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Skiteme SHOAL, FAN OLY maki: ‘candidate Namo] of SSA/21 ADIL NWAGAL KULSI Rowp VER SDD [Address], born on _} S/O 4/194 2hereby declare that during the periods outlined below | was engaged the activities stated: ‘Retivity/ address details PRePRATION -foR GOVERN — Prereptien fet arsecre RK I hereby declare that during these periods | was not involved in any illegal activities (not including minor motoring offences) or any activities which would preclude HCL < ENTITY NAME> from engaging me in service. | acknowledge and understand that any engagement with [client name} is conditional upon the nformation t have given in this declaration being accurate and true and that HCL wil rely upon the information | have given in this declaration in engaging me in service. Furthermore | sewerctand and agree that this declaration does not supersede any other declaration made by mein elation to my application with HCL, including that made on my application form. thereby confirm that the information contained in this declaration is true and ‘complete to the best of my knowledge. I confirm that this statement Is true to the best of my knowledge information, and belief. Signed by: Dah. oatess | | SOS 14 —__—

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