State Government Regular Employee Data Sheet Page 2
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4III. EDUCATIONAL QUALIFICATION *
22. Qualification
Year of Passing
Board / University
State
Permanent
Residential
IV. ADDRESS *
23.1 Door No
23.2 Street
23.3 Village/City
23.4 Mandal
23.5 District
23.6 State & PIN Code
V. FAMILY MEMBERS (Including Spouse)
SNo
Name
DOB
Gender
Relationship
Is Nominee
If Yes
(Yes/No)
Nomination Date
24.1
24.2
24.3
24.4
24.5
24.6
24.7
1.
2.
3.
4.
5.
6.
Mobile No
Aadhar Number
Qualification
Occupation
Annual
PH /
Income
Disabled
24.8
24.9
24.10
24.11
24.12
24.13
1.
2.
3.
4.
5.
6.
VI. EMPLOYMENT DETAILS *
25. Initial Employement Details:
Appointing Authority
Proceedings No.
Date
Selecting
Date of Joining into Service **
Designation
Authority
26. Regularisation Details:
Date of Regularisation
Date of Declaration of Probation
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