network of branches to expand our national employment footprint.
India's fast-paced growth market presents innumerable employment opportunities. To cover the skill deficit that
exists among today's job seekers, TeamLease through its training arm Indian Institute of Job Training (IIJT)
facilitates job oriented training to meet the requirement of today's job market.

With an impressive placement rate of one every five minutes, TeamLease fully embodies its vision of Putting
India to Work.

Joining Process

As part of the joining process the following documents (enclosed) are to be filled correctly, signed, enclosed with
photographs (wherever applicable) and posted to us in the pre-addressed & pre-stamped envelope within 7
days from the date of joining. Kindly note, that you will not be entitled to any statutory benefits if the completed
documents are not sent to us within 7 days from your date of joining.

1. Appointment Letter: Signed copy (acknowledgement) of the offer letter has to be sent to us
2. Employee Joining Form: Fill up your personal details for company records
3. ESIC Declaration Form (if applicable): To be duly filled & returned. (pre-filled Sample copy enclosed)
4. PF Nomination & Declaration Form: To be duly filled & returned. (pre-filled Sample copy enclosed)
5. Gratuity Nomination Form (Form F): Mandatory to avail Gratuity benefits on completion of 4 yrs 240
days of continuous service
6. Service Rules applicable at the work place for your reference
7. Self addressed & pre-stamped envelope: This is an envelope where all the filled documents can be
posted to us FREE OF COST.

Note:- In case you come under the income tax bracket, then please write to info@teamlease.com to get the IT
declaration form.
Your web login and password will be activated within 24 hours of the date of joining confirmation. Please contact
the Central Customer Center for your login ID & password.
Your point of contact will be the Central Customer Service team who can be reached through mail / phone. In
case of any queries you can write to info@teamlease.com with your full name & employee id or can call
60000655 (prefix the nearest TeamLease location STD code). Central Customer Service works from 8am to
8pm, Monday to Saturday (excluding general holidays).

Best wishes,

Mohit Gupta
Director

TeamLease Services Pvt. Ltd.,

AhmedabadBangaloreChennaiDelhiHyderabadKolkataMumbaiPuneChandigarhJaipurJamshedpur
Contact No. : 60000655

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 Model Service Rules
Applicable to Associates / Employees working for TeamLease Services Pv t. Ltd.
Where Industrial Employment (Standing Orders) Act is not applicable.
These rules shall be called 'Service Rules' and shall apply to all employees
/associates of TeamLease Services Pvt. Ltd.
(1) Definitions
In these rules unless there is anything repugnant to the subject or context:
(a) The 'Manager' includes the General Manager or any other person
duly authorized or notified in writing to exercise all or any of the
powers or functions of a Manager under these Rules.
(b) 'Management' means the Partner, Director, the Managing Director,
or such other person having authority to manage the Shop
/Establishment.
(c) 'Employed' means a person wholly or principally employed, whether
for wages (payable on permanent, periodical, contract or piece-rate
basis) and includes an apprentice and any person employed in a
factory/office/workplace but not governed by the Factories Act, 1948
(63 of 1948) and for the purpose of any matter regulated by Shops
and Establishments Act.
(2) Classification of Employees
(i) Permanent employee is an employee who has been appointed on
permanent basis with a proper letter of appointment under the
signature of the Director/Manager/General Manager and shall not
include an employee who is on probation, apprentice, casual or
temporary.
(ii) A Probationer is an employee who is provisionally employed with a
view to fill a permanent post and is on trial to prove his fitness for
holding the said post on permanent basis.
(iii) Temporary/Fixed Term employee is an employee who has been
employed for the job which is essentially of a temporary nature and
likely to be finished within a specified period or for a specific purpose.
(iv) 'Apprentice' (Learner) is one who is engaged or being trained and
who may be paid a stipend during the period of apprenticeship.
(v) A 'Casual' employee is one who is engaged for work of casual nature
and/or intermittently.
(3) Appointments
All appointments shall be made in the name of the
Shop/Establishment under the order of the Director
/Manager/General Manager and all such appointments
shall be signed by him or by any authorized officer or
official of the concern /firm/company. No other letter of
appointment except as issued according to these rules
shall be held as valid and binding on the management.
The appointment will be based on the information
furnished by the employee and in case any information so given found
false at any point of time the appointment shall stands cancelled without
any notice/compensation.
The contract of service may be terminated by any of the party by giving
notice 30/15/07 days' salary in lieu thereof or as specified in your
appointment letter.
(4) Hours of Work
The general working hours of TeamLease is from 9:30
am to 5:30 pm unless different working hours are
specified as per the clients policy. With a break of 30
mins provided also that if during any period of stock
taking or making of accounts or any other purposes
any employee may have to sit for a longer period than
the working hours of TeamLease or its client.
(*Break timings or working hours - as above or as
specified by the client / clients policy)
(5) Punctuality
Every employee will observe punctuality and if any
employee is late by 15 minutes in attending or leaves
the factory/office/workplace 15 minutes before the
working hours fixed as the case may be, he shall be
treated on leave for half a day and if during one month
such number of contingencies have been more than
three or being repeated, the employee shall be liable
for habitual late coming or leaving before time. Disciplinary action to taken
against him and he will be liable for dismissal from service.
(6) Casual or Sick Leave
(a) Every employee shall be entitled in every calendar year to casual / sick
leave/earned leave/privilege leave as per the Client Policy.
(b) The employee must always obtain previous permission for casual leave,
but when it is not possible to do so he shall apply in writing as soon as
possible for the grant of such leave and Management may condone his
absence from duty without previous permission where it appears that
absence was caused by some unavoidable circumstances beyond the
control of the employee.
(c) The Management may refuse an application for casual leave from an
employee on grounds of exceptional pressure of work or on some other
grounds in the interest of work.
(d) When the application for casual leave is on account of sickness of the
employee, his wife, or child and the Management is not satisfied about the
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correctness of the assertion set out therein, it may either (i) direct the
employee to submit a medical certificate in support thereof from a
registered medical practitioner or (ii) get the employee or the wife or the
child as the case may be examined at the Management's own expenses
by a registered medical practitioner (lady doctor in case of females) for the
purpose of verifying the facts mentioned in the application and may grant
or reject the application on the basis of the certificate of such medical
practitioner.
(e) The employees who are covered under ESI Scheme will get the sick
leave/benefits as per the approval of the ESIC.
(7) Privilege Leave
(a) An application for privilege leave should ordinarily be made in
writing fifteen days in advance.
(b) Privilege leave cannot be claimed by the employee as a matter of
right, but will be granted by the Management subject to the
exigencies of work.
(c) In case of illness, the management may grant leave even earlier
than the completed service of one year. Nothing in these rules
debars the management from granting any other leave as it may
deem fit as where circumstances of justify.
(8) Maternity Benefits
Female married employees shall declare at the time of
appointment about her stage of pregnancy. She will be
entitled to receive maternity benefits if she has actually
worked in the establishment for a period of at least 80 days in
twelve months immediately preceding the date of her
expected delivery as per Maternity Benefits Act, 1961. The
total period of the maternity leave shall not exceed twelve
weeks pre and post of the delivery. The employee who is
covered under ESI Act shall be given this benefit by ESIC.
(9) Festival and National Holidays
Every employee will be entitled to three National Holidays i.e. 26th
January, 15th August, and 2nd October besides Festival Holidays as
prevalent in the trade/region in which the client is engaged or located.
(10) Obligations of Employees
(a) Every employee shall, in accordance with the policy laid down by the
Management, perform his duties entrusted to him from time to time.
(b) Except to his direct superior authorities, no employee shall divulge
any secret of Team Lease/Client and shall be bound to keep in
secret all matters pertaining to the affairs of Team Lease or the
Client.
(c) All books, records and articles belonging to the Management shall
remain in the factory/office/workplace premises of the Management
and the employee shall see that these are safely kept and
maintained in their proper places.
(d) No employee shall remove even temporarily any of the books,
records, papers etc., from the premises of the shop/establishment to
any other place without the previous permission of the
Manager/Director.
(e) Every employee, unless prevented by ill health shall during the
tenure of his service devote his whole time and attention to the
business/affairs of Team Lease/Client in all respect, conform to
directions and regulations made by the superior authorities and
obey their orders and shall faithfully serve and use his utmost
endeavor to promote the interests thereof and serve at such places
and in such capacity as the Management may from time to time
decide or direct.
(f) No employee shall, unless previously authorized by the
Management or any other competent authority in this behalf in
writing receive, collect any cash or pledge property and assets of
the management or sign on behalf of the management or any
other corporate or non-corporate business managed by
TeamLease / clients.
(g) Every employee shall before close of day, deposit with the cashier or
any other person authorized to receive cash as the case may be the
cash received or collected by him for and on behalf of the
management during the course of the day.
(h) Any employee disregarding the above provisions regarding receipt,
collection or realization of cash property or other assets of the
management or signing on behalf of the Management, any receipt of
cash shall render himself liable to immediate disciplinary action in
addition to such other legal action as the management may be
advised to take against him.
(i) In the case of employee's taking money in advance from the
Manager for purchases of materials or for other purposes shall
render account of the same atleast once in every week to the officer
who sanctions the advance.
(j) Every employee shall observe courtesy and politeness.
(k) No employee shall enter into monetary dealings with his colleagues,
 subordinates or clients or customers nor shall be accept any
presents from them.
(l) No employee shall use TeamLease / clients name or properties for
his own purpose and benefit except when permitted to do so by the
management.
(11) Absence and Abandonment of Service
If an employee is found absent during working hours from his place of
work, he shall be liable to be treated as absent from duty. If an employee is
absent from work for 8 consecutive days and remains absent after the
expiry of leave originally granted or subsequently extended, he shall lose
lien on the job/post and shall be deemed to have left the Company unless
he returns to duty within 8 days of the due date and gives the explanation
in writing for his unauthorized absence to the satisfaction of the
management. The employee shall not be entitled for any wages for the
period of his unauthorized absence from duty on the well settled principle
of law no work, no pay.
(12) Transfer
Every employee shall be liable to be transferred from one place to another,
from one department to another or to work in the sister
concern whether located in the same place or
elsewhere either existing at the time of these rules
come into force or comes into existence and is set up in
future provided that such transfer does not entail
reduction in total emoluments. Management may
depute any employee for outstation duty in connection
with the work or business of TeamLease and its clients with proper notice.
(13) Increments and Promotions
Subject to the contract of service, if any, the promotion,
increment etc. of an employee will entirely depend
upon the performance of work and ability and
satisfaction he gives to the Management in discharge
of his duties and the extent of his usefulness to
TeamLease client. The recommendation of the head of
the departments to this effect will be considered by
Managing Director/ General Manager who will be the
final authority to judge the ability of an employee or the satisfaction given
by him to the Management in discharge of his duties or his being
otherwise useful to the Management. It is made clear that the
increment/promotion is not a matter of right of an employee and it will be a
complete discretion of the management to consider an employee for
promotion and/or increment in wages. Unless otherwise agreed upon in
the letter of appointment, increment will be granted with effect from the
date from which it is due at least after one year of confirmed service.
(14) Accident
An employee shall be entitled for medical
aid/compensation for the accident met during the course
of employment as per the Employee Compensation Act
and/or ESI Act as applicable. However, it is clarified that
all the employees shall observe all the safety rules,
regulations and instructions issued by the management
from time to time.
(15) Consequences of Termination/Dismissal
An employee on termination of service with the management will hand
over the charge of all moneys, files, registers and other properties of
TeamLease / client in his possession or control and hand-over possession
of the flat/accommodation. In the event of failure on the part of the
employee to hand-over charge and possession of the Management's
properties and premises as aforesaid, the Management shall be at liberty
to forfeit the salary, security deposit and other dues if any, of such
employee payable by the company, without any prejudice to its right of
action which the Management may have in law against such employee.
(16) Suspension
An employee can be suspended at the discretion of the management for
any act of misconduct (as annexed in Annexure A) committed by the
employee. The suspended employee shall only be entitled for the
payment of subsistence allowance @ 75% wages pending inquiry. In case
the charges are not proved, the employee will get full salary for
suspension period. The above service rules can be amended, altered or
modified at any time.
(17) Penalties for misconduct
Following minor/major penalties can be imposed
(1) Censure/warning
(2) Fine up to 25 to 50% of gross wages in a month
(3)Termination/Dismissal/Discharge from the services
(18) Resignation
Any employee may resign from the services by serving the required notice
as per your offer letter or payment of salary in lieu thereof and shall be
relieved after furnishing the clearance of no dues certificate.
(19) Retirement
(a) An employee shall be liable to retirement on
attaining the age of 58 years at any time at the
discretion of the management.
(b) An employee shall be liable to be retired
earlier on medical grounds if he becomes
physically or mentally unfit.
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(20) Supply of service rules
The copy of these service rules in English shall be supplied to a employee
at the time of his appointment and he/she will sign on each and every page
of a duplicate copy thereof as a token of receipt and acceptance along with
appointment letter.
ANNEXURE-A
Acts of Misconduct
Maintenance of discipline among the workmen by laying down rules and
regulations from time to time and enforcing the same by such actions as the
Management may deem fit, proper and necessary is the inherent and legitimate
right of the management. Without prejudice to the general meaning of the
expression Misconduct, it shall in additions to the misconducts as mentioned
in these standing orders herein before shall mean and include the following acts
whether done or in combination with others. These acts are only illustrative and
not in any way to be deemed as exhaustive.
1. Impertinence, insubordination, or disobedience or insult to superior
whether alone or in combination with another or others of any lawful
or reasonable order of the superior, use or impertinent language,
indecent behavior, gesture against any superior officer of the
company.
2. Unlawful cessation of work or refusal to work, going on strike in
contravention of the provisions under law, participation in a stay-in-
strike or any form or go-slow or work to rule.
3. Participating, inciting and/or instigating other employees to take part
or to act otherwise in furtherance of an illegal strike or go-slow, stay
in strike in any form or illegal strike or action in the furtherance of
such strike.
4. Delay in commencing the work or stoppage of work during the
stipulated working hours.
5. Theft, fraud or dishonesty in connection with company's business or
property of the company or any of its employees or contractors or
contractor's employees.
6. Hiding away or attempting to hide any goods, articles, materials
documents, plans, drawings, trade, formula, etc. of the company.
7. Dishonesty in connection with the marking of attendance or
attempting to mark attendance by card punching or otherwise or
punching other worker's card or attempting to mark attendance in
other worker's card.
8. Interfering or tampering with or willful falsification, defacement or
destruction or forging of any record belonging to the company or to
fabricate false evidence in order to get benefit out of it whether for
himself or for any other person.
9. Unauthorized absence from duty or from place of work
10. Habitual absence from duty without permission or without sufficient
cause or absence from duty after leave being refused
11. Applying for leave on false grounds.
12. Demanding, offering or accepting bribes or any illegal gratification from
any person in connection with employment or work of the company.
13. Idling or wasting time during working hours or delaying/hampering of
production or not carrying out orders of superiors or remaining
inside the plant premises after authorized hours of work without
permission.
14. Disobedience of any rules or instructions given by any superiors,
departmental officer or any other competent person.
15. Engaging in personal work within the factory/office/workplace
premises during working hours or engaging in double employment
or any other profession after the duty hours.
17. Inebriated, fighting, riotous, or disorderly behavior or conduct
endangering the life or safety of any person or any other act
subversive of discipline whether committed inside or outside the
factory/office/workplace premises or in the workers colony provided
by the management having a nexus with employment, moral and/or
provided by the management having a nexus with employment,
moral and/or safety of any workman or other employees.
18. Any act of sabotage or plant, machinery or any property of the
company.
19. Refusal to keep the machine, equipment, components, tools clean.
20. Giving false information regarding his name, age, father's name,
qualification or previous service at the time of employment or
thereafter
21. Any offence involving moral turpitude committed anywhere which is
punishable under the Indian Penal Code or under any other law.
22. Smoking, chewing of betel and spitting where it is prohibited within
the factory/office/workplace premises.
23. Not informing change of address.
24. Damage or attempt to cause damage to work in progress or to any
other property of the company or its contractor or the co-operative
society of the employees.
25. Refusal to work on other machine.
26. Refusal to accept transfer from one job to another or from one shift to
another or from one section or department to another or from one
place to another whether locally or out of station from one
establishment to any other establishment under the same
Management provided wages are not affected adversely.
27. Failure to wear tight fitting clothing's or to observe safety instructions
or unauthorized removal or interfere or damage to machine guards,
fencing or other safety devices provided for the purposes of
securing safety of himself and/or of other workmen.
28. Threatening, assaulting, intimidating or misbehaving with any
officer, workman or any other employee of the company whether
inside or outside the factory /office/workplace premises or
incitement to or abetment of any of these acts.
29. Yearning female employees or passing indecent remarks either at
the factory /office/workplace premises or outside or in the transport
of the company.
30. Knitting by female employees during working hours.
31. Wearing provocative dress by female employees.
32. Carrying of any lethal weapon, arms or inflammable material or other
prohibited articles within the factory/office/workplace premises.
33. Gambling or playing cards or indulging in any activity involving moral
turpitude within the factory/office/workplace premises and/or in the
workers colony provided by the Management.
34. Sleeping while on duty.
35. Distributing or exhibiting inside the factory/office/workplace
premises or residential colony hand bills, pamphlets, books, or
posters etc., without prior permission in writing of the Manager or of
any authorized person.
36. Refusal to do over time on any day or refusal to work on weekly off
day or holidays when asked for, except on health ground if certified
so by the company's Medical Officer.
40. Any act of coercion against the Management or any of the
Managerial staff of the company for fulfillment of demands
41. Disclosing to any unauthorized person any information relating the
secret of the trade of the company which may come into the
possession of knowledge of the workman during the course of his
employment.
42. Entering the factory/office/workplace premises when not on duty
without proper permission. Taking out of factory/office/works any
articles of material belong to the company without a gate pass
issued by authorized signatory.
43. Expectorating or otherwise committing nuisance within the
factory/office/workplace premises other than that in the spittoons or
urinals or latrines for the purpose.
44. Collection of money or subscription in the factory/office/workplace
premises.
45. Convictions by any court of law for any criminal offence.
46. Refusal to accept notice or letter of suspension warning show cause
notice or any other communication issued by the Management.
47. Indulging in any union or political activity inside the
factory/office/workplace premises.
48. Loitering in the factory/office/workplace premises during working
hours or visiting another except in the discharge of normal duties.
49. Money lending or borrowing among factory/office/workplace workers.
50. Unauthorized absence from the place of work. Remaining absent for
8 consecutive days excluding holidays and weekly off or overstaying
without prior sanction for more than 8days exclusive of weekly off.
Overstaying without prior sanction for more than 8 days exclusive of
weekly off.
51. Breach of any rules or instructions for the running of any department
or any other work while in service of the company.
52. Breach of any clause of the Services Rules and Regulations, any
terms of conditions of services mentioned in the letter of appointment,
making false, vicious or malicious statement in public or otherwise
against the Company/factory or Management or officers.
53. Writing of anonymous letters and criticizing the superior officers or
any co- workers of the company.
54. Refusal to use punching clock for time keeping and/or any other
method of ensuring attendance.
55. Carrying Company's goods to the house or any other place outside
the works-premises without prior written permission of the superior.
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56. Unauthorized use of any of the company's facility/equipment or any
other thing for personal use.
57. Striking work whether single or jointly by any workman of the public
service department/section/office/factory/workplace.
58. Using unauthorized Company's announcement system or its notice
board(s).
59. Wasting Company's stationery and/or personal use of the same.
60. Non-wearing of Company's uniform/liveries issued while on duty.
61. Non-observance of standard work practices or specified quality
control circles/rules.
62. Habitual late attendance or habitual leaving duty before time.
63. Transfer of Identity Card, ESI contribution card, time cads, out pass
or any other property of the Company to another workman.
64. Refusal to act in a higher position, if offered by the Management
65. Refusal to report immediately to the next superior or the Head of the
Department of any defect in Machinery/equipment or damage to
property or any dangerous condition likely to cause accident or
injury to any person or failure to report immediately any accident
caused inside the factory/office/workplace.
66. Willful disfigurement, destruction or alteration or forgery of any
record of the company.
67. Failure to carry on duties and obligation under these Standing
Orders or committing breach of any provisions in these Standing
Orders.
68. Bringing inside the works, premises, possession or use of Alcoholic
drinks, Narcotic Drug and/or within the Company premises or
reporting to work while under the influences of alcoholic drinks or
narcotic drugs.
69. Refusal to be searched by any of the Company's Security personnel
or any other authorized persons, Refusal to obey security
instructions. Attempting to by pass security system/or
entering/leaving the factory/office/workplace premises by jumping
the factory/office/workplace gate or by other routes not permitted by
the Management.
70. Leaving factory/office/workplace without prior permission to that
effect.
71. Approaching higher authorities for personnel promotion or favours
or gains through other people.
72. Where the performance of a workman is poor in quality and/or
quantity for a continuous period of one month or more or is
frequently found to be so.
73. Failure to observe safety measure or safety instructions or
interference with the safety devices or fire-fighting equipments.
74. Failure to report to the Management contagious diseases either to
himself or in his household.
75. Hiding away or attempting to hide any article or materials of the
Company.
76. Conduct within the factory/office/workplace in a manner which is
likely to endanger the life or safety of any person.
77. Making or giving false statement before a superior of forging
signature of a superior of other employees of the Company.
78. Instigation, incitement, aiding or abetment of any act of misconduct
under these Standing Orders.
79. Gherao, Dharna, Hunger Strike, abusing colleague(s) or Superior,
work to rule, gate meetings and causing egress or engraves.
a. Refusal to do over time work either along or in combination with
others.
b. Construction of building or hutment or any other use of the
Company's land singly, jointly or in collusion with others.
80. Canvassing for Union Membership or collection of Union dues within
the factory/office/workplace premises.
81. Any other act of omission or commission not specifically provided for
in these Standing Orders but which are acts subversive of decency,
discipline and morality according to normal human conduct and
behaviour or are against established practices of discipline in the
Company.
82. Holding meetings inside the factory/office/workplace premises
without the previous written permission of the Management.
83. Engaging in the trade or business within premises of the
Establishment including collection of any slips given to the
employees or the sale of tickets, or any commodity or articles
without the previous written sanction of the Manager.
84. Squatting or remaining any where within the premises of the
establishment other than the appointed places will a view to
intimidate coerce of threaten any officer/employee of the Company
or any outside visitor.
85. Deliberately making false, vicious or malicious statements public or
otherwise against the Industrial Establishment/Company or any
officer or any employee of the Establishment.
86. The sale or canvassing for the sale of any commodity within the
factory/office/workplace premises.
87. To prepare the effigies of the employees including officers of the
Company and or burn the effigies inside the factory/office/
workplace premises.
1. General Policies
Given below are briefs to various policies on personal
information, attendance, working hours and dress code
that govern and establish guidelines for an Employee's
conduct in these areas.
1.1 Personal Information Record
TeamLease maintains records of each Employee's
address, telephone number, emergency contacts, and
benefits. It is the Employee's responsibility to keep
TeamLease up to date regarding any changes. The
changes can be mailed or appropriate forms received from
and sent to the nearest TeamLease office.
1.2 Attendance
The ability of the organization to operate efficiently
and to meet its objectives depends on your regular
and punctual attendance. Your attendance is also
an important measure of your job. Thus if you are
unable to report for work because of illness or other
unavoidable causes, notify your superior or any
other team member or the person at your workplace
who is responsible for reporting time and attendance as soon as possible
and before you are scheduled to begin work again. The fact that you have
notified your superior that you will be absent does not guarantee that your
absence will be excused or paid. Please adhere to your department's
reporting procedures if different from those described here.
1.4 Dress Code
As a TeamLease Employee we expect you to present a
clean and professional appearance both inside and
outside the factory/office/workplace. Formal dress
code in line with the corporate tradition for both men
and women is expected to be followed at all times.
2. Compensation and Benefits
2.1 Payroll
An Employee's payroll records are considered confidential and access to
them is limited to the Employee, the payroll team at TeamLease and
Employee's supervisor. As with all Employee related records, TeamLease
is precluded from releasing information to a third party unless it is in
receipt of a signed release from the Employee. Mandatory deductions
and wage attachments that are required by law will automatically be made
for all Employees. In addition, voluntary deductions may be authorized by
the Employee. Statements of all deductions and earnings are provided to
the Employee.
2.2 Bank Credits:
While TeamLease gives the option to all its Employees
to receive their salaries through cheques or direct
bank credits, we encourage our Employees for direct
Bank Credits. This is a service which saves you time
and provides added security. With this option, each
month, your salary will be automatically deposited to
your savings account.
(a) If you have an existing bank account with any of the banks, please
send the copy of a cancelled cheque leaf mentioning your
employee number, name, contact number and IFSC code to
info@teamlease.com
If you wish to open a bank account through TeamLease, please speak to
our Contact Center representative to know more on the formalities.
2.3 Payroll Deductions:
Income Tax & Professional Tax will be deducted wherever applicable.
Group Insurance Premiums for eligible employee and dependent family
members will be deducted wherever the Employee is covered under the
Group Insurance Scheme.
2.4 PF/Trust
All Employees are eligible for PF contribution from the
date of joining. TeamLease has obtained a code
number from Regional Provident Fund Commissioner,
Bangalore and TeamLease has formed its own Trust
and remits its own pension contribution (8.33% of
Employer Contribution) to Regional Provident Fund
Commissioner and Employee & Employer share (12%
+ 3.67%) to PF Trust every month. As required under
law you will be allotted a PF code number after the first
payroll is processed. For more details you may visit the
following web site or write to
5
www.epfindia.com
info@teamlease.com
2. 5 ESIC:
All Employees whose monthly gross earnings are less than Rs 15000/-
p.m are covered by the Employee State Insurance. The Employee
should submit the ESI declaration within three days of joining the
company. The Employee will be issued an ESI card. For any
help/clarification related to ESI, you can contact the central customer
service representative. For more details please write to
Info@teamlease.com
2. 6 GRATUITY:
Gratuity nomination form needs to be filled at date of joining and
submitted to TeamLease.
2. 7 NAME CHANGE:
In case of any changes /corrections in your name, please intimate
info@teamlease.com along with an valid identity proof.
3 Web Access
You are requested to register yourself on the TeamLease
website as soon as you join TeamLease. Once you
register yourself on the website, you will be able to
access all information pertaining to payslip, taxation,
personal profile, contract period etc.
4. Exit / Separation
4.1 By Candidate
An Employee who wishes to terminate his / her
contract with TeamLease before the completion of
the work assignment period, is required to send in
his / her resignation letter approved by the
reporting Manager / HR at the workplace, to the
TeamLease contact point. The Employee should
fulfill the notice period as stipulated in his / her letter of engagement. He /
she cannot take leave during the notice period. Full and final settlement
would be done subject to receipt of necessary approvals, completion of
exit interview, submission of all material belonging to TeamLease and the
workplace. For more details on exit formalities to be completed, please
write to info@teamlease.com or get in touch with the contact person at
TeamLease.
4.2 By TeamLease
TeamLease can terminate the contract of an Employee on
Obtaining reports of unsatisfactory performance from the client duly
intimated to you.
Conviction by any criminal court for any offence involving moral
turpitude.
Involvement in any activity which adversely affects the
confidentiality or secrecy of information pertaining to Client
Organization's business or that of TeamLease.
Damaging or destroying TeamLease property or Client
Organizations' property viz., database, material, equipment and
inappropriate use of Team Lease's or Client Organization's
communication system.
On obtaining reports on theft, abuse and unauthorized possession
of company property or property belonging to a co-worker, customer
or vendor.
Unauthorized or improper use of leaves of absence; excessive or
unauthorized absenteeism or tardiness.
5. Queries
For all the day-to-day queries please write to
info@teamlease.com or call 60000655 prefix your
relevant Teamlease office location city STD code.
(Timing) They are available from 8.00 am to 8.00
pm Monday to Saturday (excluding general
holidays)
Kindly ensure that your mention your Employee Id & Full Name when you
send a mail or call us. You can also login in to the HR portal from
www.teamlease.com
 Information on Provident Fund (PF)
Provident Fund is a mandatory, tax-qualified, defined contribution, retiral benefit plan wherein equal contribution at the rate of 12% (of Basic +
Dearness Allowance component of the salary) is made by the employee and an equal contribution is made by the employer and the same is
payable in lump sum on retirement, It is Governed by Employee's Provident Fund Act 1952.

The objective of Provident Fund is to provide Social Security and give better future to Employees at the time of retirement or old age
benefits such as Provident Fund, Superannuation pension, Family Pension and Deposit linked insurance.

**The employer's contribution of 12% is broken down into Provident Fund & Pension where in 3.67% is remitted as PF to the trust and balance
8.33% (maximum of Rs. 541, which is 8.33% of the Basic & D.A. and capped at maximum of Rs. 6500) is remitted towards the Pension
Scheme (Regional Provident Fund Commissioner's Office, RPFC)

PF Nominations:
IMPORTANT: Employee has to submit two copies of the PF Nomination (Form No.2) enclosed as part of the joining kit

The moment you join on TeamLease Services payrolls and salary processed for the 1st month, you would become a member of the fund from
your date of joining the establishment and will continue to remain a member till you withdraw you PF accumulation from the fund.

Benefits:
1. The employee and employer would contribute on a monthly basis and this amount would be accumulated and would earn interest on
yearly basis. This amount can be utilized at the time of retirement / resignation from the services
2. Non Refundable Loan - during the service, the employee can also avail loan for Housing, marriage, education of self/children &
medical emergencies (the same is subject to approval from Trustees and submission of required documents)
3. Pension Fund - An employee can withdraw the contributions made towards Employees' Pension Scheme, 1995, on leaving service
before becoming eligible for members pension, by submitting Form 10-C, only if he has NOT completed 10 years of service.
However, if the employee doesn't withdraw the same and completes 10 years of continuous service, the employee would be given a
service certificate wherein he will start earning a monthly pension on attaining the age of 58 years
4. EDLI (Employee Deposit Linked Insurance) In case of a death of the employee during the service, the nominees will get Rs.
1,05,000 from the scheme

Advantages of Exempt Trust

1. Early process of claims: when compared to RPFC. The Trust makes the settlement within a short span (within Twenty days),
compared to RPFC turn around time of minimum two months .
2. Contribution cards: Employees are well aware of the balances since contribution cards/statements are issued just after the Financial
year and Audit, where as RPFC takes more than two years to issue the cards.
3. Info: Trust can provide info to an associate as and when required, the same is very difficult to get from RPFC.
4. Loans: Associate can avail loan in case of emergencies by making a request to Trustees (as per the Trust rule), it is difficult to get
loan from RPFC within required time. For a loan, a minimum membership of 5 years is required (except in case of Medical
emergencies).
5. Personal requests/ priorities: The Trust can take care of personal requests or priorities and clear claims send courier etc., with RPFC
the same is not possible.

PF Transfer or Withdrawal Process (Please contact info@teamlease.com or call into 60000655 to get the required forms as PF transfer or
withdrawal forms are not enclosed along with the joining Kit)

PF Transfer Process (Transferring into TeamLease)

In order to have the PF amount, with your previous employer, transferred to new PF account, we would require the Form 13 duly filled. By filling
this form, the transfer procedure can be processed and TL will handle the procedure from here on. please fill in the application with all the
details, mention your E-code and send the hard copy of the same to:
PF Trust
TeamLease Services Pvt. Ltd.
# 27, 3rd 'A' Cross, 18th Main, Grape Garden, 6th Block Koramangala, Bangalore 560095

PF Withdrawal or Transferring out of TeamLease

In case an associate is leaving TeamLease and joining another company, the associate's new employer has to handle the transfer of the PF
account to the new employer's account.

The PF Settlement Application form needs to be submitted along with the Form-10C(for EPS) - (Withdrawal/ Transfer) with all the details,
mentioning his/her E-code. The hard copy of the same, along with a copy of his/her cancelled cheque needs to be sent to the below address

PF Trust
TeamLease Services Pvt. Ltd.
# 27, 3rd 'A' Cross, 18th Main, Grape Garden, 6th Block Koramangala, Bangalore 560095

The PF trust will settle the Provident Fund upon completion of 60 days from the date of leaving of the employee. For EPS we will submit the
application with RPFC for the settlement. The RPFC would take another 2-3 months to settle the same

Standard Note:
TeamLease will not take the responsibility of settlement from RPFC, the contact details of RPFC will be provided and the associate
will have to follow-up on the same if EPS Transfer/Settlement is delayed.
The PF application for Transfer/ Withdrawal will be processed after 60 days from the date of leaving.
If it's a transfer to RPFC, where the current employer has a PF code, the same will be done and the cheque details will be provided on
request.
If it's a Transfer to a PF Trust of the current employer, the same will be done and the cheque details will be provided on request.
If it's a Withdrawal, the cheque will be sent to the address provided by the you in the application and the POD details for the same
mailed on request.
If it's a bank credit, the details of the same will be provided to the associate on request.
Note: Please ensure the cheque provided is that of an existing bank account and not an inactive account.

6
 Frequently Asked Questions on PF
1. Can an employee contribute more than the stipulated rate voluntarily? If yes, what is the stipulation for the same?
An employee can contribute voluntarily over and above the stipulated rate of contribution. However, the contribution to Voluntary
Provident Fund (VPF) should be a certain % of wages and not a fixed amount. Such voluntary contribution will not be matched by
the employer's contribution.

2. Do I get interest on the contributions made (by me & employer)?

Yes, the interest is calculated and paid annually as per the interest rate prescribed by the PF authorities from time to time. **The
interest rate applicable in 2009 was 8.5% per annum

3. Can an employee withdraw the contributions made towards Employees' Pension Scheme, 1995?
An employee can withdraw the contributions made towards Employees' Pension Scheme, 1995, on leaving service before
becoming eligible for members pension, by submitting Form 10-C, only if he has NOT completed 10 years of service.

4. For the purpose of membership to PF, is previous service with ex-employer counted?
If an employee brings in a transfer from another approved Provident Fund Trust or RPFC then the service rendered with such an
ex-employer is counted.

5. Can voluntary contribution alone be withdrawn?

Voluntary contributions alone cannot be withdrawn.

6. Is settlement from the Trust immediate in case of resignations?

Settlement can be done only after a waiting period of two months from the date of resignation but in cases of members leaving
abroad, settlements can be done immediately and settlements are immediate in case of female members who resign from the
services for the purpose of getting married.

7. Is there any tax deduction at the time of settling the PF accumulations from the Trust ?
There is no tax deduction if the member has put in five years of continuous service with the employer (includes period of past
membership with previous employer/s if there is a transfer received). Otherwise, the member is liable for deduction of tax.
TeamLease Employees Provident Fund Trust is registered and recognized under the Income-Tax Act, 1961. The Fourth
Schedule to the Act governs the working of our Trust. Section 8 to Part A of the aforementioned schedule makes accumulated
balances in the Trust part of total income and subject to TDS if accumulated amounts are withdrawn prior to completing a
membership period of 5 years.

Membership period will include the period of service with your previous organization if you have transferred your accumulated
balances from that Organization to our Trust. The percentage of tax is as per the income slab of the employee during the year (or
previous year)

8. How does one go about availing these Non-Refundable Advances / Loans?

An Application as per the prescribed format needs to be made to the Board and the same shall be sanctioned as per the Trust
Rules.

9. When can an employee withdraw or apply for settlement?

On retirement from services after attaining the age of Superannuation or if he attains the age of Superannuation before the
payment is authorized.
On retirement on account of permanent and total incapacity for work due to bodily or mental infirmity duly certified by a Medical
Practitioner.
On migration from India for permanent settlement abroad or on taking employment abroad.
On termination of employment under a voluntary scheme or retirement by mutual consent of the member and the Employer.
On termination of employment in case of mass or individual retrenchment.

10. What happens to settlements in case of the member's death?

Payment of accumulations standing to the credit of the member to be made in accordance to the nomination form submitted
by the member. In the absence of any nomination relating to a part or whole of the accumulations of the member, such part is
to be divided among the members of his family.

11. Who is managing the pension fund and can I get the statement?
Please note the Regional PF office at Banganlore ( Govt of India, Department of Labour) is the fund manager and there is no
annual statement issued towards the scheme since it's a defined benefit scheme.

12. Will I get a Form-16 for TDS deduction on my PF settlement

Yes, The PF department will issue the form-16 for all the employees for whom the TDS is deducted on settlement.

7
 EMPLOYEES' STATE INSURANCE SCHEME OF INDIA - An Introduction
(if applicable)
1. The Scheme
The Promulgation of Employees' State Insurance Act, by the
Parliament, in 1948,was the first major legislation on comprehensive
Social Security for workers in independent India. The Act envisages
social protection for works in the organised sector in contingencies,
such as sickness, maternity and death or disablement due to
employment injury. Based on the principle of " pooling of risks and
resources", this unique, multidimensional health insurance scheme
guarantees a fair deal to the covered members by providing full medical
facilities to the beneficiaries besides, adequate cash compensation to
insured persons for loss of wages or earning capacity in times of
physical distress arising out of sickness or employment injury.
2. Applicability
The ESI Act applies to any premises/precincts, where 10 or more
persons are employed. A factory or an establishment located in a
geographical area notified for implementation of the Scheme, falls
under the purview of the Act. Employees of the aforesaid categories of
factories and establishments, drawing wages upto Rs. 15, 000/- (w.e.f.
01-05-2010) a month, are entitled to social security cover under the ESI
Act. The wage ceiling for purpose of coverage of employees is revised
from time to time, to keep pace with rising cost of living and consequent
wage hikes.
3. Coverage
In the beginning, the ESI Scheme was implemented at just two
industrial centres in the country in 1952, namely Kanpur and Delhi.
There was no looking back since then in terms of its geographic reach
and demographic coverage. Keeping pace with the process of
industrialisation, the Scheme today, stands implemented at over 787
centres in 29 States and Union Territories. The Act now applies to over 4-
06 lakhs factories and establishments across the country, benefitting
about 1,43 crores insured person family units. As of now, the total
beneficiary population stands at 5-50 crores.
4. Administration
The comprehensive and multi-pronged social security programme is
administered by an apex corporate body called the Employees' State
Insurance Corporation. It comprises members representing vital
interest groups, including, employees, employers, the Central and State
Government, representatives of Parliment and medical profession. The
Corporation is headed by the Union Minister of Labour, as its Chairman,
whereas the Director General, appointed by the Central Government
functions as its Chief Executive Officer. The broad based corporate
body is, primarily, responsible for coordinated policy planning and
decision making for growth, development and efficacy of the scheme. A
Standing Committee, constituted from among the members of the
Corporation, acts as an Executive Body The Medical Benefit Council,
constituted by the central Government, is yet another Statutory Body
that advises the Corporation on matters related to effective delivery of
medical services to the Beneficiary Population. The Corporation, with its
Central Headquarters at New Delhi, operates through a network of 52
Regional, Sub- Regional and Divisional Offices located in various
States. The administration of Medical Benefit is taken care of by the
respective State Government except in case of Delhi and Noida/Greater
Noida area in Uttar Pradesh where the Corporation administers medical
facilities directly. The Corporation has taken over the administration of
23 ESI Hospitals in various States for developing them as ESIC Model
Hospitals.
5. Finance
ESI Scheme, like most of the Social Security Schemes the world
over, is a self financing health insurance scheme. Contributions are
raised form covered employees and their employers as a fixed
percentage of wages. As of now, covered employees contribute 1.75%
of the wages, whereas, the employers contribute 4.75% of the wages,
payable to their employees. Employees earning upto Rs. 70/- a day are
exempted from payment of their share of contribution. The State
Governments, as per provisions of the Act, contribute 1/8th of the
expenditure of medical benefit within a per capita ceiling of Rs. 1200/-
per Insured person per annum. Any additional expenditure incurred by
the State Governments, over and above the ceiling and not falling within
the shareable pool, is borne by the State Governments concerned.
6. Infrastructure
Ever since its inception in 1952, the infrastructural network of the
Scheme has kept expanding to meet the social security requirements of
an ever increasing worker population. ESI Corporation has so far set up
146 hospitals and 42 hospital annexes with about 27739 beds for
inpatient services. Primary and outpatient medical services are
provided through a network of about 1388 ESI dispensaries and 1678
panel clinics.
8
The Corporation has also set up five Occupational Disease Centres,
one each at Pune (Maharastra), New Delhi, Kolkata (W.B.), Chennai
(T.N.) and Indore (M.P.) for early detection and treatment of
occupational diseases prevalent amongst workers employed in
hazardous industries.
For payment of Cash Benefits, the Corporation operates through a
network of over 808 Branch Offices/Pay Offices, whose functioning is
Supervised by Regional/Sub-Regional and Divisional offices.
7. Social Security Benefits
The health insurance benefits offered by the Scheme fall in two broad
categories; namely, the Medical Benefit and the Cash Benefit.
(a) Medical Benefit
An Insured Person and his/her family members become eligible to full
medical facilities, without any upper ceiling as per requirement, from day
one of entering the insurable employment. The benefit comprises of out
patient care, domiciliary visits, specialist and diagnostic services,
hospitalisation, super specialty treatment, free supply of drugs and
dressings, provision of artificial aids and appliances, besides,
immunisation and family welfare services, etc. The scheme also offers
old age medical care to retired Insured Persons, disabled works and
their spouses subject to fulfilment of certain conditions.
(b) Cash Benefit
These include Benefits payable in cash through Branch Offices of the
Corporation on account of loss of wages or earning capacity caused by
Sickness, Maternity, Disablement or death of an insured person due to
employment injury or occupational disease. Sickness Benefit,
Disablement Benefit, Maternity Benefit, etc. are payable after due
medical certification by an authorised doctor/medical board.
Unemployment Allowance is payable for loss of employment due to
closure of factory, retrenchment or permanent invalidity not less than
40% arising out of non-employment injury. Brief description of Benefits,
Contributory Conditions, Duration of Benefits are indicated on the
backside of this brochure.
New Amendments in ESI Act, 1948
Vide ESI (Amendment) Act, 2010 w.e.f. 01-06-2010
l Facilitating coverage of smaller factories employing 10 or more
persons.
l Enhancing age limit of dependant children for eligibility to
Dependants Benefit from 18 years to 25 years.
l Extending medical benefit to dependant minor brother/sister in
case of IPs not having own family and whose parents are also
not alive.
l Streamlining the procedure for assessment of dues from
defaulting employers.
l Providing an Appellate Authority within the Corporation against
assessment to avoid unnecessary litigation.
l Continuing medical benefit to insured persons retiring under
VRS scheme or taking premature retirement.
l Treating commuting accidents as employment injury.
l Streamlining the procedure for grant exemptions.
l Third party participation in commissioning and running of the
Hospitals.
l Opening of medical/dental/paramedical/nursing colleges to
improve quality of medical care.
l Making an enabling provision for extending medical care from
under utilised ESI hospitals to other beneficiaries covered under
the Rashtriya Swasthaya Bima Yojana introduced by the
Ministry of Labour & Employment w.e.f. 01-04-2008 or any other
scheme framed by the central government, on payment of user
charges.
l Reducing duration of notice period for extension of the Act to
new classes of establishments from six months to one month.
l Reducing duration of notice period for extension of Act to new
classes of establishments from six months to one month.
l Empowering Sate governments to set up autonomous
Corporations for administering medical benefit in the States for
bringing autonomy and efficiency in the working.
l Insurance Inspectors will now be known as Social Security
Officers.
BENEFITS & ELIGIBILITY CONDITIONS
1. SICKNESS BENEFIT Upto two confinements only
(a) Sickness Benefit : Payment of contribution for 78 days in Rate : Rs. 2500/- per case.
corresponding contribution period of six months.
(b) Enhanced For defraying expenses on the funeral of an Insured Person.
Sickness Benefit : Same as above. Rate : Actual expenses subject to a maximum of Rs. 5000/-
(c) Extended As long as vocational training lasts.
Sickness Benefit : For 34 specified long term diseases. Continuous Rate : Actual fee charged of Rs. 123/- a day whichever is
insurable employment for two years with 156 higher.
days contribution in four consecutive
contribution periods. As long as a person is admitted in an artificial limb centre.
2. DISABLEMENT BENEFIT Rate : 100% of the wages.
(a) Temporary : From day one of entering insurable employment Maximum twelve months during life time.
& irrespective of having paid any contribution. Rate : 50% of the wages.
(b) Permanent : Same as above.
3. DEPENDANT'S For a short duration-maximum upto 6 months.
BENEFIT : From day one of entering insurable employment
& irrespective of having paid any contribution in
case of death due to employment injury.
4. MATERNITY BENEFIT: Payment of contribution of 70 days in two
preceding contribution periods (one Year). **STANDARD SICKNESS BENEFIT RATES
5. MEDICAL BENEFIT : Full medical facilities for self and family from day
one of entering insurable employment. S.No. Average Daily Wage Slabs Standard Benefit Rates
6. OTHER BENEFITS :
- Confinement
Expenses : An insured Woman or an I.P. in respect of his 1. Below Rs. 28/- Rs. 14/-*
wife in case confinement occurs at a place 2. Rs. 28 and above but below Rs. 32 Rs. 16/-
where necessary medical facilities under ESI 3. Rs. 32 and above but below Rs. 36 Rs. 18/-
Scheme are not available. 4. Rs. 36 and above but below Rs. 40 Rs. 20/-
- Funeral Expenses : From day one of entering insurable employment. 5. Rs. 40 and above but below Rs. 48 Rs. 24/-
- Vocational 6. Rs. 48 and above but below Rs. 56 Rs. 28/-
Rehabilitation : In case of physical disablement due to
7. Rs. 56 and above but below Rs. 60 Rs. 30/-
employment injury.
- Physical 8. Rs.60 and above but below Rs. 64 Rs. 32/-
Rehabilitation : In case of physical disablement due to 9. Rs. 64 and above but below Rs. 72 Rs. 36/-
employment injury. 10. Rs. 72 and above but below Rs. 76 Rs. 38/-
- Unemployment 11. Rs. 76 and above but below Rs. 80 Rs. 40/-
Allowance (RGSKY) : In case of loss of employment due to closure of 12. Rs. 80 and above but below Rs. 88 Rs. 44/-
actory, retrenchment or permanent invalidity due 13. Rs. 88 and above but below Rs. 96 Rs. 48/-
non-employment injury and the contribution in 14. Rs. 96 and above but below Rs. 106 Rs. 53/-
respect of him have been paid/payable for a
minimum of three years prior to the loss of employment. 15. Rs. 106 and above but below Rs. 116 Rs. 58/-
- Skill Upgradation 16. Rs. 116 and above but below Rs. 126 Rs. 63/-
training under RGSKY : Same as above. 17. Rs. 126 and above but below Rs. 136 Rs. 68/-
18. Rs. 136 and above but below Rs. 146 Rs. 73/-
19. Rs. 146 and above but below Rs. 156 Rs. 78/-
DURATION OF SCALE OF BENEFITS 20. Rs. 156 and above but below Rs. 166 Rs. 83/-
21. Rs. 166 and above but below Rs. 176 Rs. 88/-
Upto 91 days in two consecutive benefit periods at 20% more than the 22. Rs. 176 and above but below Rs. 186 Rs. 93/-
Standard Benefit Rate i.e. just above 60% of the wages. 23. Rs. 186 and above but below Rs. 196 Rs. 98/-
14 days for Tubectomy & 7 days for Vasectomy, extendable on 24. Rs. 196 and above but below Rs. 206 Rs. 103/-
medical advice. Rate of payment is 100% of the wages. 25. Rs. 206 and above but below Rs. 216 Rs. 108/-
26. Rs. 216 and above but below Rs. 226 Rs. 113/-
124 days which may be extended upto two years on medical advice 27. Rs. 226 and above but below Rs. 236 Rs. 118/-
during a period of three years in insurable employment. 28. Rs. 236 and above but below Rs. 250 Rs. 125/-
Rate : 70% of the wages approx. 29. Rs. 250 and above but below Rs. 260 Rs. 130/-
30. Rs. 260 and above but below Rs. 270 Rs. 135/-
As long as temporary disablement lasts.
Rate : about 75% of the wages approx. 31. Rs. 270 and above but below Rs. 280 Rs. 140/-
32. Rs. 280 and above but below Rs. 290 Rs. 145/-
For whole life. 33. Rs. 290 and above but below Rs. 300 Rs. 150/-
Rate : about 75% of wages depending upon loss of earning capacity. 34. Rs. 300 and above but below Rs. 310 Rs. 155/-
35. Rs. 310 and above but below Rs. 320 Rs. 160/-
For life to the widow or until her re-marriage. To dependant children till 36. Rs. 320 and above but below Rs. 330 Rs. 165/-
the age of 25 years. To dependant parents for life.
Rate : about 75% of the wages approx. shareable in fixed proportion. 37. Rs. 330 and above but below Rs. 340 Rs. 170/-
38. Rs. 340 and above but below Rs. 350 Rs. 175/-
12 weeks in case of normal delivery. 6 weeks in case of mis-carriage. 39. Rs. 350 and above but below Rs. 360 Rs. 180/-
Extendable by 4 weeks on medical advice. 40. Rs. 360 and above but below Rs. 370 Rs. 185/-
Rate : Almost full wages. 41. Rs. 370 and above but below Rs. 380 Rs. 190/-
42. Rs. 380 and above Rs. 195/-
Full medical care till disease or disablement lasts. No ceiling on
expenditure. Retired insured persons who have been in insurable
employment for at least five years before superannuation and * Or full average daily wage whichever is less.
Disabled Insured Persons are entitled to full medical care for self and **Information provided above is as per ESIC authority,
spouse only on payment of Rs. 120/- as annual contribution. subjected to change

9
 Gratuity Nomination form and Importance
Every employee must submit his nomination in the prescribed form (Form F) to his employer i.e. TeamLease Services Pvt. Ltd. either
personally or through Registered A/D post at the time of joining along with the Joining Kit
More information on Gratuity, under the payment of Gratuity Act, 1972
The Act: The payment of Gratuity Act, 1972, envisages providing a retirement benefit to the workmen who have rendered long and
unblemished service to the employer, and have thus contributed to the prosperity of the employer. Gratuity is a reward for long and
meritorious service. It is to be paid to any employee only if he provides service for a minimum time of five years at a stretch with his employer.
The Gratuity calculation is done as per the last average remuneration drawn and the time in years served by an employee.
The significance of this Act lies in the acceptance of the principal of gratuity as a compulsory, statutory retiral benefit.
Employees Entitled:
After rendering five years of continuous Service (4 years 240 days) or more, on
a) Superannuation
b) Retirement or Resignation
c) Death or Permanent Disablement due to accident or disease
d) Retrenchment
Condition of 5 YEARS service is not applicable in the event of DEATH & PERMANENT DISABLEMENT
In case of death of the employee, Gratuity is payable to the nominee of the deceased employee
Something that you as an employee should know under this Act:
1. The maximum Limit of Gratuity that an employee can get: The amount of Gratuity is calculated on the Last Drawn Wages of
an Sec.4(3), employee and maximum Gratuity payable should not exceed Rs.10,00,000 in any case.
2. Below mentioned is the calculation of Gratuity for your understanding which is made on the 'last drawn wages':
Gratuity Amount = (Last Drawn Wages X Years of Service X 15) / 26 where,
Last Drawn Wages = Basic salary component + DA
Years of Service = number of completed years of continuous service (six months or less to be ignored and more
than six months to be counted as a full year.
Amount of gratuity - Gratuity is payable @ 15 days wages for every year of completed service.
3. Forfeiture of Gratuity-Sec.4(6)(b): Gratuity is liable to be forfeited in part or whole due to unruly or disorderly and violent
behavior of the employee causing damages to employer

MEDICLAIM PROCESS
Process for Medical Reimbursement
1 The claim intimation needs to be sent either through mail or by phone at info@teamlease.com or to 60000655 /
1800-425-3232 ( I-care)
2. All the relevant documents needs to be submitted within 30 days from date of discharge.
3. The claim documents must be sent in original to TeamLease Services Pvt Ltd, No. 27, 3rd ACross, 18th main, Grape Garden, 6th
Block, Koramangala, Bangalore-560 095.
4. After you send the documents to the above mentioned address, please do send an email mentioning your employee number and the
consignment details to info@teamlease.com for an acknowledgement.
5. I-care will take minimum 30 days for processing the claim and will update you on the status.
6. In case of any shortfall in the documents you have submitted, I-care will intimate you via phone and mail. You need to submit the
required documents within 30 days from the date of request from I-care. If you do not Submit the documents within the given time frame,
the claim will be rejected.
7. I-care will not accept any claim documents that are submitted after 30 days of discharging from the hospital.
8. Please update your contact number/E-mail id in our records to ensure that you are intimated on your claim status by phone/E-mail.

Process for Cashless Benefit (Currently approx. 3000+ hospitals are covered across 220 cities)
1. Cashless benefit is applicable only if you are admitted in a hospital that is in the I-care network. Also the hospital needs to intimate I-
care within 24 hours of admission.
2. To get the information about the list of hospitals under I-care network & incase of emergency, please call on the I-care 24/7 customer
service number 1800-425-3232. You can also access this information at www.icaretpa.com
3. You need to provide the I-care insurance number at the hospital insurance help desk during the time of admission. Contact us at
60000655 or info@teamlease.com for your insurance number or alternatively provide your Teamlease E code.
4. Inform the hospital helpdesk to fax the filled-in pre-authorisation form to I-care-Fax number : 91-80-66803001 (Single number across
the country) along with the consulting doctors comments.
5. Contact I Care directly for any details through mails - customer.care@icaretpa.com and obtain auto ticket number for easy reference
and tracking
6. I-care will verify the details in the pre-authorization form and send a response to the hospital within 3-4 hours.
7. Incase you dont get a response from I-care within 5 hours of faxing the pre- authorization form, call I-care support center at
1800-425-3232. They are available 24/7 and they have trained paramedics.
8. The hospital will process your case depending on the pre-authorisation status.
9. If you require further information, contact us at 60000655 or send an e-mail to info@teamlease.com.

10
 Insurance Details ( if Covered )

1. Group Mediclaim Policy

2. Group Personnel Accident

Group Mediclaim Policy

This insurance is through United India Insurance (Insurer) and I-Care (TPA)

Policy Benefits
Covers only inpatient treatment which requires Minimum 24 hrs of hospitalization.
Exceptions being: Dialysis, Chemotherapy, Radiotherapy, Eye Surgery (Cataract), Lithotripsy (kidney stone removal), D &
C, Tonsillectomy, Angiography & Treatments of fractures/dislocations excluding hair-line fractures.
Treatment should be availed only in registered hospital/nursing home under the supervision of a registered & qualified medical
practitioner
OR
The Hospital should have the following:
Minimum 20 in-patient beds (in metros) & 15 in non-metros
Fully equipped OT
Fully qualified nursing staff round the clock
Fully qualified & registered doctor(s) round the clock

Policy Coverage
All employees are covered from Day 1 of joining TeamLease.
All pre-existing diseases are covered. Any disease arising out of deficiency / by birth (congenital) will not be considered as Pre-
Existing.
No restriction on Room rent, Nursing charges, Bed charges & ICU admissions.
Pre-hospitalization & Post-hospitalization expenses are covered except maternity
Pre-Hospitalization- Relevant medical expenses - 30 days prior to the admission
Post-Hospitalization- Relevant medical expenses - 60 days from the day of discharge
Maternity cover
Treatment taken in hospital/ Nursing Home for confinement (only first 2 children, i.e, a person will not be able to claim for third
delivery even if he has not claimed for the first two deliveries).
Maximum payable is Rs.50,000/-, irrespective of Normal or Caesarian delivery or sum insured whichever is less
Pre Hospitalization and Post Hospitalization expenses are not covered for Maternity Claims
Child covered from day-one
Cashless benefit if admitted to Network hospitals and reimbursement of claims in case of Admission to non-network hospital is
provided in the policy.

Important: Please note that for cashless or medical expense claim, TeamLease needs to be informed within 24 hours of
Hospitalization. For Reimbursements, the claim intimation should be sent to info@teamlease.com within 7 days of admission to
hospital and document submission has to be done within 30 days from date of discharge. Claims will be rejected if documents are
submitted post 30 days of discharge. The above mentioned points must be followed mandatorily for every claim, if intimation is not
received at the stipulated time-line the claim will not be accepted and processed. Also, at the time of intimation of hospitalization or claim,
please provide your Employee ID, Employee Name, insurance number of employee, the dependant name & dependant details(in case of
dependant), Date of admission, Date of discharge, Hospital name & total expenses incurred at hospital including medicines etc. This
information should be given by calling or mailing to TeamLease or I Care TPA.

Group Personnel Accident

Benefits provided under the policy

1. Accidental Death
2. Permanent Total Disability
3. Permanent Partial Disablement
4. Temporary Total Disablement
5. Medical Expenses Reimbursement
6. Weekly compensation

Note: TeamLease Services Pvt. Ltd. should be intimated immediately after an accident to ensure smooth processing of claim by the
insurer. Mails to be sent to info@teamlease.com

Disclaimer: The above mentioned covers and exclusions are not exhaustive, and the insurer has the right to reject any claim on grounds,
which are as per the terms and conditions of the policy

The coverage for group medical policy and group personal accident would vary from client to client. The coverage is fixed as per the clients
requirements.

Please contact info@teamlease.com incase you want to know more on your coverage

11
 Frequently Asked Questions on Insurance
1. How do I get the Insurance ID card?

In order to get your I-Care ID card instantly, please visit www.icaretpa.com and click on the hyperlink E-card in a Flash, then
enter your I-Care ID no. as the Login ID (password 1234) and submit. If you are a new employee, you can go ahead and use your
E-code instead of the I-Care No as the Login ID, as you will be able to get the same only post 45 days from your joining date.

2. Where do I get details on my insured amount, balance, network hospital list and claim form?

Please visit www.icaretpa.com to get information relating to your membership such as sum insured available, balance in case you
have made a claim or status of your claim, latest information on network hospitals and can download claim forms and formats from
the website.

3. How to I avail a cashless claim (Emergency / Planned Hospitalization)

Cashless Hospitalization happens under two circumstances Planned and Emergency. Pre-authorization of the estimated hospital
expense is a must to avail this facility. In this case we suggest you to call I-Care immediately to intimate and take advice on the
cashless process.

In case of emergency hospitalization or admission, the member covered needs to approach any of the I-care Network Hospital or
Nursing Home (NSP) of your choice and present your I-Care id card to the help desk at the NSP. The help desk at the NSP will get
the Pre-auth form filled and faxed or emailed to I-Care on a fast track basis. For a cashless treatment it is mandatory for the NSP to
have an approval from I-Care. In case you cannot wait for receiving the approval owing to medical urgency you can undertake the
treatment by paying the necessary cash deposit. Once the approval is received by the NSP from I-Care the NSP will return the
cash deposit made by you.

In case of planned hospitalization, you would have first consulted a doctor who in turn would have advised you on the probable date
or time of hospitalization. In such a case choose a network hospital or a nursing home and get the pre-authorization form filled by
the NSP at least 3 4 days prior to the date of hospitalization and insure that it is faxed or emailed to I-Care for further process.

4. What is the process to claim medical expenses covered under the insurance?

In case of admission in a non network hospital (emergency/planned) the following process has to be followed:
i. Get admitted in the nearest hospital / nursing home of your choice. Please make sure that the hospital or the nursing home
where you are getting yourself or your family member treated meets the insurer's criteria.
ii. Please intimate I-Care about your hospitalization as soon as possible in case of emergency and intimate in advance in case of
planned hospitalization.
iii. At the time of discharge please collect all the relevant documents in original.
iv. Lodge your claim with I-Care within 7 days of your discharge and all the relevant documents in original must be submitted
within 30 days from the date of discharge

5. What are the 'relevant' documents that I need to collect from the hospital at the time of discharge and submit for my
claim processing?

The following Documents needs to be collected in original and submitted:

i. Detailed Discharge Summary with the following information documented: Date and time of admission and discharge, Signed
discharge voucher, Diagnosis, Duration of ailment, Present History, Treatment given & Surgical notes (if applicable) and the
treatment advised with seal & signature.
ii. Hospital Bills: Pre-numbered detail list of medicines, Investigations bills and related reports, Lab reports, Utility, Other
expenses, Pharmaceutical bills numbered with patients name, Date and supporting prescriptions, Break-up details from the
consolidated bills (if applicable) for IP bill with seal & signature, For hospital bills kindly provide the pre numbered cash paid
receipts (advance & final cash paid receipts).
iii. Doctor's Bill: As per Income tax rules, Doctors should issue numbered bills with patients name and date.
iv. Pharmacy Bills with Prescription.
v. Lab reports in original.

Note: pre-hospitalization period is 30days and post hospitalization period is 60 days from date of discharge. However it is not applicable for
maternity claim.

6. Where do I send or submit my claim form and other 'relevant' documents?

Please submit claim form along with your original bills & documents to the below address only. Photocopies would not be
accepted

To,
Insurance Team - Central Customer Service,
TeamLease Services Pvt. Ltd.,
#27, 3rd 'A' Cross, 18th Main,
Grape Garden, 6th Block, Koramangala,
Bangalore - 560 095
Fax: 080 42643001

12
 01-08-2010
Date of joining: ________________
23469
Employee Code: ______________
9912600000
Mobile No.: ___________________
THE EMPLOYEES PROVIDENT FUND ORGANISATION
NOMINATION AND DECLARATION FORM Form No. 2 (Revised)
FOR UNEXEMPTED / EXEMPTED ESTABLISHMENTS

Declaration Nomination Form under the Employee s Provident Fund and Employee s Pension Scheme

Employees Pension Scheme, 1995)

RAHUL KUMAR GUPTA

1. Name (in Block Letters) ............................................. 6. Account No. KN/BN : KN/35224

2. Fathers/Husbands Name E-3, THAKUR VILLAGE,

RAJIV GUPTA
(In case of married woman) ......................................
7. Permanent Address :

e
KANDIVALI EAST, MUMBAI,
3. Date of Birth
28-11-1985
............................................................... MAHARASHTRA - 400101
MALE
4. Sex : .......................Male 3 Female
Temporary Address : No.89, 1ST CROSS,
DR. T.C.M. ROYAN ROAD, SIDDARTHA NAGAR,
MARRIED

pl
5. Marital Status. ............................................................. BANGALORE. KARNATAKA - 560053
PART-A (EPF)

I hereby nominate the person(s)/cancel the nomination made by me previously and nominated the person(s),
mentioned below to receive the amount standing to my credit in the Employees Provident Fund, in the event of my death.

Nominees Total Amount or share

If the nominee is a minor,
m
Name, relationship and address
Relationship Date of of accumulation in
Name & Addresss of Nominee/s of the guardian who may
with the Birth Provident Fund to be recieve the amount during the
member Paid to Each Nominee minority of nominee

1 2 3 4 5

RAJIV GUPTA FATHER 15/3/1953 30%

PUSPA GUPTA MOTHER 23/7/1960 30%
Sa

SUSHMA GUPTA WIFE 17/4/1987 40%

1. Employees

2. *Certified that my father/mother is / are dependent upon me.

* Strikeout whichever is not applicable. Signature or thumb impression of the subscriber

FOR OFFICE USE ONLY

Dt. of Joining E.P.F. / /20 ENTRIES VERIFIED

Past Serivce____________Year

Date of Joining EPS / /20 D.A. S.S. A.A.O.

13
 PART-B (EPS) PARA 18

Pension in the event of my death.

SI.
Name of the Family Member Address Date of Birth Relationship with member
No.
1 2 3 4 5

1. E-3, THAKUR VILL AGE, 15/3/1953 FATHER

RAJIV GUPTA KANDIVALI EAST,
MUMBAI,
2. PUSPA GUPTA MAHARASHT RA - 23/7/1960 MOTHER
400101
3. SUSHMA GUPTA No. 89, 1ST CROSS, 17/4/1987 WIFE
DR. T.C.M. ROYAN

e
ROAD, SIDDARTHA
NAGAR, BANGALORE
560053

**

Name & Address of the Nominee

pl
family hereafter I shall furnish particulars thereon in the above form.

of my death without leaving any eligibel family member for receiving pension.

Date of Birth Relationship with member

m
Sa

Date : 04/08/2010
* Strike out whichever is not applicable Signature or thumb impression of the subscriber

CERTIFIED BY EMPLOYER

by him/her.

Signature of the employer or other authorised Officers of the Establishments

TeamLease Services (P) Ltd.
No. 27, 3rd A C Cross, 18th Main, For TeamLease Services (P) Ltd.
Grape Garden, 6th Block,
Koramangala, Bangalore - 560 095.
Designation Authorised Signatory

Date :..............................................

14
 23469
Employee Code: _______________
9912600000
Mobile No.: ___________________

THE PAYMENT OF GRATUITY (CENTRAL RULES, 1972)

STATEMENT

1. Name of employee in full : RAHUL KUMAR GUPTA

2. Sex : MALE
3. Religion : HINDU
4. Whether unmarried / married / widow / widower : MARRIED
5. Department / Branch / Section where employed : BANGALORE BRANCH
6. Post held with Ticket or Serial No., if any : ASSOCIATE SALES MANAGER
7. Date of appointment : 01-08-2010
E-3, THAKUR VILLAGE, KANDIVALI EAST, MUMBAI

e
8. Permanent address :
MAHARASHTRA - 400101
Village ............................................. Thana .................................................. Sub-division...........................................

MAHARASHTRA

BANGALORE
Place :...........................................
04-08-2010
Date :............................................
pl
Post Office ...................................... District.................................................. State......................................................

DECLARATION BY WITNESSES
Signature / Thumb-impression
of the employee
m
Nomination signed / thumb impressed before me

Name in full and full address of witness Signature of witness

1. MANISH TEWARI, 368, 2ND FLOOR, 5TH MAIN 1.

3RD CROSS, VIVEKNAGAR, BANGALORE
2. R AJU NAIR , HOUSE NO.3, 4TH BLOCK, KORAMANGAL A
BANGALORE 2.
Sa

BANGALORE
Place :...........................................
04-08-2010
Date :............................................

Certificate by the Employer

Certified that the particulars of the above nomination have been verified and recorded in this establishment.
Employers Reference No., if any. For TeamLease Services Pvt. Ltd.,

TeamLease Services Pvt. Ltd.,

#27, 3rd A Cross, 18th Main, Authorised Signatory
Grape Garden, 6th Block, signature of the employer / officer authorised
Koramangala, Bangalore - 560095.
Designation - HR
Date :........................................ Name and address of the establishment or rubber stamp thereof

Acknowledgment by the Employee

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

04-08-2010
Date :....................................................... Signature of the employee
Note : Strike out the words / paragraphs not applicable.

15
 Employee Code: _______________ 23469
9912600000
Mobile No.: ___________________
THE PAYMENT OF GRATUITY (CENTRAL) RULES, 1972

FORM F
(See Sub-rule (1) Of Rule 6)
NOMINATION
To

RAHUL KUMAR GUPTA

1. 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 indicate against the name(s) of the
nominee(s).

e
2. I hereby certify that the person(s) mentioned is a/are 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.

6. Nomination made herein invalidates my previous nomination.

Name in full with

Relationship with
pl
(b) My husbands 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.

NOMINEE(S)
Age of nominee
Proportion by
m
full address of which the gratuity
the Employee
nominee(s) Will be shared
1 2 3 4

1. Rajiv gu pt a 57 yrs (15/03/1953) 30%

E-3, THAKUR VILL AGE,
Father
KANDIVALI EAST, MUMBAI,
MAHARASHT RA - 4001 01
Sa

2. Puspa gupta M o th er 50 y rs (23 /07 / 196 0) 30%

E-3, THAKUR VILL AGE,
KANDIVALI EAS T, MUMBAI,
MAHARASHTRA - 400101

3. Sus h ma gu pt a Wife 23 yrs (17/04/1987) 40%

No. 89, 1ST CROSS,
DR. T.C.M. ROYAN ROAD,
SIDDARTHA NAGAR,
BANGALORE-560053
4.

So on

Give here name or description of the establishment with full address.

16
 23469
Employee Code: _______________
Note :-ESIC declaration form to be filled if it is a part of the CTC structure / salary, break up.
9912600000
Mobile No.: ___________________
(FORM - 1)
ESIC DECLARATION FORM

RAHUL KUMAR GUPTA

29 11 2010
RAJIV GUPTA

e
TeamLease Services Private Limited
4.
2D 8D / 1M 1M / 1Y 9Y 8Y 5Y

No. 89, 1ST CROSS, DR. T.C.M. E-3, THAKUR VILLAGE,

ROYAN ROAD, SIDDARTHA NAGAR, KANDIVALI EAST, MUMBAI,
BANGALORE
5 6 0 0 5 3

HAL
MAHAR ASHTRA
4 0 0 1 0 1 pl
m
PUSPA GUPTA MOTHER SAME AS ABOVE

RAJIV GUPTA 15/3/1953 FATHER YES

Sa

PUSPA GUPTA 23/7/1960 MOTHER YES

RAHUL KUMAR GUPTA

29-11 -2010
HAL

Employee along with family member to be coverd (Photo)

17
 For TeamLease Services Private Limited

04/08/2010 Authorised Signature

e
pl
m
Sa

RAJIV GUPTA 15/3/1953 FATHER YES

PUSPA GUPTA 23/7/1960 MOTHER YES

6
7

18
Forms from page number 20 are
to be duly filled and returned
within 7 days of receipt of this kit.

19
 No.

Mobile No.: ___________________

Employee Joining Form

Employee Code: Date of Joining: Job Location: State:
D D / M M / Y Y Y Y

Instructions

1. Form should be filled in CAPITAL Letters / BLOCK letters only

2. Please fill in the application form completely and correctly (furnish correct information)
3. Avoid overwriting
4. Please fill up your personal details (Name, Address etc.) exactly as it appears on your Please paste your
5. government approved valid Photo ID / Address proof document unsigned recent colour
For effective communication with you (through calls, SMS or E-mail), we request you to passport size
6. provide us with your current E-Mail ID, Mobile and landline number photograph
Size 3.5 cm x 4.5 cm
Please Tick ( ) in the boxes provided in application form (wherever applicable)
7. In case of any questions or queries while filling up the application form or regarding the
joining documentations, please feel free to CALL US @ 60000655

Employees Information

Full Name (as per valid ID Proof) : ____________________ _____________________ ___________________________________

FIRST NAME MIDDLE NAME LAST NAME/SURNAME

Marital Status:
Date of birth: Gender:
D D / M M / Y Y Y Y
Married Unmarried Male Female
Others_________

Physical Disability: Yes No

Blood Group: _______________________ Nationality: ____________________
(Incase Yes, please submit certificate copy)

Phone: Mobile:
E-Mail id: ___________________________

Residential Address (Permanent Address) :___________________________________________________________________________

_____________________________________________________________________________________________________________

City: State: ZIP Code:

Communication / Mailing Address:_________________________________________________________________________________

_____________________________________________________________________________________________________________

City: State: ZIP Code:

Bank Account & PAN Account Details

Bank Account Number: __________________________________ Name of the Bank: ___________________________________

(Cancelled cheque copy with Name, Employee Code & Contact Number Bank Branch: _______________________________________
written on the face of the cheque to be submitted)

Bank Branchs IFSC Code: (Please check with your Bank) PAN Number: (Please submit PAN Card copy):

Emergency Contact
Name of a person:
Address:
City: State: ZIP Code: Phone:
Relationship:
Family Information
20
 No.

Family Information
Date of birth:
Fathers Full Name: ___________________________________________________________
D D / M M / Y Y Y Y
FIRST NAME MIDDLE NAME LAST NAME/SURNAME
Date of birth:
Mothers Full Name: __________________________________________________________
D D / M M / Y Y Y Y
FIRST NAME MIDDLE NAME LAST NAME/SURNAME
Date of birth:
Husband/Wifes Full Name (if Married):
__________________________________________________________ D D / M M / Y Y Y Y

FIRST NAME MIDDLE NAME LAST NAME/SURNAME

Date of birth:
Child 1 Full Name: ___________________________________________________________
D D / M M / Y Y Y Y
FIRST NAME MIDDLE NAME LAST NAME/SURNAME
Date of birth:
Child 2 Full Name: ___________________________________________________________
D D / M M / Y Y Y Y
FIRST NAME MIDDLE NAME LAST NAME/SURNAME

Educational Qualification
(Please enclose photocopies of the certificates/documents)
Education Level Degree Board/University School/College Name Year of Passing % Marks
(B.Com/B.Sc. etc.)

10 th

10+2 / PUC

Graduation

Post Graduation

Others

Work Experience
(Please detail your entire work history beginning with the current employer to your oldest employer)
Organization Name Designation when leaving From To Reason for Leaving

Language

Language 1:________________ Language 2:________________ Language 3:______________

Read: Read: Read:
Write: Write: Write:
Speak: Speak: Speak:

PLEASE READ CAREFULLY AND ACKNOWLEDGE THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION:
I _______________________________________ certify that the above statements made by me are true, complete and correct. In case of the
company finds at any time that the information given by me in this form is not correct, true or complete, the company will have the right to withdraw
my letter of appointment or to terminate my appointment at any time without notice or compensation. I hereby acknowledge that I have gone through
the Service Rules, understood & accepted the same.

Signature of the employee: Date: Place:

21
Document Check List to be submitted along with your Employee Joining form
** Photocopies of all the documents that are be attached as enclosures along with Employee Joining Form
DOCUMENTS REQUIRED (Mandatory) Boxes to be Verified by
checked by TeamLease on
the employee collection of
at the time of documents
submission
1. Updated resume / Curriculum Vitae (C.V.) Y N Y N
2. 3 additional Passport size photographs (Self) with Employee Code & Full name written on the
reverse Y N Y N

3. 1 Postcard size photograph (Family) with Employee Code & Full name written on the reverse Y N Y N
4. 1 cancelled cheque leaf (Original) with Full Name, Employee Code, Phone/Mobile number,
Y N Y N
Bank IFSC code written on the face of the cheque
5. PAN Card Copy (Self Attested) with Full Name, Employee Code, Phone/Mobile number, Y N Y N
6. Proof of Address & Photo Identification Proof - Voters ID Card or Driving License or Passport
Y N Y N
Copy
7. Provident Fund Nomination & Declaration Form (Form 2) duly filled
Y N Y N
**pre -filled Sample copy enclosed
8. Gratuity Nomination Form (Form F) duly filled * pre-filled sample copy enclosed Y N Y N
9. Signed Acknowledged copy of the Offer Letter / Appointment letter Y N Y N
10. Previous Employer Relieving & Experience Letter Y N Y N
11. Photocopy of all Educational Certificates as mentioned in the section Educational
Qualification in the Employee Joining form Y N Y N

12. In case the applicant is Physically challenged, submit the certificate issued by the appropriate
Y N Y N
authority

13. (a) If ESI applicable, submit ESI Declaration Form (Form 1) duly filled with
1 Post Card size Family Photographs pasted on the form Y N Y N
**pre -Filled Sample copy enclosed
(b) Or else if falling under income tax bracket kindly submit the income tax/investment
declaration form duly filled in (if applicable) Y N Y N

For TeamLease Office use only

Client ID:
Client Name:_______________________________________________________________________________

Date of Receipt of the documents at the Local Office

Document Received by (Full Name):_______________________________
D D / M M / Y Y Y Y

Date of Receipt of the documents at Bangalore Office

Document Received by (Full Name):_______________________________
D D / M M / Y Y Y Y

Date sent to Docushare at Bangalore Office

Document Scanned by (Full Name):_______________________________
D D / M M / Y Y Y Y

Document Details updated on ALCS

D D / M M / Y Y Y Y Updated by (Full Name):_______________________________

22
 Date of Joining:_______________ No.
Employee Code: _______________
Mobile No.: ___________________

THE EMPLOYEES PROVIDENT FUND ORGANISATION

NOMINATION AND DECLARATION FORM Form No. 2 (Revised)

FOR UNEXEMPTED / EXEMPTED ESTABLISHMENTS

Declaration Nomination Form under the Employee s Provident Fund and Employee s Pension Scheme

Employees Pension Scheme, 1995)

1. Name (in Block Letters) ............................................. 6. Account No. KN/BN : KN/35224

2. Fathers/Husbands Name 7. Permanent Address :

(In case of married woman) ......................................

3. Date of Birth ...............................................................

Temporary Address :
4. Sex : .......................Male Female

5. Marital Status. .............................................................

PART-A (EPF)

I hereby nominate the person(s)/cancel the nomination made by me previously and nominated 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 a minor,

Nominees Total Amount or share Name, relationship and address
Relationship Date of of accumulation in
Name & Addresss of Nominee/s of the guardian who may
with the Birth Provident Fund to be recieve the amount during the
member Paid to Each Nominee minority of nominee

1 2 3 4 5

1. Employees

2. *Certified that my father/mother is / are dependent upon me.

x
* Strikeout whichever is not applicable. Signature or thumb impression of the subscriber

FOR OFFICE USE ONLY

Dt. of Joining E.P.F. / /20 ENTRIES VERIFIED

Past Serivce____________Year

Date of Joining EPS / /20 D.A. S.S. A.A.O.

23
 PART-B (EPS) PARA 18

Pension in the event of my death.

SI.
Name of the Family Member Address Date of Birth Relationship with member
No.
1 2 3 4 5

**
family hereafter I shall furnish particulars thereon in the above form.

of my death without leaving any eligibel family member for receiving pension.

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

Date
x
* Strike out whichever is not applicable Signature or thumb impression of the subscriber

CERTIFIED BY EMPLOYER

by him/her.

Signature of the employer or other authorised Officers of the Establishments

TeamLease Services Pvt. Ltd.
No. 27, 3rd A C Cross, 18th Main, For TeamLease Services Pvt. Ltd.
Grape Garden, 6th Block,
Koramangala, Bangalore - 560 095.
Designation Authorised Signatory

Date :..............................................

24
 Employee Code: _______________ No.
Mobile No.: ___________________

THE PAYMENT OF GRATUITY (CENTRAL RULES, 1972)

STATEMENT
1. Name of employee in full :

2. Sex :

3. Religion :

4. Whether unmarried / married / widow / widower :

5. Department / Branch / Section where employed :

6. Post held with Ticket or Serial No., if any :

7. Date of appointment :

8. Permanent address :

Village ............................................. Thana .................................................. Sub-division...........................................

Post Office ...................................... District.................................................. State......................................................

Place :........................................... x
Signature / Thumb-impression
Date :............................................ of the employee

DECLARATION BY WITNESSES

Nomination signed / thumb impressed before me

Name in full and full address of witness Signature of witness

1. 1. x

2. 2. x
Place :...........................................

Date :............................................

Certificate by the Employer

Certified that the particulars of the above nomination have been verified and recorded in this establishment.
Employers Reference No., if any. For TeamLease Services Pvt. Ltd.,
TeamLease Services Pvt. Ltd.,
#27, 3rd A Cross, 18th Main, Authorised Signatory
Grape Garden, 6th Block, signature of the employer / officer authorised
Koramangala, Bangalore - 560095.
Designation - HR
Date :........................................ Name and address of the establishment or rubber stamp thereof

Acknowledgment by the Employee

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

x
Date :....................................................... Signature of the employee
Note : Strike out the words / paragraphs not applicable.

25
 Employee Code: _______________
Mobile No.: ___________________

THE PAYMENT OF GRATUITY (CENTRAL) RULES, 1972

FORM F
(See Sub-rule (1) Of Rule 6)
T
o
NOMINATION

1. 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 indicate against the name(s) of the
nominee(s).

2. I hereby certify that the person(s) mentioned is a/are 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 husbands 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 Proportion by
Relationship with Age of nominee
full address of which the gratuity
the Employee
nominee(s) Will be shared
1 2 3 4

1.

2.

3.

4.

So on

Give here name or description of the establishment with full address.

26
 Employee Code: _______________ No.
Mobile No.: ___________________

(FORM - 1)
ESIC DECLARATION FORM

TeamLease Services Private Limited

4.
D D / M M / Y Y Y Y

27
 For TeamLease Services Private Limited
x

Authorised Signature

6
7

28
 Putting India to Work
TeamLease Services Pvt. Ltd., #27, 3rd A Cross, 18th Main, Grape Garden
6th Block, Koramangala, Bangalore - 560095.
Ph : (91-80) 42643000 Fax: (91-80) 42643001
 BUSINESS REPLY ENVELOPE
Postage No Postage
Will be Necessary
Paid by if posted
Addressee in India

Permit No.:BPR/BSG/288
Koramangala VI Block P.O.,
BANGALORE - 560 095.

To,
TEAMLEASE SERVICES PVT. LTD.,
Post Box No.9517,
Koramangala, VI Block P.O.,
BANGALORE - 560 095.
Ensure the Following are enclosed:
Updated resume / Curriculum Vitae (C.V.)
3 additional Passport size photographs (Self) with Employee Code & Full name written on the reverse
1 Postcard size photograph (Family) with Employee Code & Full name written on the reverse
1 cancelled cheque leaf (Original) with Full Name, Employee Code, Phone/Mobile number, Bank IFSC code written on the face of the cheque
PAN Card Copy (Self Attested) with Full Name, Employee Code, Phone/Mobile number,
Proof of Address & Photo Identification Proof - Voters ID Card or Driving License or Passport Copy
Provident Fund Nomination & Declaration Form (Form 2) duly filled **pre - filled Sample copy enclosed
Gratuity Nomination Form (Form F) duly filled * pre-filled sample copy enclosed
Signed Acknowledged copy of the Offer Letter / Appointment letter
Previous Employer Relieving & Experience Letter
Photocopy of all Educational Certificates as mentioned in the section Educational Qualification in the Employee Joining form
In case the applicant is Physically challenged, submit the certificate issued by the appropriate authority
If ESI applicable, submit ESI Declaration Form (Form 1) duly filled with 1 Post Card size Family Photographs pasted on the form
**pre - filled Sample copy enclosed
Or else if falling under income tax bracket kindly submit the income tax/investment
declaration form duly filled in (if applicable)