Declaration

I understand that any employment by Firstsource Solutions Limited or its affiliated

companies is conditioned upon positive responses from references, bonding eligibility,
continued adherence to Firstsource Solutions Limited policies and procedures, applicable
rules and regulations and job performance satisfactory at all times to Firstsource Solutions
Limited.

I consent to take any pre or post-employment examinations as may be required by

Firstsource Solutions Limited or its representative and release Firstsource Solutions Limited
from any liability for issuing such information.

I authorize any inquiry to be made on the information contained on the Background

Verification Form. Former employees and officials of educational institutes, named on the
Background Verification Form are authorized to give information about me and I release
them from any liability for issuing such information.

I hereby attest and warrant that all the information on this form as well as on all forms
completed in conjunction with employment is true and accurate. I understand that my
misrepresentation of facts, failure to disclose information required on this form or material
change in my information provided which is not reported to Human Resources shall cause
dismissal regardless of when discovered by Firstsource Solutions Limited.

Signature: Electronically signed by:

Rumen R

Full Name: Rumen R

Date: 08/08/2023