Version date: 1st October 2012

Amended 25th June 2019

Annex 1 – Confidentiality Agreement

This Agreement is between Tata Consultancy Services and ……(Name of Individual)…..

As an employee or subcontractor of a supplier to BT, you may have access to BT information or BT computer
systems.

We require you: -

1. to keep all BT information (whether or not it is marked "INTERNAL", “CONFIDENTIAL”, or “HIGHLY

CONFIDENTIAL”) confidential and not to disclose it to any third party, unless BT has given its written
permission for such disclosure;

2. if you have access to BT customer or personal information, to comply with the provisions of any
applicable Data Protection law;

3. to access BT computer systems and BT electronic information only if you have been authorised to do
so.Unauthorised access may result in your being prosecuted and/or legal actions (including disciplinary)
being taken against you;

4. to access and use BT computer systems and BT information only as is necessary to do your job
properly;

5. to comply with other BT instructions and security policies that may be notified from time to time by us;
and

6. not to connect any equipment not supplied by BT to any BT LAN port.

If you are in any doubt as to these requirements or BT Group Information and Physical Security policies, further
information can be obtained from Security Deployment Leads or your BT Contact
security.deployment.leads@bt.com and/or your BT contact can also supply copies of the policies should you not
have access to them.

Any breach of these requirements will be treated seriously and could result in the cessation of your assignment
and/or legal action.

Personal Declaration

I have read and understand the above requirements and agree to be bound by them.

Signed : Date: Click here to enter a date. 01-11-2022

Print full name and home address:

Name Click here to enter text.

Divya Karukola
………………………………………………….
Address
6-76-11/2,Sampath Vinayaka Nagar,
………………………………………………….
Duvvada,Visakhapatnam 530046.
………………………………………………….
………………………………………………….
………………………………………………….

IN CONFIDENCE
 Version date: 1st October 2012
Amended 25th June 2019

Annex 2 – Basic Criminal Record Declaration Form

Note: If you are appointed, a check against the National Collection of Criminal Records will be undertaken and
documentary evidence sought to confirm your answers (where available and where in country legislation permits).

Surname: Karukola
………………………………Full Divya
forenames:…………………………..........

Full permanent address: 6-76-11/2,Sampath Vinayaka Nagar,

.……………………………………………………............................................
Duvvada,Visakhapatnam 530046.
…………………………………………………………………………………….

Date of birth: Click here to enter a date.

1. Have you ever been convicted or found guilty by a Court of any offence in any country (excluding parking but including all
motoring offences even where a spot fine has been administered by the police) or have you ever been put on probation
(probation orders are now called community rehabilitation orders) or absolutely/conditionally discharged or bound over
after being charged with any offence or is there any action pending against you? For people based in the UK you need not
declare convictions which are “spent” under the Rehabilitation of Offenders Act (1974).

(If yes, please give details overleaf)

.
2. Have you ever been convicted by a Court Martial or sentenced to detention or dismissal whilst serving in the Armed
Forces of the UK or any Commonwealth or foreign country? For people based in the UK you need not declare convictions
which are “spent under the Rehabilitation of Offenders Act (1974).

(If yes, please give details overleaf)

3. Do you know of any other matters in your background which might cause your reliability or suitability to have access to UK
or any other foreign government assets to be called into question?

(If yes, please give details overleaf)

If you answered ‘YES’ to any of the questions on this form, please give details below.
Click here to enter text.

I declare that the information I have given on this form is true and complete to the best of my knowledge and belief. In addition,
I understand that any false information or deliberate omission in the information I have given on this form may disqualify me
from employment.

Signature: Date: Click here to enter a date. 01-11-2022

The information you have given above will be treated as HIGHLY CONFIDENTIAL.

Important: Data Protection Act (1998) or any equivalent local legislation. This form asks you to supply “personal” data as defined by the Data Protection Act 1998.
You will be supplying this data to the appropriate Security authority where it may be processed exclusively for the purpose o f a check against the National Collection of
Criminal Records. The Security authority will protect the information which you provide and will ensure that it is not passed to anyone who is not authorised to see it.

By signing the declaration on this form, you are explicitly consenting for the data you provide to be processed in the manner described above. If you have any concerns,
about any of the questions or what we will do with the information you provide, please contact the person who issued this form for further information.

IN CONFIDENCE
Signature:
Date: Click here to enter a date. 01-11-2022

Name:Click here to enter text. Divya Karukola

Employee No:Click here to enter text. 2308332

IN CONFIDENCE
Signature:
Date: Click here to enter a date. 01-11-2022

Name:Click here to enter text. Divya Karukola

Employee No:Click here to enter text. 2308332

IN CONFIDENCE
 Declaration and General Consent to TCS BT NDA

To be signed by Associate / Business Associate

In connection with rendering services to Tata Consultancy Services Ltd. (the "Company"), as
an Associate / Business Associate (BA)

I hereby agree as follows:

I certify that the information furnished in this form and the Signature filled-in by me in
conjunction with my rendering of services as an Associate / BA is factually correct and
subject to verification by TCS.

I accept that my services as Associate / BA can be revoked and/ or terminated without any
notice at any time in future if any information has been found to be false, misleading,
deliberately omitted/ suppressed.

I certify that I am at present in sound mental and physical condition to undertake my

rendering of services as an Associate / BA with TCS. I also declare that there is no criminal
case filed against me or pending against me in any Court of law in India or abroad and no
restrictions are placed on my travelling anywhere in India or abroad for the purpose of
business of the company.

I Agree: Yes

Name:Click
Divya Karukola
here to enter text. TCS Emp / BA ID:Click here to enter text. 2308332

Place: Click
Visakhapatnam
here to enter text.

Date: Click01=-11-2022
here to enter a date.

IN CONFIDENCE