:: SMART Joining Kit for Part-Time Employees ::

Candidate Name: Unit Name:

Candidate Designation: Region:
Reporting Mgr Name: Reporting Mgr E-code:

SECTION 1 : EMPLOYEE PERSONAL INFORMATION PROTECTION NOTICE

1. Introduction

PNB MetLife India Insurance Company Ltd. (‘PNB MetLife’) values the trust of its employees and is committed to protecting
the personal information of employees and retirees. This information helps PNB MetLife in its contingency planning and
internal talent searches, in addition to supporting routine Human Resources and operational processes.

2. About this Notice

PNB MetLife is an organization, with affiliates, associates, vendors and service providers who cross borders. PNB MetLife
may use and transfer the personal information of its employees with any of its vendors, service providers, associates who
are situated within or out of India. PNB MetLife is committed to protecting the privacy of our current and former
employees. This Notice explains what personal information we collect, use, transfer, and why.

3. What Information About You PNB MetLife Collect, Use, Transfer and Why

In the course of your employment with PNB MetLife, PNB MetLife may have collected or will collect information about
you, your working relationship with PNB MetLife, your dependents, which may include information deemed Sensitive
under local law (“Sensitive Personal Data or Information” or “SPDI”) . We refer to such information as “Personal
Information.” For more specific information regarding what Personal Information PNB MetLife collects, uses, and
transfers, as well as the purposes for which Personal Information is collected, used and transferred, please see the end of
this Notice. PNB MetLife will not use Personal Information for any other purpose incompatible with the purposes described
in this Notice, unless it is required or authorized by law, authorized by you, or is in your own vital interest (e.g., in the case
of a medical emergency). Your decision to provide Personal Information to PNB MetLife is voluntary. However, if you do
not provide certain information, PNB MetLife may not be able to accomplish some of the purposes outlined in this Notice.

4. Transfer and Joint Use of Personal Information

Due to the nature of PNB MetLife’s operations, PNB MetLife may disclose Personal Information to its venders, associates
and service providers to fulfil the purposes described at the end of this Notice. This may include transferring Personal
Information to locations anywhere in the world (including countries other than where you are based). PNB MetLife will
remain responsible for the Personal Information about you that is shared with any of its affiliates, associates, service
providers and/or vendors. Access to Personal Information within PNB MetLife will be limited to those who have a need
to know the information for the purposes described at the end of this Notice and may include your managers and their
designees, personnel in HR, IT, Finance and internal audit, Legal, Compliance ,RCU & Risk. PNB MetLife personnel will
generally have access to business contact information such as name, position, workplace telephone numbers, addresses
and email addresses. From time to time, PNB MetLife may need to make Personal Information available to other parties
such as legal and regulatory authorities; accountants, auditors, lawyers and other outside professional advisors and to
companies and or vendors and service providers that provide products and services to PNB MetLife (such as payroll,
pension scheme, benefits providers; human resources services, performance management, IT systems suppliers and
support; third parties assisting with equity compensation programs, or other outsourcing providers). Some of these
services will be provided from countries outside of your home jurisdiction, including the United States. PNB MetLife has
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taken steps to ensure that, these service providers protect the confidentiality and security of Personal Information, and
to ensure that Personal Information is processed only for the provision of the services to PNB MetLife, and its affiliates
and in compliance with applicable law.

5. Security

PNB MetLife will take the appropriate legal, organizational, physical and technical measures to protect Personal
Information consistent with applicable privacy and data security laws. When PNB MetLife retains a third-party service
provider to perform a function of the nature described at the end of this Notice, that entity will be required to use
appropriate measures to protect the confidentiality and security of the Personal Information.

6. Data Integrity
PNB MetLife takes reasonable steps to ensure that Personal Information we process is reliable for its intended use,
accurate, and complete as necessary to carry out the purposes described in this Notice.

7. Data Retention
PNB MetLife will retain Personal Information for the period necessary to fulfil the purposes outlined in this Notice, unless
a longer retention period is required or permitted by law.

8. Access and Correction Requests, Questions and Complaints

If you have any questions or concerns about how PNB MetLife processes Personal Information, or if you wish to request
that we cease using, correct, suppress or delete Personal Information about you on the grounds that such Personal
Information was used or acquired or maintained in violation of applicable law, please contact your local Human Resources
Representative. Please note, however, that certain Personal Information may be exempt from such a ccess, correction and
deletion requests pursuant to applicable data protection or other laws and regulations.

9. Employee’s Obligations
You have the duty to keep Personal Information up to date and to inform us of any significant changes to Personal
Information about you. You agree to inform your dependents whose Personal Information you provide to PNB MetLife
about the content of this Notice, and to obtain their explicit consent (provided they are legally competent to give consent)
for the use (including transfer) of that Personal Information by PNB MetLife as set out in this Notice. You further agree to
follow PNB MetLife’s policies, standards and procedures in handling any personal data to which you have access in the
course of your relationship with PNB MetLife. In particular, you will not access or use any personal data for any purpose
other than in connection with and to the extent necessary for your work with PNB MetLife. You understand that these
obligations continue to exist after termination of your relationship with PNB MetLife. Violations of these obligations may
result in disciplinary actions.
Types of Personal Information PNB MetLife may collect, use and transfer:
Personal Details: Name, maiden name and surname, e-mail and telephone details, home/communication address, date
of birth, national identification number, permanent account Number, aadhaar details, gender, marital status, dependents,
emergency contact information and photograph;
Documentation Required under Immigration Laws: Citizenship, passport data, details of residency or work permit;
Payroll Data: Banking details, working time records (including vacation and other absence records, leave status, hours
worked and department standard hours) and termination date;
Position: Description of current position, title, salary plan, pay grade or level, company name, unit/department, location,
supervisor(s) and subordinate(s), employee identification number, employment status and type, terms of employment,
employment contract, work history, (re-) hire and termination date(s), length of service, retirement eligibility, promotions
and disciplinary records date of transfers, work address, work telephone number, work email address, employee ID, and
reporting manager(s) name and respective employee ID;
Talent Management Information: Details contained in letters of application and resume/CV, previous employment
background, education history, professional qualifications, language and other relevant skills, details on performance
management ratings, development programs planned and attended, performance and development reviews and
discussion ratings and comments, including dates for the foregoing and willingness to relocate;

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Compensation: Base salary, bonus, benefits, pay enhancements for dependents, overtime and shift work, salary step
within assigned grade, details on stock options, stock grants and other awards, currency, pay frequency, effective date of
current compensation, salary reviews and performance appraisals;
Management Records: Details of any shares of common stock or directorships;
System and Application Access Data: information required to access company systems and applications (such as system
ID); and
SPDI: PNB MetLife may also collect certain types of sensitive information as permitted by local law, for example,
passwords, financial information (such as bank account, credit card, debit card or other payment instrument details),
physical, physiological and mental health conditions, sexual orientation, medical records and history, biometric
information, etc. and information necessary to perform appropriate background checks. Please be assured that, as
explained in the following section, we will only use SPDI for the following purposes and as provided by law.

The Purposes for which the Company may collect, use and transfer Personal Information:

Managing Workforce: Managing work activities and personnel generally, including recruitment, appraisals, promotions
and succession planning, administering salary and payment administration and reviews, wages and other awards such as
stock options, stock grants and bonuses, health care, pensions and savings plans, training, leave, promotions, transfers,
secondments, honoring other contractual benefits, loans, performing workforce analysis and planning, performing
background checks, managing disciplinary matters and terminations, making business travel arrangements; planning and
monitoring of training requirements; creating and maintaining one or more internal employee directories;

Communications and Emergencies: Facilitating communication with you, providing references, ensuring business
continuity, protecting the health and safety of employees and others, safeguarding IT infrastructure,

Business Operations: Operating and managing the IT and communications systems, managing product and service
development, improving products and services, managing company assets, allocating company assets and human
resources, strategic planning, project management, business continuity, compilation of audit trails and other reporting
tools, maintaining records relating to manufacturing and other business activities, budgeting, financial management and
reporting, communications, managing mergers, acquisitions, sales, re-organizations or disposals and integration with
purchaser; Compliance: Complying with legal and other requirements, such as income tax and national insurance
deductions, record-keeping and reporting obligations, conducting audits, compliance with government inspections and
other requests from government or other public authorities, responding to legal process such as subpoenas, pur suing
legal rights and remedies, defending litigation and managing any internal complaints or claim and complying with
internal policies and procedures; and
Monitoring: Monitoring compliance with internal policies, including the polices with regard to telephone, email, Internet
and other company resources and the Code of Business Conduct and other monitoring activities as permitted by local
law.

Acknowledgement and Consent

I have read, understood and expressly agree to the Employee Personal Information Protection Notice (the “Notice”). I
understand and expressly agree that, PNB I may transfer and disclose Personal Information (including SPDI) about me as
described in the Notice. I also acknowledge that under applicable law, some Personal Information can be collected,
used, processed, transferred or disclosed without my consent and that PNB I reserves the right to undertake that activity
when appropriate, and that the data might be transferred to other entities both within and outside of the country in
which I am based. To the extent permitted under applicable laws, I authorize PNB I to, obtain, store and use my Aadhaar
details. To the extent that I have provided (or will provide) Personal Information to PNB I about my family and/or other
dependents, I certify by signing below that I have obtained their consent to the use (including transfer) of that Personal
Information consistent with this Notice and, for any individuals not legally competent to give consent, I consent on their
behalf (and confirm that I have the authority to do so).

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SECTION 2 : CONFIDETIALITY AGREEMENT

Dear Associate,

As per the extant policies of the Company, every employee of the Company is prohibited from engaging in the following:

During the course of your employment with the Company, you may have access to and may become acquainted with the
confidential and Proprietary Information of the Company (which is more fully described in the paragraph below).

You are hereby unequivocally, unconditionally, absolutely, and irrevocably agreeing and confirming that:
I I. You will not be engaging into activities which could be treated as a breach of the terms of your employment,
extant policies and processes of the Company as applicable from time to time;

I II. You will strictly abide by the following:

1. Recognition of Company's Rights: You will hold in strictest confidence and will not disclose, use, or publish any of the
Company's Proprietary Information and confidential information (defined below), except and only to the extent such
disclosure, use or publication, as may be necessary, is required in connection with your work for the Company, during the
course of your employment or thereafter, or unless an officer of the Company, authorized in this regard, expressly authorizes
such disclosure in writing. The term "Proprietary Information" shall mean trade secrets, confidential knowledge, data or any
other information of the Company. By way of illustration but not limited to, "Proprietary Information" includes (a) invention s,
trade secrets, ideas, processes, formulas, source and object codes, data, programs, other works of authorship, knowledge
documents, know-how, improvements, discoveries, developments, designs and techniques (hereinafter collectively referred
to as "Inventions"); and (b) information regarding plans for research, development, new products, regulatory matters,
marketing and selling, business plans, budgets and unpublished financial statements, licenses, prices and costs, suppliers an d
customers; and information regarding the skills and compensation of other employees of the Company.

2. Third Party Information; You understand, in addition, that the Company has received, and in the future will receive, from
third parties confidential or proprietary information ("Third Party Information") subject to a duty on the Company's pa rt to
maintain the confidentiality of such information and to use it only for certain limited purposes. During the term of your
employment and thereafter, you will hold Third Party Information in the strictest confidence and will not disclose to anyone
(except as required by your work for the Company), unless an officer of the Company authorized in this regard expressly
authorizes such disclosure in writing.

3. Assignment; You hereby perpetually assign to the Company all your rights, title and interest in and to any and all Inventions
and all patent rights, copyrights, mask work rights, trademarks, trade secret rights, all other rights throughout the world i n
connection therewith, and the goodwill associated with all of the foregoing (collectively, "Propri etary Rights"),whether or not
patentable or registerable under patent, copyright, trademark or similar statutes, made or conceived or reduced to any form
or practice or learned by you, either alone or jointly with others, during the period of your employme nt with the Company.
Inventions assigned to, or as directed by, the Company under this Paragraph 3 are hereinafter referred to as "Company
Inventions." You agree, upon request, to execute, verify and deliver assignments of the Proprietary Rights to the Com pany or
its designee and you hereby appoint the Company as your attorney-in-fact with respect to the Proprietary Rights for the
purpose of effecting any or all of the Company's rights to and use of the Proprietary Rights.

4. Works for Hire: You acknowledge, agree and accept that, to the fullest extent permitted by law, all inventions and works,
invented or created during the course of your employment with the Company, shall be deemed “works made for hire” under
the Copyright Act 1999, as amended from time to time. You hereby grant the Company a perpetual, nonexclusive, royalty-
free, worldwide, assignable, transferable, sub-licensable license throughout the world under all rights and intellectual
property rights (including patent, industrial property, copyr ight, trademark, trade secret, unfair competition and related laws)
in any Invention and Works, for all purposes in connection with Company’s current and future business, except those that you
have created, invented, designed, developed, improved or contributed to prior to your employment with the Company that
are relevant to or implicated by such prior works disclosed by you separately to the Company.

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5. Return of Company Documents and Assets; When you leave the employment of the Company, you will deliver to the
Company any and all assets, drawings, notes, memoranda, specifications, devices, formulas, molecules, cells, storage
media, including software, documents and computer printouts, together with all copies thereof, and any other material
containing or disclosing any Proprietary Information, confidential information, Inventions, Third Party Information. You
further agree that any property situated on the Company's premises and owned by the Company, including disks and
other storage media, filing cabinets or other work areas, is subject to inspection by Company personnel at any time with
or without notice.

6. Indemnity: You hereby agree to hold harmless and keep indemnified PNB MetLife, its directors, officers, agents and
representatives from and against all costs, damages, losses, expenses, and liabilities of whatsoever nature, arising from
claims, court proceeding, quasi-judicial proceeding or any other cause, which may be incurred/sustained by or imposed
on PNB MetLife in consequence of any violation from your end in adhering to any of the terms and conditions agreed
hereinabove.

Additionally, you agree that you will not do the following:

1. Transmit or share messages/emails containing Proprietary Information or confidential information pertaining to

Company’s operations, strategy, plans, employees, services, or systems to any unauthorized recipient;

2. Collect, store, share and/or transmit or provide access to materials which may violate applicable laws or regulations or
the Company’s extant policies and processes as applicable from time to time;

3. Conduct Company’s business using personal email IDs;

4. Use Company’s systems/networks for accessing personal emails;

5. Take photographs or shoot video clippings inside any of the identified sensitive areas of the Company through camera
enabled mobile/cellular phones or any other device embedded with camera without obtaining permission from the
competent authority.

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SECTION 3 – LETTER OF AUTHORIZATION

Equal Employment Opportunity

PNB MetLife India Insurance Co. Ltd. is committed to the principle of equal employment opportunity for all employees
and applicants. All employment decisions at PNB MetLife are based on business needs, job requirements and individual
qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnanc y),
age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil
union or domestic partnership status, family or parental status, or any other status protected by the laws or regulations.
PNB MetLife will not tolerate discrimination or harassment based on any of these characteristics.

Declaration and Authorization

I understand that any employment by PNB MetLife India Insurance Company Limited("PNBMetLife") or its affiliated
companies is conditioned upon positive responses from my references, bonding eligibility, continued adherence to PNB
MetLife's policies and procedures, applicable rules and regulations and job performance satisfactory at all Times to PNB
MetLife.
I consent to take any pre or post-employment examinations and or verification/checks as may be required by PNB MetLife
or its representative(s).
I further authorize PNB MetLife or any third party appointed by PNB MetLife to make inquiries by written communication,
by telephone, or in persons to any former employer, government, agency, educational institution, state police or any other
regulatory, compliance body or organization or any other persons or institutions knowledgeable of my background, prior
history, work experience, nature of duties, TFP, performance levels, reliability, responsibility, honesty and any other
measures of my character or personality.
I release PNB MetLife or any third party appointed by PNB MetLife from any liability that may arise from such examination
and or verification/checks. Former employers and officials of education institutes, named on this application are
authorized to give information about me and I release them from all liability for issuing/providing such information.
I hereby attest and warrant that all my answers on this application as well as on all forms completed inconjunction with
my employment are true and accurate. I understand that my misrepresentation of facts, failure to disclose information
required on this application or material change in my information provided which is not reported to Human Resources
shall be cause for dismissal regardless of when discovered by PNB MetLife. Further, I agree and accept that, in the event
of it being discovered by PNB MetLife, at any point of time, that I have misrepresented facts or had suppressed material
information, PNB MetLife shall be at liberty to share such details with other companies engaged in the business of life
insurance or with other trade bodies/confederations, and I hereby release and agree to hold harmless PNB MetLife from
any and liability rising out of issuing/providing such information.

A Photostat or any other copy of this instrument bearing my signature shall be equally legally valid as the original.

I have read the above mentioned three declarations pertaining to: -

1) EMPLOYEE PERSONAL INFORMATION PROTECTION NOTICE

2) CONFIDETIALITY AGREEMENT and
3) LETTER OF AUTHORIZATION

Further I am agreeing to abide with the same.

(Signature)
Full Name -
Date -

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 FORM ‘F’

[See sub-rule(1 ) of rule 6 ]

Nomination

To……………………………………………………………………………………………………

[Give h ere n a m e or description of the establishment with full address]

1. Shri/Shrimati/Kumari……………….…………………whose particulars are given in the statement below,

[Name in full here]

hereby nominate the person (s ) mentioned below to receive th e gratuity payable after my death as also
the gratuity standing to my credit in the event of my death before that amount has become payable, or
having become payable has not been paid and direct that the said amount of gratuity shall be paid in
proportion indicated against the name(s) of the nominee(s).

2. I hereby certify that the person (s) mentioned is a/ are member(s) of my family within the meaning of
clause (h) of section (2) of the Payment of Gratuity Act, 1972.

3. I hereby declare that I have no family within the meaning of clause (h) of section (2) of the said Act.

4. (a) My father/ mother/ parents is / are not dependent on me.

(b) my husband’s father/ mother/ parents is / a re not dependent on my husband .

5. I have excluded my husband from my family by a notice date the ……………………... to the controlling
authority in terms of the proviso to clause (h) of section 2 of the said Act.

6. Nomination made herein in validates my previous nomination.

Nominee (S)

Name in full Relationship with Age of nominee Proportion by

with full address of th e which the
nominee(s) Employee gratuity will be
shared
1.
2.
3.
so on .

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 Statement

1. Name of employee in full

2. Sex.
3. Religion .
4. Whether unmarried/ married/ widow/ widower.
5. Department / Branch / Section where employed.
6. Post held with Ticket or Serial No., if an y.
7. Date of appointment
8. Permanent address .

Village………………..Thana ………………….Sub-division ………………Post Office…………..…

Place Signature/ Thumb impression

Date of the employee

Declaration by witnesses

Nomination signed/ thumb impressed before me.

Name in full and full Signature of witnesses

1. 1.
2. 2.

Place
Date

Certificate by the employer

Certified that the particulars of the above nomination have been verified and recorded in this establishment.

Employer’s Reference No., if any

Signature of the employer/ Officer authorized

Designation

Date Name and address of th e

Establishment or rubber stamp thereof.

Acknowledgement by the employee

Received th e duplicate copy of nomination in Form ‘F’ filed by employee and duly certified by the employer.

Date Signature of the employee

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 Surrender Declaration Form
(Applicable in case of only if candidate has Agent Code in any Life Insurer)

Date: < >

From,
<name and address of Agent>

To,
<name and address of PNB MetLife India Insurance Company Limited >

Sub: Declaration and Undertaking to act as an exclusive Insurance Agent/Manager for PNB MetLife India Insurance
Co. Ltdw.e.f ( ).

Dear Sir/Ma’am,

I have applied for the post of ..................... in the services of PNB MetLife India Insurance Company Ltd
(PMLI/Company/PNB MetLife) to engage in the selling of insurance products offered by the company.

1. I was earlier working with <Name of Insurer may be set out> bearing Agent Code No ...................and I have
ceased to be a life insurance agent of <name of insurer> with effect from < > as I have surrendered by agency
license of <name of insurer> w.e.f < >. Copy of my letter issued to <name of insurer> expressing my desire to
surrender my agent’s license along with proof of dispatch/ acknowledgement is annexed as Annexure A.

2. That “No Objection Certificate” from <name of insurer> is likely to be issued in my favor by
< > or in case the same is not issued by < factor 7 days from date of receipt of communication set out in
paragraph 2 above> for valid reasons, a No Objection Certificate would be deemed to be issued in my favor in
accordance with IRDA’s circular bearing number IRDA/CAGTS/CIR/ 142/07/2013.

3. I declare and undertake that w.e.f. < >, I have discontinued my engagement as an insurance agent
with <name of insurer> and from the date of my appointment I shall exclusively be working for PNB MetLife. I
shall not solicit/sell the insurance products of other insurers or engage with other Insurers in any manner during my
employment with PNB MetLife.

4. I acknowledge and agree that PNB MetLife shall be entitled to initiate disciplinary action against me, including
but not limited to terminating my agency/services with immediate effect, withholding my remuneration and/or
incentives payable to me in relation to my employment under appointment with PNB MetLife without issuing any
advance notice to me, in the event my aforesaid undertaking and declaration are found to be incorrect of false.

Thanking You.

Yours Sincerely,

< Name of the Agent>

Name:

Encl: As above

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