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Confidential

Kassa Finvest Pvt. Ltd.


Employee Application Form
Date: Please attach recent
Important Instructions passport size
All fields are mandatory.
photograph
• Please fill only in Upper case for more legibility.
• Please do not use short forms / abbreviations.
• Employee Code/ID/No is mandatory. If your previous employer did not provide
one, please mention and state reasons for same.

Personal Details

Please expand initials in your name ---- As the same would be used in our Employment records

Title (Mr. / Ms.) (First Name) (Middle Name) (Last Name)

Father’s Name

Year of Board / University Class / Subject/


Edu. Qualification
passing % Achieved Specialization
Higher Study

Graduation

12th
10th
Any Technical
degree
Date of Birth (Please adhere DD / MM / YYYY
Nationality
to Date format mentioned)
Gender  Male  Female Marital Status  Married  Unmarried

Contact Details
Current Residential Address
(Number and Street)

Period of stay (in months)

Permanent Address
(Number and Street)
Current Residence Tel No Country Code: City Code: No:

Permanent Residence Tel No Country Code: City Code: No:

Mobile No
Alternate Mobile No
E-mail ID
Alternate E-mail ID
Page 1 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.

Sl No Full Name Address of Contact No. Designation Reported to Period Last drawn Reasons for leaving
of the the Employer With STD (Name & From - To salary
Employer Code Position) (mm/ yy) (p.a.)
starting with (Gross)
latest
Employer1
Employer2
Employer3

Remarks if any :

Signature:_____________

Page 2 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.

Other Details
Are you currently under service agreement / bond with your existing employer? (Yes/No)

Have you applied to Kassa before? If yes, please provide the details

Have you ever been charged or convicted for any criminal offense in India or abroad? ( Yes / No )

If employed by Kassa, I agree to provide copies of mark sheets/Degrees and relevant certificates. I
understand that employment with Kassa is governed by Kassa Employment Policies as applicable,
including satisfactory information from a background check.
I hereby certify all of the statements made on the Kassa Finvest Private Ltd Employee Application Form
are true and complete and I understand that omission or misrepresentation of any fact may result in
refusal of employment or immediate dismissal.

I hereby authorize Kassa Finvest Private Ltd and its representative to verify information provided in my
resume and application of employment, and to conduct enquiries as may be necessary, at the
company's discretion. I authorize all persons who may have information relevant to this enquiry to
disclose it to Kassa Services Private Ltd. or its representative. I release all persons from liability on
account of such disclosure.

Signature : _______________________________

Date : _______________________________

Place : _______________________________

Signature of Recruiter in case filed as printed format : _______________________________

Page 3 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.
CONFIDENTIALITY, NON COMPETE AND NON SOLICITATION UNDERTAKING

I,__________________________________________,S/o Sh.
____________________________________________, Present Add.:
_________________________________________________________________________and
Permanent Add.:
_________________________________________________________________________ aged about
______ years, do hereby undertake and declare as under.

a) That I have been appointed as _________________________________ @ Salary of


fixed ____________and PBB________________ by Kassa Finvest Pvt. Limited, a Company
incorporated under the provisions of companies Act 1956, having its registered office
at H-35/3, Ground Floor, Connaught Circus, New Delhi – 110001. (herein after
referred as “the Company”).
b) That all communications and documents (verbal, spoken, written or visual
information presented in any form, either physical or digital on any storage media
(magnetic or otherwise) relating to the past, present and proposed business of the
company, its customers, suppliers or competitors; other proprietary information such
as data, information, material, records, books, communications network circuit, skills,
strategies, trade simulation softwares, system trading softwares of the company,
customer and prospect lists, trade secrets, trade names or proposed trade names,
patents, know-hows, ideas, concepts, copyrights, designs, drawings, flow charts,
diagrams, business processes, recipes and practices and other intellectual property
relating to the business, products or services of the company; business process,
marketing activities, tests conducted, all the agreements entered into by the
company and any other material which has not been specially mentioned here shall
be treated as Confidential Information and I shall protect and preserve as
confidential during my employment with the company and thereafter forever. I shall
hold all Confidential Information in strict confidence as any reasonable person shall
hold his own Confidential information and shall not otherwise use or disclose to third
parties any Confidential Information, both during the term of this Agreement and all
periods after the Termination of Employment.
c) I shall during the tenure of the employment with the Company plus One (1)
full year following the Termination of Employment will not, directly or indirectly, in
any capacity (including with out prejudice to the generality as an employee,
consultant, advisor, competitor and such others) in any part of India engage or
invest in, either directly or through an agent or associate or relative or friend in the

Page 4 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.
ownership, management, operation or control of any business, trade or occupation
which is in competition with any product or service offered by the Company or under
the companies research or development.
d) I shall not solicit any of the employees of the Company to leave the
employment of the Company during the term of my employment with the Company
and for a period of twelve (12) months immediately following the termination of
relationship with the company. Further, I shall never take any action or make any
statement of a disparaging or derogatory nature against the company or any
employee or officer therein.
e) That I understand that during the course of my employment for the
performance of my duties towards the company, I shall be in a position to enjoy
several deemed and implied powers, positions, besides the specific and non specific
resolutions, privileges & authorities. I shall use and exercise the said powers,
positions, resolutions, privileges & authorities in the best interest of the company and
not for any other purposes and not to the detriment of the interest of the Company.
f) That in case of violation/breach of any of the terms of the appointment, or any
directives from the Company, and the terms of this undertaking, I shall be
liable to face all the legal Consequences and liabilities and I & my legal heirs
shall be liable to compensate & pay damages to the company or its directors
etc. for the breach of this undertaking.
g) Your services are liable to be transferred at the sole discretion of
Management, in such other capacity as the company may determine, to any
department / section, location, associate, sister concern or subsidiary, at any
place in India or Abroad, whether existing today or which may come up in future.
In such a case, you will be governed by the terms and conditions of the service
applicable at the new placement location.

Reference No. 1(Professional)


Name ______________________________
Department _________________________
Designation__________________________
Official Mail Id_______________________
Contact No. _________________________

Reference No. 2 (Professional)


Name ______________________________

Page 5 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.
Department __________________________
Designation__________________________
Official Mail Id_______________________
Contact No. ________________________

Reference No. 3 (Personal)


Name: ______________________________
Contact No.__________________________
E mail id (If avail) ____________________
Relation _______________________

Date

To
The Director
M/s. Kassa Finvest (P) Ltd.
H-35/3, Connaught Circus
New Delhi- 110 001.

Dear Sir,

I hereby join the company from . I hereby understand that I


am on probation for the period of six months.

I have also received general administration & virus protection instructions.

Date of joining :

Page 6 of 7 Signature
Confidential
Kassa Finvest Pvt. Ltd.

Signature

( )

Page 7 of 7 Signature

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