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Employee Declaration Form

An employee declaration form is a set of formal statements signed by an employee confirming that their information is true, that they have no conflicting employment, and disclosing any conflicts of interest or relatives in the company. It is signed at joining and refreshed annually in many companies.

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[Company Logo][Company Name]

EMPLOYEE DECLARATION FORM

Employee Name:
[Employee Name]
Employee ID:
[Employee ID]
Designation:
[Designation]
Declaration Period:
[Joining / Annual – FY YYYY-YY]

1. Accuracy of Information

I declare that all information and documents I have given to [Company Name] are true and complete, and I have not withheld any material fact.

2. Other Employment

  • I am not employed with, or providing paid services to, any other organisation
  • I have other engagements, disclosed below, for HR's approval
Details of other engagement (if any)

3. Conflict of Interest

Business interests, directorships or investments in competitors, customers or vendors (if any)
Relatives employed in the company or with its vendors (name, relationship, department)

4. Policy Acknowledgement

  • Code of Conduct
  • Prevention of Sexual Harassment (POSH) Policy
  • IT Acceptable-Use and Confidentiality Policy
  • Anti-bribery Policy

The disclosures in this form are confidential and are used only to manage conflicts of interest and compliance. They are reviewed by HR and, where needed, the compliance officer, and kept for the duration of employment, in accordance with the Digital Personal Data Protection Act, 2023.

Declaration

I understand that a false declaration may lead to action under company policy, and I will inform HR promptly of any change to the above.

Employee
[Employee Name]
Date: [Date]
Place: [Work Location]
Received by
[HR Name]
Date: [Date]

What this template includes

  • Truth of information declaration
  • No other employment or dual employment declaration
  • Conflict of interest disclosure
  • Relatives working in the company or with vendors
  • Pending legal matters relevant to the role, where lawful
  • Policy compliance acknowledgement

When to use it

  • Joining formalities for every new employee
  • Annual compliance declarations
  • Promotion into roles with financial or purchasing authority
  • After a policy update requiring fresh declarations

How to customise this template

  1. 1Pick the declarations relevant to your industry and roles
  2. 2Add a moonlighting rule that matches your policy
  3. 3Include vendor-relationship disclosure for procurement roles
  4. 4Name the policies being acknowledged
  5. 5Set the annual refresh month

HR tips

  • Keep declarations short and specific
  • Treat disclosures confidentially and judge them fairly
  • Do not ask for information unrelated to the job
  • Remind employees to update declarations when circumstances change

For HR & hiring managers

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Frequently asked questions

What is an employee declaration form?+

It is a signed statement confirming information is true and disclosing matters like conflicts of interest or other employment.

Is it legal to ask about relatives in the company?+

Yes, for managing conflicts of interest, provided it is used only for that purpose.

What if I declare a conflict of interest?+

HR and your manager will agree safeguards, such as removing you from related decisions.