EMPLOYEE DETAILS FORM
Personal Details
Name
First Name Middle Name Last Name
Father’s Name & DOB:
Date of Birth (official):
(DD/MM/YYYY)
Gender: Marital Status: Blood Group: Personal e-mail id and mobile no.:
Male / Female Single/ Married
Aadhar Card Number: Election Card Number:
Bank A/c No: Bank Name: IFSC Code:
Official Details
Date of Joining Designation
Employee Id Location HO
(Will be informed by HR)
Contact Details
Mention Present Address: Phone No.
(Mention Area Code and Phone No.)
Complete Pin Code:
Mention Permanent Address: Phone No.
(Mention Area Code and Phone No.)
Complete Pin Code:
Nominee Details Phone No.
(Mention Area Code and Phone No.)
Name
Relationship
Address
Qualification Data Employment Data
Recent Qualification(s) Previous Company
Year of Passing Name/Location
Institution(s)
Period of Service
Details of Dependents
Name of Dependent(s) Age Date of Birth Relationship to Employee
The information provided by me is true to the best of m y knowledge and is supported by the testimonials submitted by me at the time of joining. I own complete responsibility
and acknowledge that any mis-representation of information will be deemed to be a breach of the conditions of employment and can lead to disciplinary action.
Date Place Signature of the Employee
Note on Dependents: For the purposes of Medical Insurance coverage - Parents, Spouse and children of employees are covered subject to age limits as per the policy terms and conditions.
For Internal Use only