State Government Regular Employee Data Sheet printable pdf download

State Government Regular Employee Data Sheet

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I. GENERAL DETAILS *

1. Employee ID

2. Dept Name

3. STO Code

4. DDO Code

5. Sector

[ ] State Govt.

[ ] Central Govt.

[ ] AICTE [ ] UGC

[ ] Judicial

II. PERSONAL DETAILS

6.1 Name **

6.2 Surname **

7. Date of Birth (DD/MM/YYYY) **

8. Gender *

[ ] Male

[ ] Female

[ ] Yes

[ ] No

9. Physically Handicapped / Disabled

If Yes Percentage of disability :

Name :

10. Father Name *

Surname :

11. Mother Name *

12. Marital Status *

[ ] Never Married

[ ] Married

[ ] Widow/er

[ ] Divorced

Name :

12.1 Spouse Name

Surname :

12.2 Spouse Aadhar

12.3 Is Spouse Employee

12.4 If Spouse Employed

[ ] State Govt.

[ ] Central Govt. [ ] AICTE

[ ] UGC

[ ] Judicial

[ ] Corporation

[ ] State PSU

[ ] Central PSU

[ ] Private

[ ] Self Employed

12.5 If Spouse in State Govt mention Employee ID

13. Mobile No *

14. eMail ID

15. Aadhar Number *

16. Nationality *

17. Religion *

[ ] Hindu

[ ] Muslim

[ ] Christian

[ ] Others

18. Community *

[ ] BC-A [ ] BC-B [ ] BC-C [ ] BC-D [ ] BC-E [ ] SC

[ ] ST

[ ] OC

19. Blood Group

[ ] A-

[ ] A+

[ ] B-

[ ] B+

[ ] AB- [ ] AB+ [ ] O- [ ] O+

20.1 Home Town / Village **

20.2 Home Mnadal *

20.3 Home District **

20.4 Home State **

21. Identification Marks

State Government Regular Employee Data Sheet

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