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Declaration Form

This declaration form is for an employee of Qualcomm India Pvt. Ltd. to confirm that they do not currently possess a passport and have no pending or rejected passport applications. The employee agrees to inform the company if they obtain a passport during their employment and indemnifies the company against any misrepresentation. The form requires the employee's signature and printed name.

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dharanveeraballi
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214 views1 page

Declaration Form

This declaration form is for an employee of Qualcomm India Pvt. Ltd. to confirm that they do not currently possess a passport and have no pending or rejected passport applications. The employee agrees to inform the company if they obtain a passport during their employment and indemnifies the company against any misrepresentation. The form requires the employee's signature and printed name.

Uploaded by

dharanveeraballi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

DECLARATION FORM

I __________________________________________________________________________,
s/o/d/ow/o _________________________________________, aged _____________,residing at
______________________________________________________________________________
_____________________________________________________________________________,
having Aadhar card number __________________________________, have joined Qualcomm
India Pvt. Ltd. as an employee on __________________________. I hereby confirm and declare
that I currently do not have a passport (Indian or other) and do not have any pending or rejected
application for a passport. If I obtain a passport at any time during my employment with
Qualcomm India Pvt. Ltd., I will promptly disclose and provide a copy to the company.

I agree to indemnify Qualcomm India Pvt. Ltd. and its affiliates for any loss or damage they may
suffer due to any misrepresentation or falsity in the above declaration or failure by me to disclose
details of my passport, upon receiving it.

Signature: __________________________________

Print Name: _________________________________

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