As per Service Register and Application to be Audit verified for each employee
Note: All fields are mandatory
COMPUTERIZATION OF EMPLOYEE DETAILS
I. APPOINTMENT DETAILS
EMPLOYEE NUMBER :
EMPLOYEE NAME :
FATHER/MOTHER/HUSBAND NAME :
DATE OF BIRTH :
HEIGHT :
BLOOD GROUP :
SEX : MALE / FEMALE
MARITAL STATUS : MARRIED / UNMARRIED
IDENTIFICATION
MARKS 1 :
MARKS 2 :
RELIGION :
CASTE : OC / BC / SC / ST
SUB_CASTE :A/B/C/D/E/F
CASTE_NAME :
HANDICAPPED : YES / NO (% AGE OF HANDICAPPED)
QUALIFICATION
EDUCATIONAL : PASSED (MONTH/YEAR) :
TECHNICAL : PASSED (MONTH/YEAR) :
DEPARTMENTAL TEST : PASSED (MONTH/YEAR) :
MOTHER TONGUE :
APPOINTMENT TYPE : REGULAR / TEMPORARY / DEPUTATION
APPOINTMENT DATE :
APPOINTED BY :
DATE OF JOINING :
DATE OF RETIREMENT :
INITIALLY APPOINT AS :
PROBATION DATE :
PROCEEDING NO. :
REGULARIZATION DATE :
PROCEEDING NO. :
II. CURRENT DETAILS
PRESENTLY WORKING PLACE
HO/ZONE :
DEPARTMENT / CIRCLE :
SECTION :
WARD :
UNIT :
DESIGNATION :
PRESENT ADDRESS
H.NO./FLAT NO./PLOT NO: STREET :
LAND MARK: LOCALITY :
COUNTRY: STATE:
DISTRICT: MANDAL:
VILLAGE/TOWN/CITY: PINCODE :
PERMENANT ADDRESS
SAME AS ABOVE DETAILS
H.NO./FLAT NO./PLOT NO : STREET :
LAND MARK : LOCALITY :
COUNTRY : STATE :
DISTRICT : MANDAL :
VILLAGE/TOWN/CITY : PINCODE :
EMAIL ID :
RESIDENTIAL TEL_NO./ MOBILE NO :
PAY_TYPE : ORDINARY/SPECIAL GRADE(SPP1/SAP1/SPP2/SAPII)
PAY GRADE :
PAY SCALE :
PAY PROCEEDING NO :
BASIC PAY :
DATE OF MONTH OF INCREMENT :
GPF NO. :
TSGLI NO. :
TSGIS NO. :
CPS NO :
EPF.NO. :
AADHAR CARD NO. :
PAN NO. :
BANK ACCOUNT NUMBER :
IFSC CODE :
PASSPORT NO. :
FAMILY DETAILS:
S.NO NAME RELATION AGE MARITAL WORKING DOB
. STATUS STATUS
NOMINEE DETAILS:
MARITAL WORKING
S.NO. NAME RELATION AGE
STATUS STATUS
SIGNATURE OF THE STAFF SIGNATURE OF THE SIGNATURE OF THE
DRAWING OFFICER EXAMINAR ACCOUNTS
DATE: DATE: DATE:
ISSUE OF IDENTITY
CARD
NAME :
EMPLOYEE NO. :
DESIGNATION :
DATE OF BIRTH :
DEPARTMENT :
PHONE NO. :
DATE OF JOINING :
DATE OF RETIREMENT :
OFFICE ADDRESS :
RESIDENTIAL ADDRESS :
CANDIDATE SIGN. SIGNATURE OF HEAD OF THE DEPT.
WITH SEAL
