Client:
HIVEDA TALENT HIRE
Garhi Bolni Road Rewari , Haryana 123501 Date of Interview:
PERSONAL DETAILS CUM BIODATA FORM
Department: Post Applied For:
Employee Code: Payroll ID:
EMPLOYEE DETAILS:
Name: Father Name:
Date of Birth: Age of Employee: Years
Date of Joining:
Fresher: Experienced: Hindu Muslim
Work Experience: Religion:
No. of Years: Christian Other
Blood Group: Married Single
Marital Status:
Gender: Male: Female: Divorced Widow
Personal Email ID: ____________________________________
Contact No:
H.No/Ward H.no/Ward
Permanent
Present Address: Vill/City Distt.:
Address:
Vill/City Distt.:
State: Pin: State: Pin:
EMERGENCY CONTACT DETAILS
Full Name: Relationship:
Contact No:
Address:
Note:
WORK EXPERIENCE DETAILS *Note: Start with first job.
DURATION COMPANY Deptt: Designation Last Salary REASONS
(MM-YY) - (MM-YY) FOR LEAVING
–
–
–
ACADEMIC DETAILS
Qualification BOARD, COLLEGE/UNIVERSITY Year of Exam Division / Percentage Subjects
10th
12th
Have you ever worked in …...........................................
if YES, Mention the period of your Working Experience: Employee Code:
Yes / हां No / नहीं From: ________/_______ To: ________/_________
Will you avail Bus Service from Company (क्या आप बस सुविधा का प्रयोग करेंगे ) Yes No
Route From: Route To:
Aadhar Number
UAN No.: Esic / IP Number:
Client:
HIVEDA TALENT HIRE
UNDERSTANDING OF LANGUANGE
Garhi Bolni Road Rewari , Haryana 123501
LANGUANGE Read Write Speak
English
Hindi
FAMILY BACKGROUND DETAILS
Sr. No. NAME RELATION AGE Qualification OCCUPATION REMARK
COMPULSORY DETAILS
NOMINEE NAME & AGE
RELATION WITH EMPLOYEE
AUTHORIZATION
Authorised by (full name):
Applicant Signature with Date:
I hereby declare that the particulars given by me are true & correct. If found any wrong information company can
take any action against me.
आपको सुचित करता हुँ की मेरे खिलाफ कोई वित्तीय धोखाधड़ी अवं पुलिस कंप्लेंट
नहीं है ।
Signature of Interviewer:
Dept. Supervisor Concern Department Head HRD Comments
Unskilled – Selected – Department –
– –
Semi Skilled – Hold Designation
– –
Skilled: – Reject Salary
Remarks : Remarks : Remarks :
Signature with Name: Signature with Name: Signature with Name:
Name
Organisation / Company
Reference:
Department
Contact Number
Signature of Supervisor