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DECLARATION FORM

PAYMENTS BANKING

Is your visa application (Immigration, studies, visit, Family sponsorship etc) to any country in process as
on the date mentioned above?

Yes No

If Yes, please include details of the applied visa (Type, country, application date and expected time of
completion of the process).

Have you applied to any local/ foreign university for higher studies as on the date mentioned above?

Yes No

If yes, please specify the name of the university applied for higher education and estimated time to
pursue the education / commencement of batch.

I have been communicated about the shift timings and I understand that I can be assigned to the new
shift with prior notice and I’m bound to follow the schedule as assigned by the company based on
business needs.
Initials
✔ I Agree

Confidential © i2c Inc. All rights reserved. 01


I’m legally authorized to work in Pakistan

Yes No

If Yes, then please specify details as guided below

Pakistan Citizens

CNIC or POC
35103-1587842-1

CNIC Issuance Date CNIC Expiry Date


10-06-2020 10-06-2030

Foreigner

Work Visa Details

Visa Issuance Date Visa Expiry Date

Confidential © i2c Inc. All rights reserved. 01


Declaration
I confirm that the information that I have provided in this declaration form is correct and complete as
on the date mentioned below. I understand and accept that if I knowingly withhold information, or
provide false or misleading information, this may result in my application being rejected, or if I am
appointed, in my dismissal. I further agree that any change to the above-mentioned items will be
immediately communicated via email to the Human Resources Department.

Also, the company may hold issuance of my experience letter in case of non-disclosure of visa
process.

Name in Block Letters


MUHAMMAD UMER HUZAIFA

27-04-2023 HUZAIFA

Date Signature

Witness One

Name in Block Letters Designation


ALI HUNZLA STUDENT

HUNZLA
27-04-2023

Date Signature

Witness Two

Name in Block Letters Designation


MUHAMMAD SARFRAZ RAO GOVERMENT EMPLOYEE

27-04-2023 SARFRAZ

Date Signature

100 Redwood Shores Parkway, Suite 100, Redwood City, CA 94065 Direct: +1.650.593.5400, Fax: +1.650.593.5402

www.i2cinc.com

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