2012

Joining Forms
Bennett, Coleman & Co. Ltd

BCCL Human Resources

BENNETT, COLEMAN & COMPANY LTD

Check List of Documents to be filled up on joining

Form for Identity Card ( with one passport size photograph )

Joining Report ( to be signed by your department head )

Application Blank ( with one passport size photograph )

Gratuity Form

Provident Fund Forms

Family Pension Form

Group Term Life Nomination Form

Proof of Birth ( Birth Certificate / Xth Certificate)*

Photocopies of Educational Certificates ( School, Graduation, Post Graduation )*

Relieving Letter From The Last Company / Accepted Copy Of Resignation Letter ( On A Letterhead )

Copy of Last Salary Slip*

Copy of PAN Card* (If you do not have PAN Card then you will need to submit an alternative Identity Proof and a copy of acknowledgement of PAN application)

Copy of Address Proof*

HDFC Bank Forms (to be submitted in duplicate to the HDFC bank representative with address & identity proof along with 1 recent colored passport size photograph)

All photocopies must be self attested

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BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD List of Documents Accepted as Proof of Identity and Address
Supporting documents acceptable as Photo Identity 1. 2. 3. 4. 5. 6. 7. 8. Passport PAN Card Ration/ PDS Photo Card Voter ID Driving License Government Photo ID Cards Kissan Photo Passbook Address Card having Name and Photo issued by Department of Posts

Supporting documents acceptable as Proof of Address 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Passport Bank Statement/ Passbook Post Office Account Statement/Passbook Ration Card Voter ID Government Photo ID cards Electricity Bill (not older than 3 months) Water bill (not older than 3 months) Telephone Landline Bill (not older than 3 months) Property Tax Receipt (not older than 3 months) Signed Letter having Photo from Bank on letterhead Kissan Passbook Income Tax Assessment Order Registered Sale / Lease / Rent Agreement Address Card having Photo issued by Department of Posts Caste and Domicile Certificate having Photo issued by State Govt.

Supporting documents acceptable as Date of Birth 1. 2. 3. 4. 5. Birth Certificate SSLC Book/Certificate Passport Certificate of Date of Birth issued by Group A Gazetted Officer on letterhead Class X certificate

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BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD Application Form for Permanent ID Card
Affix your Passport Size Photo

Signature

WRITE IN BLOCK LETTERS

Name of the Employee

ABHISHEK KAPOOR

Department

RMD

Emp No.

Blood Group

O-

Emergency Contact No.

09415565648

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BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD

Joining Report

Section 1: EMPLOYEE DETAILS Employee Name: ..Abhishek Kapoor...................... Designation: . Management Trainee................................... Department:....RMD............................................... Offer Letter Issue Date:12-2-2013.....................................Date of Joining: Section 2: TO BE FILLED BY DEPARTMENT HEAD This is to certify that Mr/Ms. ............................................................................... has joined our department on the date as stated above and shall finally be placed at the following location:

Times House Darya Ganj West Delhi Other (Please specify)

Sahibabad Faridabad Gurgaon Noida

Meerut Raipur Agra Panipat

Name of the Department Head SAP ID Designation Signature

Section 3: TO BE FILLED BY CORPORATE HR Joining Report received on .................. SAP ID Allotted .................................... All documents submitted: Yes/No

Name of the HR Processor SAP ID Designation Signature

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BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD The Times Gratuity and Retirement Fund
(Sub Rule (1) of Para A) NOMINATION

(Form 7)

1. Shri/Shrimati/Kumari (Name in full here):ABHISHEK KAPOOR.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 the amount has become payable or having become payable has not been paid and direct that the said amount of gratuity shall be paid in proportion indicated against the name(s) of the nominee(s). 2. I hereby certify that the person(s) is the 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.. W Section2 of the said Act 4. a. My father, mother, parents is/are not dependent on me b. My husbands father, mother or parents is/are not dependent on my husband. 5. I have excluded my husband from my family by ato the controlling authority in terms of the ..clause (h) of Section-2 of the 6. Nomination made herein invalidates my previous..Nominee(s). Age of the Proportion by which the quantity Name in full with full details of nominee Relationship with the employee nominee will be shared 1.RAJIVE KAPOOR 2.SHOBHA KAPOOR 3. (1) Name of the employee: Abhishek kapoor FATHER 61 50%

MOTHER
(2) Sex:Male

56
(3) Religion:Hindu

50%

(4) Whether married/Unmarried widow/widower:Unmarried (5) Department/Branch/Section where employed:RMD (6) Post held with Ticket No:/Serial No. If any.Executive (7) Date of appointment: (8) Permanent Address:D-1/337 Sector-F Jankipuram(Lucknow) Post Office: District:Lucknow Place Date Nomination signed/thumb impression before me Witness 1 Name Full Address Signature Place Date Lucknow Signature of the Employee Witness 2 Name Full Address Signature Place Date Village: Thana:Madiyaon State:Uttar Pradesh

Certificate by the Employer The particulars of the above nomination has been verified and seconded in the nomination. Bennett Coleman & Co. Ltd, 7, Bahadurshah Zafar Marg, New Delhi Date: Authorized Signatory: Acknowledgement by the Employee Received the duplicate copy of nomination in Form-F filed by me and duly certified by the employee. Signature of Employee: Date: Authorized Signatory:
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BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD

Company_____________Pay ID No.____________________Department _______________ Location _____________

FORM 2 (REVISED)
NOMINATION AND DECLARATION FORM FOR UNEXEMPTED / EXEMPTED ESTABLISHMENTS
Declaration and Nomination Form under the Employee's Provident Funds & Employee's Pension Scheme
(Paragraph 33 & 61 (1) of the Employeess' Provident Fund Scheme, 1952 & paragraph 18 of the Employees' Pension Scheme, 1995)

for office use only Inward No.:___________________ Group No.:_______________ Office at ____________________ 1. Name (In Block Letters) ABHISHEK KAPOOR________________________________ 2. Father's / Husband's Name _RAJIVE KAPOOR________________________ 3. Date of Birth : ____15-12-1989_________________ 4. Sex : _____MALE________( Male / Female ) 5. Marital Status : __UNMARRIED______(Married/Unmarried/Widow/Widower) 6. Account No. MH/1199/EXEMPTED/

7. Address (Permanent):D-1 /337 SECTOR-F JANKIPURAM LUCKNOW (226021)______________________ ______________________________________________________________________________________________ Address (Temporary):__M-137 JAGAT RAM PARK LAXMI NAGAR(110092) ______________________________________________________________________________________________

PART - A (EPF)
I hereby nominate the person(s) / cancel the nomination made by me previously and nominate the person(s), mentioned below to receive the amount standing to my credit in the Employees' Provident Fund, in the event of my death :
Total amount of share of accumulatio n in Provident Fund to be paid to each nominee

Name of the Nominees

Address

Nominee's relationship with the member

Date of Birth

If the nominee is a minor, name & relationship & address of the guardian who may receive the amount during the minority of nominee

1.MR. Rajive kapoor 2.Mrs Shobha Kapoor

D-1/337 Sector-F Jankipuram Lucknow(226021)

Father Mother

20-8-1951 18-6-1956

50% 50%

1. 2.

* Certified that I have no family as defined in para 2(g) of the Employee's Provident Fund Scheme, 1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled. * Certified that my father / mother is / are dependent upon me.
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BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD

_________________________ *Srike out whichever is no applicable _______________________________________ Signature or thumb impression of the subscriber

PART - B ( EPS )
Para 18 I hereby furnish below particulars of the members of my family who whould be eligible to receive widow / children Pension in the event of my death. Sr No. 1 1. Rajive kapoor Name of the family member 2 Address 3 D-1/337 Sector F jankipuram Lucknow(226021) Date of Birth 4 20-8-1951 Father Relationship with member 5

2.

Shobha Kapoor

18-6-1956

Mother

* Certified that I have no family, as defined in para 2 (vii) of the Employees's Pension Scheme, 1995 and should I acquire a family hereafter I shall furnish particulars thereon in the above form. I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 (2) (a) (I) & (ii) in the event of my death without leaving any eligible family member for receiving pension. Name & Address of the nominee 1 Date of Birth 2 Relationship with the member 3

Date___________________
*Srike out whichever is not applicable.

________________________________________ Signature or thumb impression of the subscriber

CERTIFICATE BY EMPLOYER
Certified that the above declaration and nomination has been signed / thumb impressed before me by Shri/Smt./Kum._________________________________________________________________employed in my establishment after he / she has read the entries / entries have been read over to him / her by me and got confirmed by him / her. Date: ___________________ Place: __________________
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____________________________________ Signature of the employer or other Authorised Officer of the establishment Designation __________________________ BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD

Name & Address of the Factory / Establishment or Rubber Stamp thereof. Company__BCCL___________Pay ID No.____________________Department __RMD_____________ Location _____________

FORM 2 (REVISED)
NOMINATION AND DECLARATION FORM FOR UNEXEMPTED / EXEMPTED ESTABLISHMENTS
Declaration and Nomination Form under the Employee's Provident Funds & Employee's Pension Scheme
(Paragraph 33 & 61 (1) of the Employeess' Provident Fund Scheme, 1952 & paragraph 18 of the Employees' Pension Scheme, 1995)

for office use only Inward No.:___________________ Group No.:_______________ Office at ____________________ 1. Name (In Block Letters) __ABHISHEK KAPOOR______________________________________ 2. Father's / Husband's Name RAJIVE KAPOOR_______________________________________ 3. Date of Birth : _15-12-198_________________ 4. Sex :MALE _____________________( Male / Female ) 5. Marital Status : UNMARRIED__(Married/Unmarried/Widow/Widower) 6. Account No. MH/1199/EXEMPTED/

7. Address (Permanent):___ D-1/337 Sector F jankipuram Lucknow(226021) ______________________________________________________________________________________________ Address (Temporary):____ M-137 JAGAT RAM PARK LAXMI NAGAR(110092) ______________________________________________________________________

PART - A (EPF)
I hereby nominate the person(s) / cancel the nomination made by me previously and nominate the person(s), mentioned below to receive the amount standing to my credit in the Employees' Provident Fund, in the event of my death :
Total amount of share of accumulation in Provident Fund to be paid to each nominee

Name of the Nominees

Address

Nominee's relationship with the member

Date of Birth

If the nominee is a minor, name & relationship & address of the guardian who may receive the amount during the minority of nominee

1 1.Mr.Rajive Kapoor 2.Mrs.Shobha kapoor

2 D-1/337 Sector F jankipuram Lucknow(226021)

3 Father Mother

4 20-8-1951 18-6-1956

5 50% 50%

1. 2.

* Certified that I have no family as defined in para 2(g) of the Employee's Provident Fund Scheme, 1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled. * Certified that my father / mother is / are dependent upon me. _________________________ _______________________________________ Page 9 of 13 BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD

*Srike out whichever is no applicable Signature or thumb impression of the subscriber

PART - B ( EPS )
Para 18 I hereby furnish below particulars of the members of my family who whould be eligible to receive widow / children Pension in the event of my death. Sr No. 1 1.Mr.Rajive Kapoor 2.Mrs.Shobha kapoor Name of the family member 2 Address 3 Date of Birth 4 Relationship with member 5

Father D-1/337 Sector F jankipuram Lucknow(226021) Mother

20-8-1951 18-6-1956

50% 50%

* Certified that I have no family, as defined in para 2 (vii) of the Employees's Pension Scheme, 1995 and should I acquire a family hereafter I shall furnish particulars thereon in the above form. I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 (2) (a) (I) & (ii) in the event of my death without leaving any eligible family member for receiving pension. Name & Address of the nominee 1 Date of Birth 2 Relationship with the member 3

Date___________________
*Srike out whichever is not applicable.

________________________________________ Signature or thumb impression of the subscriber

CERTIFICATE BY EMPLOYER
Certified that the above declaration and nomination has been signed / thumb impressed before me by Shri/Smt./Kum._________________________________________________________________employed in my establishment after he / she has read the entries / entries have been read over to him / her by me and got confirmed by him / her. Date: ___________________ ____________________________________ Signature of the employer or
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BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD

Place: __________________ other Authorised Officer of the establishment Designation __________________________ Name & Address of the Factory / Establishment or Rubber Stamp thereof.

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BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD

Nomination Form: Group Term Life Cover

I hereby nominate the beneficiaries mentioned below to receive the amount under the Companys policy on Group Term Life Cover, in the event of my death:
Name, Address and Phone of the Beneficiaries Beneficiary's relationship with the member Date of Birth of the Beneficiary %age share of the total compensation to be paid to the Beneficiary If the Beneficiary is a minor, name & relationship & address of the guardian who may receive the amount during the minority of Beneficiary

Mr.Rajive Kapoor, D-1/337 Sector F jankipuram Lucknow(226021) 09415565648

Father

20-8-1951

50%

Mrs.Shobha kapoor, D-1/337 Sector F jankipuram Lucknow(226021) 09369272505

Mother

18-6-1956

50%

This nomination supersedes all my previous nomination declarations for benefit under the Group Term Cover Policy of the Company.
SAP ID :

Signature of the Employee: Full Name of the Employee: ABHISHEK KAPOOR

Designation : Department :

Management Trainee

Location:

RMD

Date:

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BCCL Human Resources Putting People First

BENNETT, COLEMAN & COMPANY LTD Request for Using Existing HDFC Bank Savings Account as Salary Account

HRD/Payroll New Delhi

Subject: Transfer of Salary to HDFC Account

Please transfer my monthly salary & conveyance to the following HDFC Account No. given below: Type of Account SALARY REIMBURSEMENTS Existing HDFC A/C No.

[Please provide separate account numbers, in case you have opened two accounts with HDFC]

Name: Pay ID / SAP ID:

Signature: Date:

[You may also mail the above information to mohd.bilal@timesgroup.com]

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BCCL Human Resources Putting People First