Form Pa’ BANK EMPL OYEE JOINING FORM | Last Name | First Name Middle Name EMPLOYEE NAME Title _(Mr/Ms) DATE OF BIRTH Name mentioned inthe Graduation Certificate MARITAL STATUS Nationality Passport Issued Country PASSPPORT DETAILS (if any) Passport Number Passport Issued Date Valid til DATE OF JOINING AXIS BANK FATHER'S NAME (Full Name) SPOUSE NAME (Full name) GRADE IN AXIS BANK JOB ROLE IN AXIS BANK 5 DAY WORKING GROUP (Yes/No) GROUP (MT/NON MT/OTHERS etc) ORGANIZATION WHERE EMPLOYEE ATTACHED (Department/Branch/Office) ‘ORGANIZATION WHERE EMPLOYEE POSTED. Department/Branch/Office) ‘Appraiser Name Emp. No. SUPERVISOR DETAILS "kb Role Organization (DeptBranch/Office EMPLOYEE SIGNATURE SUPERVISOR SIGNATURE NAME OF THE HR RIWBranch Head (In case of Branch Staff) SIGNATURE OF HR RM/Branch Head DATE For MIS CELL Date of CreationNAME: CONTACT NO. EMPL. NO: CHECKLIST A) FORMS TO BE SUBMITTED: Form 7 7Remark N ° | I [Joining form-To be Submitted on the Day of Joining | 2 [Attestation Form And One Photograph. ‘3 | Declaration of Fidelity And Secrecy [4 [Declaration to be Bound by Staff Rules [os Declaration of Caste 6 | Code of Conduct for Prevention of Insider Trading 7 _| Statement of Assets and Liabilities 8 | PAN Number/Savings Account Number ‘9 | Declaration for not sharing passwords B) DOCUMENTS TO BE SUBMITTED: Sr.No. Particulars. 7 7Remark 1 [All Academic Certificates-(10th ,12th , Graduation) 2 | Professional Degree Certificate (If applicable) 3 | Proof of Date of Birth- (SSC Certificate/SLC/PAN Card) 4 [Relieving Letter/Affidavit (If applicable) C) UPDATION IN HRMS SITE: Upon creation of employee number you are requested to update the following forms online in HRMS site and the printout of the same may be taken and submitted along with the other documents: Sr.No. Particulars Declaration of Dependents 7_Remark, f Group Medicla 5 General Insurance D) OTHER FORMS TO BE SENT TO RESPECTIVE DEPARTMENTS UPON JOINING: ulars: I 7_[Remark (Form T Pino. 10 | Webmail ID request form (To be forwarded to IT department-It should be mailed to [email protected] through Departmental Head /Branch Head ID) 11 [1D Card request form(To be forwarded to Administration Department) Confirmation in the Bank will be subject to completion of all the above- mentioned Joining Formalities. Date Place Employee Signature Useful link: HRMS site link _http://hrms.axisb.com HRMS helpdesk http://hrms.axisb.co Axis Bank HR Help-d@™k Axis Payroll Help Desk We connect —_http://we-connect/ HR Circulars http://iim.axisb.comy//lIM//inbox.aspx In case of any query, you may get in touch with HR RM at ssForm 2 No. AXIS Bank Ltd. Emp. Attestation Form (To be filled in by the Employee) HoTO 1. Name in full Shri/Smt./Kum. (IN BLOCK LETTERS) 2. (a) Academic / Educational qualifications Examination passed Name of Board/ | Principaly_| Month& | %ofmarks University Main year of | obtained in Subject(s) Exam. _| aggregate Matriculation / SSC ( old pattern ) / SSLC / X std. of 10+2+3 pattern or equivalent Higher Secondary 10+2 of 10+2+3 pattern / 11th std. of 11+3 pattern / Intermediate / Pre-university or equivalent Bachelor’s Degree. (please tick) (B.A. / B.Com. / B.Sc. ) Post-Graduation (please tick) (M.A. /M.Com. / M.Sc. ) 2 (b) Professional Degree / Any other (please specify ) Examination passed Name of Board/ | Principal/_] Month & ] % of marks University Main year of | obtained in Subject(s) Exam. | aggregate. Date of Birth In figures (in Christian Era ) In words |. Present Age : Years Months Days Date of joining 10. 1. 1a. 13. 14. . Nature of Appointment Full postal address with Pin Code a) Permanent + b) Local Place of birth (Give details ) Place of domicile (Give details ) (a) Nationality (b) Religion Emergency Contact : a)” Name & Address. b) Phone Number. Blood Group Emp. No. Emp. No.15.Previous Experience Yes / No (if yes, Starting with the present employer) Sr. Name of the Organisation No| (Starting with the Present Employer) From | To Date Designation Date | (Please use separate sheet if required) 16. Knowledge of a) Shorthand and typewriting (if any ) with speed b) Computers i ©) Any other 17. _ Father’s/Husband’s name 18, Father’s/Husband’s occupation 19. Whether married or single 20. Whether you were ever arrested for any reason or convicted or committed to prison or subjected to preventive detention or subjected to any penalties or adjudicated insolvent I hereby declare that all the information and particulars given by me in this form are true and correct. | also note that that if any of the above statements is incorrect or false or if any material information or particulars have been suppressed or omitted therefrom, my appointment will be liable to be terminated without any notice or any compensation in lieu of notice. Place : Date : (Signature )Form 3 Emp. No. AXIS BANK LTD. Declaration of Fidelity and Secrecy Place Date : 1 do hereby declare that | will faithfully, truly and to the best of my skill and ability execute and perform the duties required of me as an employee of the AXIS Bank Ltd. And which properly relate to the office or position held by me in or in relation to the said Bank. further declare that | will not communicate or allow to be communicated to any person not legally entitled thereto any information relating to the affairs of the AXIS Bank or relating to the affairs of any person having any dealing with the AXIS Bank, nor will | allow any such person to inspect or have access to any books or documents belonging to or in the possession of the AXIS Bank and relating to the business of the AXIS Bank or the business of any person having any dealing with the Bank. ( Signature ) Name in full Grade iForm 4 Emp. No. AXIS BANK LTD, Declaration to be bound by the Staff Rules Place Date Thereby declare that | have read and understood the AXIS Bank ( Staff) Rules, 1994, and | hereby subscribe to and agree to be bound by the said Rules, as may be in force from time to time. ( Signature ) Name in full GradeForm 5 Emp. No. The Executive Director, AXIS Bank Limited, Central Office, Mumbai. Dear Sir, I hereby declare that a) | belong to the Scheduled Caste/Scheduled Tribe as per details below, (i) Name of Caste/Tribe z (ii) Documentary evidence in support of my statement b) I do not belong to any Scheduled Caste/Tribe (strike out whichever is not applicable) Place : Signature Date Name DesignationForm 6 Emp. No. AXIS BANK LIMITED ACKNOWLEDGMENT (CODE OF CONDUCT FOR PREVENTION OF INSIDER TRADING ty » an Employee of AXIS Bank Ltd., acknowledge receipt of letter dated 19" September, 2002 and dos and don'ts regarding the Code of Conduct for Prevention of Insider Trading. | agree to comply with the terms and conditions. Place: Signature Date: Name of the Employee Designation/ Employee No. 10Emp. No. (Officers posted in branches and zonal offices should submit the form to their respective Zonal Heads. Zonal Heads and officers in Central Office should submit their forms to the Senior Vice President, HR Department at Central Office) LIABILITIES ASSETS Rs. Balances / Value Borrowings from the Bank - Bank deposits including cash and savings bank balances - Borrowings from other Investments and Financial Institutions - Securities (to include Bonds, Shares, PPF, NSCs, LIC Policies, Holdings in Mutual Funds etc.) Borrowings from others - Immovable Property - (Please specify whether Land/House/Shop/Building) Name Designation Present Posting: (signature) "Form 8 Emp. No. AXIS BANK LTD, PAN NUMBER AND SAVINGS BANK ACCOUNT NUMBER Employee No. Name of Employee Designation Branch / Zone PAN Number Savings Bank A/c (15 digits) Place Date F Signature 12Form 9 Emp. No. DECLARATION TO BE OBTAINED AT THE TIME OF JOINING + | will not share my Finacle password or any other password with anybody under any circumstances at any point of time. * Lunderstand that should it come to the Bank's notice that | have shared my password with anybody, the Bank Is at liberty to take any action against me as deemed fit. Signature : - Name Branch/Department : - Date : - 13Form 10 WEBMAIL ID REQUEST FORM AXIS BANK Ltd. Request Form No.: 0001 To, Notes Administrator, AXIS Bank Ltd., Da ‘tre, Chembur, Mumbai. Employee Name: Employee No. Designation: Date of Joining: Place of Posting ‘Transfer lif Applicable): 1, The above employee stands transferred to 2. The above employee has reported to our office on 3. The official mails in the mailbox of outgoing official may be transferred to mail id of Resignation / Retirement / Termination (As Applicable): NOT APPLICABLE 1, The above employee has resigned / retired / his / her service has been terminated and will be relieved on _ The ID should be deleted within 30 days of acceptance of resignation / retirement or relieving date whichever is earlier. 2. The official mails in the mailbox of outgoing official may be transferred to the mailbox of (Name of the authorizing authority) Designation Department Place Date Form 11 141D CARD FORMAT Application form for issue of Identity card — New Joining Employee Stamp size photograph. Name On reverse 1a) Employee No. Employee No b) stamp of branch Blood group Branch stamp Branch Head / Department Head Sign Authorized signatory (Central Office HR/Zonal Office HR) ‘Annexure 1-To be retained by the employee AXIS Bank Ltd., Central Office, Mumbai. 15September 19, 2002 Code of Conduct for Prevention of Insider Trading . At the 61" Meeting of Board of Directors held on 10" July, 2002, the Board has approved a Code of Conduct for Prevention of Insider Trading. This Code of Conduct is applicable to our Bank as per the provisions of the Securities and Exchange Board of India - SEBI (Insider Trading) Regulations, 1992 and Securities and Exchange Board of India - SEBI (Insider Trading) (Amendment) Regulations, 2002 which have become effective from 20" February, 2002 We give below the important provisions of the Code of Conduct for information and guidance of all employees: 1. The purpose of this code is to comply with the Securities and Exchange Board of India - SEB! (insider Trading) Regulations, 2002 (SEB! code) dealing with: a) Trading in the Bank's securities listed on any stock exchange in India on the basis of any unpublished price sensitive informatior b) Communicating any unpublished price sensitive information to any person except as required under this regulation; ©) Counselling or procuring any person to deal in securities of any company on the basis of any unpublished price sensitive information 2. This Code covers all the directors of the Bank and all employees of the Bank, their dependent family members (collectively referred to as “Insiders"), and any outsiders whom the Compliance Officer may designate as Insiders as they have access to material information which are otherwise not available in the public domain... 3. The Code applies to any transactions in the Bank's securities, including its ordinary shares, options to purchase ordinary shares, convertible debentures/warrants, exchange-traded derivative instruments and any other type of securities that the Bank may issue. 4, “designated employee” means all employees of the Bank in the grade of Vice President and above and all employees in the Finance & Accounts department at Central Office, and at the Registered Office of the Bank. 5. “Insider,” as defined under the SEBI Regulations, for our Bank shall cover and include all the employees including the designated employees. Further, any person who was associated with the Bank and who had access to price sensitive information shalll also be deemed to be an insider and shall be bound by these rules for the subsequent period of Six months. 16The Statutory Auditors of the Bank are also considered as the “designated outsiders’ “dealing in securities” means an act of subscribing, buying, selling or agreeing to subscribe, buy, sell or deal in any securities by any person either as principal or agent. “securities” shall include shares, scrip, stocks, bonds, debentures or other marketable securities of a like nature in or of the Bank. “price sensitive information” means any information which relates directly or indirectly to a company and which if published is likely to materially affect the price of secur company. In simple terms, price sensitive information means information of any type, which could reasonably expected to affect the price of the Bank's securities, including but not limited to the following es of periodical financial results of the Bank; ii, intended declaration of dividends (both interim and final)/bonus/rights; ili. issue of securities or buy-back of securities; iv, any major expansion plans or execAXISon of new projects; v. amalgamation, mergers or takeovers; vi. disposal of the whole or substantial part of the undertaking: vil. any significant changes in policies, plans or operations of the Bank; viii, Private placement of securities; ix, Significant change in any product related matters like R&D, supplies, inventory, price ete. x. Management information reports; xi. Significant change in the management xii, Any major labor dispute or major litigation 7Annexure 2-To be retained by the employee AXIS Bank Ltd., Code of Conduct for Prevention of Insider Trading Do's Follow the provisions of the Code of Conduct for Prevention of Insider Trading. Please note that the code applies to any transactions in AXIS Bank's securities including its Equity Shares and Convertible Debentures / Warrants and any other type of securities that the Bank may issue. Remember that ‘designated employee’ means all employees in the grade of Vice President and above and all employees in the Finance and Accounts Department at Central Office and all employees of the Registered Office of the Bank. Please note that ‘insider’ definition shall cover all the employees of AXIS Bank including the designated employees. Please remember that ‘Price Sensitive Information’ means any information which relates directly or indirectly to AXIS Bank and which if published is likely to materially effect the price of Equity Shares of the Bank. “ Do take pre-clearance from the Compliance Officer if you are a Director/designated employee and wish to trade in Equity Shares of the Bank atleast worth Rs.5 lacs or 5000 Shares or 2% of the total shares of the Bank in a month whichever is lower. aw Do intimate (no pre-clearance required) to the Compliance Officer within a week in the prescribed format for trading above 2000 and upto 5000 Equity Shares per month, a No permission of or intimation to the Compliance Officer will be required for trading up to 2000 Equity Shares per month, Hold your investment in Equity Shares for a minimum period of 30 days in order to be considered as being held for investment purpose. Do remember that this code does not apply to exercise of options by any Director/designated employee and/or insider under any Employee Stock Option Scheme of the Bank. However, the trading prohibitions and restrictions of this code will apply to the sale of shares acquired through the exercise of stock options granted by the Bank. For a Director/designated employee of the Bank or any person holding more than 5% Shares or voting rights in AXIS Bank, it is necessary to make initial/monthly/annual disclosure of their holding in Equity Shares of AXIS Bank, as required under the code in the prescribed format to the Compliance Officer. 19AXIS Bank Ltd., Code of Conduct for Prevention of Insider Trading Don’ts 1. (a) Do not trade in the Equity Shares of AXIS Bank listed on NSE/BSE/ASE on the basis of any unpublished price sensitive information (b) Donot communicate any unpublished price sensitive information to any person. (©) Do not counsel or procure any person to deal in Equity Shares or other securities of AXIS, Bank on the basis of any unpublished price sensitive information 2. Do not trade in Bank’s equity shares outside the applicable “trading windows” or during any special trading blackout periods declared by the Compliance Officer 3. Do not disclose to any outside third party that a special blackout-period has been designated Do not give trading advice concerning the AXIS Bank to third parties even when the you do not possess material unpublished price sensitive information about the Bank. 5. (l) Do not forget to obtain pre-clearance from the Compliance Officer if you are aDirector/designated employee and wish to trade in Equity Shares of AXIS Bank atleast worth Rs.5 lacs or 5000 Shares or 2% of the total shares of the Bank in a month whichever is lower. (Wt) Bo not forget to intimate the Compliance Officer of the Bank if you are a Director/designated employee and wish to trade in Equity Shares of AXIS Bank above 2000 but up to 5000 Equity Shares per month 6. Do not violate this code or the SEBI (Prohibition of Insider Trading) Regulations, 1992 as violation may lead to disciplinary action by the Bank which may include wage freeze, suspension, ineligibility for future participation in ESOPs including termination from service. 20Annexure 3-To be retained by the employee STATEMENTS OF ASSETS AND LIABILITIES FROM STAFF An additional Rule No, 10.12 has been added under “Code of Conduct” in the Bank's Staff Rules as given below: 10.12. Every officer on first appointment and as on 31 March each year (beginning with 31% March, 2003), shall submit a return of assets and liabilities giving full details of: a) the immovable property owned or acquired or held by the officer in his/her name or in the name of any member of his / her family* or in the name of any other person; b) alll financial securities and bank deposits including cash balances owned or acquired or held by the officer; <) debts and other liabilities incurred by the officer directly or indirectly, including loans from the Bank. * Forthe purpose of this Rule ” Family” means i) Spouse, whether residing with the officer or not, but does not include a legally separated spouse ii) Children or step children or adopted children of the officer whether residing with the officer or not and dependent wholly an such officer but does not include children or step children of whose custody the officer has been deprived of by or under any law; and ii) Any other person related to, by blood or marriage to the officer or to the officer’s spouse and wholly dependent upon such officer. The Bank may also, at any time, by general or special order, require an officer to furnish within a period to be specified in the order, a statement of moveable or immoveable property owned, held or acquired by the officer or on the officer’s behalf or by any member of the officer's family as may be specified in the order. Such a statement shall, if so required by the Bank include the details, of the means by which or the sources from which such property was acquired. 24The above statement of Asset and Liabilities should be furnished in the enclosed format on or before 30" June every year. Non-submission of the above annual statements by officers would constitute an act of misconduct under the Bank's Staff Rules for which disciplinary action may be taken by the Bank. The contents of this circular may be brought to the notice of all officers in your department / office, Soft copies of the forms are being sent to you separately. Officers posted in branches and zonal offices should submit the form to their respective Zonal Heads. Zonal Heads and officers in Central Office should submit their forms to the Senior Vice President, HR Department at Central Office. All the officers on the rolls of the Bank as on date must submit the first such statement as on 31° March, 2003 on or before 30" June, 2003. S Bhattacharya President Human Resources 22. Employee gets married during the policy year and the spouse is wholly dependant on him, . Employee is blessed with a child during the policy year. . Employee wishes to replace a dependant who has expired during the policy year, with another dependant. 6. When to replace the names of dependants? Employee, who wishes to replace @ name of one dependant in place of already covered and alive dependant, can do so at the time of renewal of the policy only ie. in the month of September after a ‘communication in this regards Is sent from HR to all employees. 7. Which expenses are covered? ‘The policy facilitates reimbursement of hospitalisation expenses and related medical / surgical treatment expenses incurred by an employee or his covered dependent, subject to the condition that the hospitalisation is for more than 24 hours. Medical expenses incurred during a period upto 30 days prior to hospitalisation and upto 60 days after hospitalisation can also be claimed as reimbursement. Maternity benefit upto Rs. 50,000/- per delivery, during policy period of one year is covered. In maternity pre and post natal are not reimbursed, 8. When hospitalisation for minimum period of 24 hours is waived? For claiming reimbursement of expenses related to below mentioned ilinesses, hospitalisation of more than 24 hours is not required. . Dialysis . Chemotherapy . Radiotherapy . Eye surgery viz cataract, lazer surgery . Dental surgery arising out of accidental injury . Kidney stone removal . Tonsillectomy 9. Which expenses are not covered? Bank’s Group Mediciaim Policy disallows re-mbursement of any expenses whatsoever Incurred by an ‘employee or his dependant in connection with or in respect oft X- Injury or diseases directly or indirectly caused by wer, invasion, any foreign enemy or war like operations Cost of spectacles, lenses, hearing alds, dentures. Dental treatment or surgery arising out of accidental injury. X Circumcision unless necessary for treatment of a disease not atherwise excluded or as may be necessitated due to an accident, vaccination or inoculation or change of life or cosmetic or aesthetic treatment of any description, plastic surgery other than as may be necessitated due to an accident or as a part of any illness. ® Convalescence, general debility, run-down condition or rest cure, congenital external disease or defects or anomalies, sterility, venereal disease, intentional self- injury and use of intoxicating drugs/aicohol. All expenses arising out of any condition directly or indirectly caused to or associated with human T-Cell Lymph Tropic Virus type Ill ( HT LB- Il) or Lymphadinopathy Associated Virus (LAV) or the 24Mutants Derivative or Variations Deficiency Syndrome or any Syndrome condition of a similar kind commonly referred to as AIDS. 2 Charges incurred at hospital or nursing home primarily for diagnostic, X-ray or laboratory examinations or other diagnostic studies not consistent with or incidental to the diagnosis and treatment of the positive existence or presence of any ailment, sickness or injury for which confinement is required at @ hospital or nursing home. X Expenses on vitamins & tonic unless forming part of treatment for injury or disease as certified by the attending physician, jectly or indirectly caused by or contributed to by nuclear weapons / materials, 1X. Injury or disease chemical warfare. Naturopathy treatment. Expenses incurred under domiciliary hopsitalisation, Hospitalisation for conducting the pathological / medical test. 110. Which expenses are payable under maternity? ‘The policy allows re-imbursement of expenses related to Maternity without any waiting period. ‘Only expenses incurred during the period of hospitalisation i.e. from date of admission to date of discharge are reimbursed, Pre and post natal expenses are not reimbursed. Can be claimed for ‘first two children’ only Maximum amount can be claimed is Rs. 50000/- jim administrator's link? 11. What are features available on I-Healthcare i.e. the cl ‘V platform of 'I'-Health Care Employees can access 'I' platform of '' Health Care by clicking on the link ¥ The link will take you to the home page of '! Health Care where following two faclities are available: 1. 'V-Services log-in Services Log-in will facilitate generation of e-cards, checking the policy and claim status online, Where the login ID is asked employees have to enter his/her Employee Number in the text box and where Password is asked the employee will enter “axis” and DOB (ddmmyyyy format) e.g.: axis06121983 and click the submit button It will take you to a page where you will find three options b, Enrollment details c. Claim Status d, Print I card a. Policy details : By selecting this option and clicking submit button, Employees can get the policy details. b. Enrollment details 25