Company Name
Company Address
Employee Information Form
Personal Information
Name
Date of Birth Gender
Photograph
Present Address ( Attach Proof )
Permanent Address ( Attach Proof )
Blood Group Mobile No
Email ID ( Personal )
Marital Status Marriage Date
Employment Details
Employee Id
Date Of Joining
Department
Designation
Aadhaar Number
PAN Number
Bank A/C No
Bank Name, Branch & IFSC Code
PF A/C No & UAN Number
ESIC No
Educational Qualification
Sr No Degree/Diploma/Certificate Institute/University From To Percentage
1
2
3
4
5
Previous Employment Details
Experience in Previous Company PF & ESI Details
S.No Company Name Designation
Years PF or UAN Number ESI Number
1
2
3
4
Family Details
Is Nominee? (Any 1
Sr No Name Date of Birth Gender Relationship family member)
1
2
3
4
5
Emergency Contact Details
Sr No Contact Person Name Relation Landline No Mobile No
1
2
References
Sr No Name Company Name Contact No Ref. Status
1
2
Documents to be Submitted at the time of Joining:
Submission Status
S.No Document Name
Yes No
1 Previous Experience Certificates & Relieving Letter
2 Last 3months Payslips
3 College & School Certificates (HSC & SSLC)
4 Aadhaar Card Photo Copy
5 PAN Card Photo Copy
6 Bank Passbook Photo Copy
7 Any other Documents (Doc Name____________________________________)
I hereby affirm that the aforementioned information given by me is true and correct and that I have not held back any information. Any information given here is found
to be false, I shall be liable for dismissal.
* In case any changes in personal information should be intimate to HR department within 24 hrs.
Date
Place
Signature
