Cyient-BCP - PandemicEvent - Annexure-6 - Candidate Declaration Form
Cyient-BCP - PandemicEvent - Annexure-6 - Candidate Declaration Form
Cyient-BCP - PandemicEvent - Annexure-6 - Candidate Declaration Form
Annexure-6
Self-Declaration Form for Candidates (Candidates attending Interviews /
New Joiners)
Personal contact number (Mobile
Name of Candidate:
number/Home):
Reporting Venue:
Self-declaration by Candidate:
1 If you have the following symptom(s), please tick the relevant box(es)
2 Have you been in contact with a confirmed coronavirus (COVID19) patient in the past
4 weeks?
Yes No
3 Have you been to any of the affected countries in the past 4 months?
Yes No
6 Any of your Family/ Colleagues or acquaintances travelled to any country and returned in the
last 4 months?
Yes No
1
HP-048-BCPP | Business Continuity Plan For Pandemic Events | Version No. 1.0 | Eff. Date: 2nd Mar 2020
Note: To be filled-in by the candidate at least 3 working days before coming to Cyient. This Form
shall be shared with the Candidates by the respective recruiters. Candidate after entering Cyient
premises on the day of interview / joining should fill this form again and submit to the recruiter.
I confirm that I have reviewed the above information and have filled it accurately and completely.
I know that I can be held responsible for any impact my wrong declaration may have on the
company or its employees.
Signature:_______________ Date: