Document Check List to be submitted at the time of joining

Name

____________________

Employee Code

____________________

Department

____________________

Name of Course
S.No. Details

____________________
Submitted

Joining Report

Y/N

Code of Conduct

SAP Hiring form

Medical Report (As per ACC format - Certified by MBBS / MD Doctor

PF form

Gratuity Form

Xth Marksheet

XIIth Marksheet

Photocopy of Birth certificate / School Leaving certificate for Date of

Birth Proof

10

Bachelors transcripts(Statement of marks and / or consolidated mark

sheet indicating all subjects and marks of all semesters / years - front
and back copies required)

11

Masters transcripts (Statement of marks and / or consolidated mark

sheet indicating all subjects and marks of all semesters / years - front
and back)

12

Diploma Mark sheet - If applicable (For Polytechnic / ITI)

13

Cancelled Blank cheque for Payroll processing

14

Relieving Letter from Previous Employers*. Applicable for candidates

with prior experience of or Resignation acceptance letter from
Previous Employer.

15

Photocopy of the Driving License

16

2 passport size colour photographs.

17

Mandatory requirement : PAN CARD & AADHAR CARD

18

Voter ID Card / Passport

18

Self Declaration / Undertaking to be submitted only if documents are

not submitted.

Remarks if Pending

Kindly note that a copy of Driving License / Passport / Voter ID Card is (Any one document)
mandatory for opening a Bank Account.
Please bring with you the following original certificates and photocopies positively as per the document
checklist given above.

Signature of Employee:

Signature of HR :

Employee No.

JOINING REPORT
FROM (New Joinee)
Employee Name

_______________________________________

Employee No.
(To be given by concerned HR dept.)

Division / Dept. __________________________

Location

_______________________________________
_______________________________________
_______________________________________

TO (Reporting Authority)
Functional Head / Plant / Head /
Unit Head

_______________________________________

Location

_______________________________________
_______________________________________

___________________________________________________________________________
Dear Sir,
This is to inform you that I have joined the company on ________________________ (date) &
reported to _______________________ (location).

Yours sincerely,
(Name):
Date:

Employee No.

APPLICATION FOR IDENTITY CARD

DATE : ______________________
Date / month / year
NAME

________________________________________________________

EMP. CODE

___________________

LOCATION

________________________________________________________

EXTN NO.

__________________

BLOOD GROUP

___________________

_________________
EMPLOYEE

DESIGNATION : ______________

RES.TEL./CELLNO. : ___________________

________________________________
Unit/CHR/RO/SU/Admin/Division Head

FLOORS ALLOWED :
___________________________________________________________________________
___________________________________________________________________________

Note:

Please complete using BLOCK CAPITALS

Do not exceed the block provided
Please submit 02 passport size colour photographs

My Responsibility to Information Security at my Workplace

User Information Security Rules for Employees
1.

Keep your password to yourself, and lock your PC when it is

unattended.

2.

Do not install any software or hardware on your system without

consulting IT.

3.

Take all precautions to protect your IT devices and data assets from
damage or loss.

4.

Beware of security risks when using e-mail or the internet.

5.

Report all security incidents to the service desk.

I have read and understood the User Information Security Rules and I will comply with the rules.
I am aware that failure to comply with the rules may result in financial and reputation damages
to Holcim / ACC.

Name of the person

Company Name

Location

Signature

Date
(dd/mm/yyyy)

Form No. 40A (Rule 67A of the Income Tax Rules, 1962)
FORM OF NOMINATION (See Rule 29)

THE PROVIDENT FUND OF ACC LTD.

UE No. _______________

PFNo.MH/BAN/4095/_____________

1.

Name

_______________________________________________________

2.

Fathers Husbands Name:

_______________________________________________________

3.

Spouses Name

_______________________________________________________

4.

Gender

_____________________

5.

Date of birth

(DD/MM/YY) : ____________________

6.

Marital Status

_________________________

7.

Date of Joining ACC

_______________________

8.

Permanent address

_______________________________________________________
_______________________________________________________

9.

Communication address :

_______________________________________________________
_______________________________________________________

I hereby nominate the person (s) / Cancel the nomination made by me previously and nominate the
person(s) mentioned below to receive the amount standing to my credit in the event of my death.
Name and address of the Nominee(s)

Name
1

Address
2

Nominees
relationship
with
Member

DOB of
Nominee

Share of
Nominee in
Percentage

If the Nominee is minor,

Name & relationship of
the Guardian

*1. Certified that I have no family, as defined Para 2(VII) of the Employees Pension Scheme,
1995 and should I acquire a family hereafter I shall furnish particulars there on in the above form.
*2. Certified that my father / mother is/are dependant upon me.
Date :
Location:

Signature or left/right hand thumb

Impression of the member

Authorized Signatory

Employee No.

NOMINATION FORM
(For amount due to an employee other than
gratuity under the Payment of Gratuity Act 1972 and Provident Fund)
Name of the Unit / Division/Department __________________________________________________
INSTRUCTIONS: 1. Alternative nominee(s) should be indicated after giving nominations. They will be
persons to whom payments of the nominee(s) share should be paid in the even
of the nominee(s) pre-deceasing the employee or the nominee dying after the
death of the employee but before receiving the payment.
2. Share of nominee(s) should be so indicated that the entire amount due should
be covered by the total of all such shares.
Employee Name (in Block Letters) SHRI / SMT / KUMARI : ___________________________________
DESIGANTION ______________________________ DEPARTMENT ___________________________
I hereby nominate the undernoted person / persons and confer on him/her/them the rights to receive
amount due to me that may become payable on my death while in service and the right to receive on my
death any amount which having become admissible to me on my retirement may remain unpaid at my
death and payment to my nominee(s) should be absolute discharge to the company and shall absolve
them of any responsibility or liability in respect of the dues whatsoever. This nomination supercedes the
nomination made by me earlier on ___________________ which stands cancelled.
Name and address of
nominee(s)

Relationship with the

Employee

Date of
birth

Share of
each
nominee

Contingencies on
happenings of which
the nomination will
become invalid

Alternative Nominee(s)

Place :
Date :
Signature of left hand thumb impression of the employee
___________________________________________________________________________________
Name of witnesses
Name of witnesses
Designation
Designation
Permanent address

Permanent address

Signature
Signature
___________________________________________________________________________________
Nomination registered and acknowledgment issued for ACC Ltd.
Dated :

Vide No.

Designation

Unit

Signature

Employee No.

FORM OF NOMINATION
Form No. 40A (Rule 101 A of the Income Tax Rules, 1962)
ACC Limited
GROUP GRATUITY CUM LIFE ASSURANCE (CA) SCHEME
Name (in block letters) _________________________ Surname _______________________________
Sex : ___________________________ Religion ___________________________________________
Fathers Name ______________________________________________________________________
Husbands Name (For Married Woman only) _______________________________________________
Marital Status : unmarried / married / widow / widower:
Date of birth : ____Day __________ Month _________ year
(Where exact particulars are not available, approximate age may be indicated in consultation with the
medical officer of the Factory / Establishment).
Permanent address ___________________________________________________________________
___________________________________________________________________________________
I hereby nominate the person(s) mentioned below to receive the amount of Gratuity 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 shall be distributed among the said person(s) in the manner shown below against
their names:Name and address of the nominee or
nominees
Name
Address

Nominees
relationship
with the
member

Age of
nominee

Amount / Share /
accumulations in the
Fund to be paid to
each nominee*

*This Column should be filled in so as to cover the amount of gratuity that may be payable in the event of death.

@ I hereby direct that in the event of my death during the minority of my above named nominee, the
person whose particulars are given below shall be deemed to be guardian of the minor nominee for the
purpose of Gratuity:

Employee No.
Name and address of the nominee or
nominees
Name
Address

Nominees
relationship
with the
member

Age of
nominee

Amount / Share /
accumulations in the
Fund to be paid to
each nominee*

1. I hereby certify that the person(s) mentioned is/are a member(s) of my family as defined in Rule 101A
of the Income-tax Rules, 1962.
2. I hereby certify that I have no family and should I acquire a family hereafter the above nomination
should be deemed as cancelled.
3. I hereby certify that my Father / mother / sister(s) / brother (s) is/are dependent upon me.
Date :
Two Witnesses to signature
Name

*Signature of left / right hand thumb impression of the member

Address

Signature

1.
2.
Certified that the above declaration has been signed / thumb impressed by
Shri / Shrimati _______________________________________________________________________
before me after he/she has read the entries, the entries have been read over to him / her by me.
Signature of the Trustee or any person authorized by the Trustee in this behalf.
Designation
Name and address of the Factory / Establishment of Stamp thereof
Date :

10

Employee No.

On - Boarding Experience
The objective of this Questionnaire is to understand the experience a New Joinee undergoes when he/she joins
ACC it is to sensitise the Human Resource Department to work consciously towards making this a wonderful
experience for the new joinees.
Parameters
Pre joining Experience
Overall experience during the interview process
Communication regarding role and responsibilities
Communication regarding department / function / sub function
Inform regarding grade, designation and reporting relationship
Communication regarding work location, place of posting
Clarity regarding your compensation components
Information about date and place of joining
Your overall joining experience
Joining Days:- On Boarding and joining Experience
Clarity of forms
Clarity of instructions given by the Human Resources Facilitator while
form filling
Answers / Clarification provided by the Human Resources Facilitator
while form filling
Time Management on the day of joining
Handling of salary / CTC queries
Explanation of bank formalities
Overall assistance provided by the Human Resource Facilities
Other facilities (food, seating arrangements) provided
Induction Training (Content, Trainer, Take Home Material)
Company Brief Provided
Explanation of Human Resources Policies and procedures
Meeting with your immediate superior
Meeting with your colleagues

Poor

Average

Good

Excellent

2 to 5

7 to 15

15 to 30

Suggestions

Suggestion

Work station provided on

Desktop Computer / Laptop provided on
Employee number given on
Employee e-mail ID created on
Access Card given on
Identity card given on
Access to Accelerate given on
3 things I like the most about joining process
a
b
c
3 things I disliked the most about the joining process
a
b
c
Thank you. We appreciate your feedback. This will support ACC in providing a world class experience to their most valuable
asset their Employees III.
To be collected from the new joinee a fortnight after the joining and send to CHR by Plant / Regional HR Co-ordinator.

Please send a copy to Recruitment Team

11

Employee No.

FIVE CARDINAL RULES

Do not override or interfere with any safety provision nor allow anyone else to override or interfere
with them.
Personal Protection Equipment (PPE) rules, applicable to a given task must be adhered to at all
times.
Isolation and lock out procedures must always be followed.
No person may work if under the influence of alcohol or drugs.
All injuries & incidents must be reported.
I hereby express my consent to abide by the above mentioned cardinal Rules in all respect. I shall
be responsible for the consequences of any violations thereof. (For details refer Accelerate Portal Manuals & Circulars - Internal Circulars - Organizational Health and Safety - Circular dated 4-12-08
Consequence Management for Safety)
Name :
Designation
Dept:
(Signature)

12

Employee No.

EMPLOYEE DETAILS FOR MEDICAL GROUP INSURANCE FOR REGISTRATION

Name of Employee :
Designation

Location / Unit

DOB / Age

Details of Spouse

Name

DOB:

Age

Relation

Age

Relation

Age

Relation

Dependent Child 1(Upto 21 Yrs)

Name

DOB:

Dependent Child 2 (Upto 21 Yrs)

Name

DOB:

Complete Residential Address of the Employee with telephone number, mobile number and e-mail ID:

13

Self Declaration form for submission of documents

To,
ACC Ltd.
Corporate Human Resources,
121, M. K. Road,
Churchgate, Mumbai - 400 020.

Date : ________________

Dear Sir,
I am unable to submit the below mentioned document/marksheet.
1.
2.
3.
4.
5.
6.
However, I will be able to submit the document / marksheet by ______________ 2013.
Subject to non submission of document will lead to termination.
Name

Department

Date of Joining

Date of Declaration :

Yours faithfully,

________________________
(Signature of the Employee)

14

Employee No.

GUIDELINES FOR FAIR COMPETITION

(Please refer Accelerate Portal - Manuals & Circulars - VCCE - Guidelines For Fair Competition)

I hereby confirm that I have carefully read ACCs Guidelines for Fair Competition. I have
understood the importance of compliance and will adhere to the principles herein affirmed. I
acknowledge that compliance with competition law and the specific rules prescribed in this manual
is one of my contractual obligations towards ACC and that any breach of this obligation may result
in serious disciplinary sanctions, including the possibility of a termination of my employment.
Name :
Department :
Employee No. :
Date & Place :
Signature

15

SAP HR ONBOARDING FORM

Source: (SELECT APPLICABLE BELOW) and provide details
Ad

Employee Referral

Vendor

Jobsites

Campus

U. E. Number:

Jobfair

Re-joinee

Others

Position Id:

Blood Group:

Date of Joining:

Place of Posting:

Grade:

Religion:

Department Name:

Gender:

Marital Status:

Designation:

Permanent address: C/o:

Present address: C/o:

Street & House No.:

Street & House No.:

nd

2nd address line:

2 address line:
City Name:

Pin Code:

City Name:

Pin Code:

District :

State:

District:

State:

Country:

Telephone:

Country:

Telephone:

Email ID (Please mention in bold letters)

Official Email id :

Personal mail id :
Please select () the class to which you belong:

Open / Nomadic Tribe / Scheduled Caste / Schedule Tribe / other backward Class / Special backward class
Disability (Please mention Yes/No)
In case of disability, kindly describe the nature of disability:
Have you been convicted of any crime (Yes/No)
If so, please provide the details:
Are you related to any Board of Directors of ACC/Subsidary companies? If so state relationship
Have you been previously employed with ACC / Subsidary companies? If so state details below:
1.

Full Name:
(First Name)

2.

(Middle Name)

Date of Birth (Date/Month/Year) :

(Surname)

City of Birth:

State (Birth place of city) :

3.

Fathers Name :
(First Name)

Affix your passport size

(Middle Name)

(Surname)

photograph here

Father Date of Birth (Date / Month / Year) :

City of Birth (Father) :

Nationality (Father) :

State (Birth place or city) :

16

Mothers Name :
(First Name)

(Middle Name)

(Surname)

Mother Date of Birth (Date / Month / Year) :

City of Birth (Mother) :

Nationality (Mother) :

State (Birth place or city) :

Brothers Name :
(First Name)

(Middle Name)

(Surname)

Date of Birth (Date / Month / Year) :

City of Birth (Brother) :

Nationality (Brother) :

State (Birth place or city) :

Sisters Name :
(First Name)

(Middle Name)

(Surname)

Date of Birth (Date / Month / Year) :

City of Birth (Sister) :

Nationality (Sister) :

State (Birth place or city) :

Spouses Name :
(First Name)

(Middle Name)

(Surname)

Date of Birth (Date / Month / Year) :

City of Birth (Spouse) :

Nationality (Spouse) :

State (Birth place or city) :

Childrens Name :
(First Name)

(Middle Name)

(Surname)

Childs Date of Birth (Date / Month / Year) :

City of Birth :

Nationality :

State (Birth place or city) :

Gender :

Childrens Name :
(First Name)

(Middle Name)

(Surname)

Childs Date of Birth (Date / Month / Year) :

City of Birth :

Nationality :

State (Birth place or city) :

Gender :

17

Academic Details:
Degree
held

Please
mention
(Full time /
Part time /
Distance
learning

Date and
year of
Enrollment
(DD/MM/YY)

Year of
completion
(DD/MM/YY)

%
Achieved

Name of
Course /
College /
School

Institute
Location /
City name

Board /
University

Xth Std
XIIth Std
Graduation
Post
Graduation
Others
DETAILS OF EMPLOYMENT:
(in Chronological Order)
Name of the
Organization
From
To
(DD/MM/YY)
(DD/MM/YY)
/ Firm

Location
/ City

Industry

Designation

Basic
Salary
(pm) Rs.

Gross
Salary
(pm) Rs.

Nature of
Employment
(Permanent /
Contract)

Current Remuneration details

CTC OFFERED by ACC :
Basic Salary:
Offer letter Reference No:
Bank Address:

Bank Name:
Bank account No:
Branch and City Name:
MICR Code :
IFSC Code:

Identification Proof Details

Please Mention details of ID proof in ID type (Copy of PAN Card is mandatory. Other form of Id proofs
are optional Driving License / Passport / Election ID card)
ID Type:
Issuing Authority:
Place of Issue :
State of Issue :

ID Number
Date of Issue (date DD/MM/YY :
Valid Upto (date DD/MM/YY) :
Country of Issue :

18

Emergency Contact details:

In case of emergency, please provide the name and contact number of the person to be
contacted:
Name of the Contact Person :

Telephone / Mobile No.:

Declaration : I certify that the particulars given above are correct and true to the best of my
knowledge and belief. I also understated that any misrepresentation of facts in this application is
sufficient cause for termination of my services.

Signature of Employee:
Date :

19

To,
The Company Secretary & Head Compliances,
ACC Limited,
Cement House,
121, M. K. Road, Churchgate,
Mumbai - 400 020.
DECLARATION
I hereby confirm the receipt of ACCs revised Company Code of Business Conduct & Ethics. I
have carefully read & understood the importance of compliance and will adhere to the clauses
herein affirmed. I acknowledge that compliance with the Company Code of Business Conduct &
Ethics clauses prescribed in the document circulated to me is one of my contractual obligations.

Name

:_____________________________

Department

:_____________________________

Employee No.

:_____________________________

Date & Place

:_____________________________

Signature

:_____________________________

20

Central Recruitment Committee

ACC Limited
Travelling Allowance Memo of expenses
(PLEASE FILL IN CAPITAL LETTERS)

Name
Address with Pincode

Email ID
Cell No.

Date of Interview
Class of Travel
Post for which
Interviewed
Return (i.e. to & for by
shortest route Via)

Railway Fare Two way

From : _____________________
Rs.
To : ________________________

Incidental Expenses

Rs.
Rs.
TOTAL .

Signature

21

PROVIDENT FUND NOMINATION THROUGH ACCELERATE PORTAL

What is Accelerate Portal?
Accelerate is our internal communication portal designed to provide answers to the many
questions which arise in the course of our day to day work. The intention of this portal is not only
to give you a window into the inner thoughts and procedures of the organization, but also for
you to express your views and ideas on processes, quality management and new initiatives that
you think ACC should be partnering, Share you thoughts to help us work together to internalize
and demonstrate our core values of Strength, Performance and Passion.
Personal Information - Emoluments
Do visit ever month to check your salary.
What is Provident Fund?
PF or provident fund is calculated as a percentage of your basic salary The present rate is 12%
and the same will be cut from your salary and a matching contribution will be paid by ACC as
per statutory norms.
PF Nomination LogIn

http://accelerate.in.holcim.net/
Steps
1.

Login into Accelerate Portal

2.

Enter Accelerate User-ID / Password

3.

Click on Personal Information

4.

Select Leave Application Option

5.

Enter your Windows User ID and Password

6.

Select the PF Nomination Tab

7.

Go through the guidelines provided

8.

Enter the details of Nomination and click on Save

9.

Please ensure that you receive the save message after the submission.

10.

PF Nomination Process is not complete on submission of Form through ACC

Portal. A Signed Hard Copy Printout has to be authenticated and submitted
to your local HR for maintaining in your Personal File as this is a statutory
requirement.

Note : For any further details on PF Nomination Guidelines / Manual, please contact your
local HR.

22