Employee Information Form

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EMPLOYEE INFORMATION FORM
*Name of Employee
*
Sponsor Letter No./Date
(Attached Copy)
Self attested color
EPF NO.
UAN NO.
passport
size
photo graph
ESI IP NO.
*Sex
Male
Female
*
Father’s /Husband Name
*
Date of Birth
*
GEN
SC
ST
OBC
Employee Category
Colored Family
*
ESM
DEP
CIV
Employee Service Category
Photograph
Marital Status
Married
Un-Married
Other Category
Widow
Handicapped
Project Effected
Details of Nominee with Age
*
*
Bank Name
Bank A/C No
PAN No
ADHAR No
*
*
Date of Joining
Designation
*
Department Name
*
Present Address
Telephone Number
*Mobile No.
E-Mail ID
Nearest Police Station
Permanent Address
Educational/Technical qualification
Year
University/College
Marks
Remark (if any)
Note:-
1.
(*) Fields are Compulsory.
2.
Please Submit Copy of Joining Confirmation letter of Department, Copy of Sponsor Letter, Copy of Bank account and copy of
documents with submission of this form.
.
Date: -
Candidate’s Signature
1

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