PERSONNEL DATA FORM : PERSONAL AND EMPLOYMENT SUMMARY
As it appears on your birth certificate or passport please print your legal name:
First Name
Middle Name
Surname
Mr/Ms.
Permanent Address:
House Number/ Building Name--------------------------------------------------------------------------------------------------------Street
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City
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State ( with Pincode)
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Local Address:
House Number/ Building Name--------------------------------------------------------------------------------------------------------Street
---------------------------------------------------------------------------------------------------------
City
---------------------------------------------------------------------------------------------------------
State ( with Pincode)
---------------------------------------------------------------------------------------------------------
Contact Details:
Tele phone : Residence ( with STD Code) ---------------------------------------------------------------Mobile number
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Emergency Contact No.
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Personal E mail Id. ( 1 )
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Personal E mail Id. ( 2 )
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Personal Data:
Date of Birth (dd / mm / yyyy) --------------------------------------------------------------Fathers Name
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Nationality
---------------------------------------------------------------
Passport No.
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Date and Place of Issue
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Date of Expiry
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Marital Status
(If married)
Date of Marriage
(dd/mm/yyyy)
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Academic Details (Matriculation Onwards In Reverse Chronological Order)
Qualification
College / Institute & University /
Board
Year of
Passing
Specialization
Percentage
F/P/C
F/P/C: F-Full time, P-Part time, C-Correspondence
Previous Employment History (Reverse Chronological Order)
Organization name & City
Nature of
Employment:
Permanent
Or
Contract
Duration
From
To
DD-MMDD-MMYYYY
YYYY
CTC
Designation
(INR)
(with Major Responsibilities)
Please fill the following details:
Expected CTC (In.Rs.)
Time required to Join
Any Other Information / Comments
Reference 1 : Name of the Reference
Designation
Mobile Number & e-Mail Id
Reference 2 : Name of the Reference
Designation
Mobile Number & e-Mail Id
Declaration : I, hereby declare that the above information provided by me is true and accurate to the best of my knowledge.
Any falsification of this information will hold me liable for an appropriate action to be taken by VCentric Technologies Private Limited
Name :
Signature :
Date:
NOTE:FILL IN ALL THE DETAILS
Candidate Name
Evaluator\Agency
Name
Company Name
Telephone No.
Mobile No.
Passport\Pan Card
Number
Designation
E-mail id
Telephone No.
Rashmita Pradhan
Vcentric Technologies Pvt
Ltd
HR Assistant Manager
rashmita.pradhan@vcentric.
com
040-44559922
Education Background Check
Certification Obtained
Year of Passing
Employee ID
Education1
Institution Name
Certification Obtained
Year of Passing
Education2
Institution Name
Reference Check1 (MANDATORY)
Reference Check2 (MANDATORY)
Company Name
Duration of Service
Referee Name
Phone No.
E-mail ID (Official)
Company Name
Duration of Service
Referee Name
Phone No.
E-mail ID (Official)
List of documents Verified and Attached
Reference Check
Positive
Negative
MEDICAL INSURANCE FORM
PATICULARS
DETAILS
S.No.
Name of the Employee
Date of Joining
Designation
Date of Birth
Permanent Address
with Pincode & Contact (phone) no.
Nominee Details
Name (Mr./Ms.) /
Relationship with the nominee
EMPLOYMENT PROCESS CHECKLIST
NOTE: All the documents mentioned in the check list is to be provided to the HR in order to
receive your offer letter.
1) 6 PASSPORT SIZE and 2 STAMP SIZE PHOTOGRAPHS (MANDATORY)
2) RELIEVING LETTER FROM THE PREVIOUS EMPLOYER (MANDATORY)
3) LAST 3 MONTHS: SALARY SLIP (TO BE PRODUCED WHENEVER CALLED UP)
4) BANK STATEMENT (TO BE PRODUCED WHENEVER CALLED UP)
5) 2 COPIES OF ALL ACADEMICS, PROFESSIONAL CERTIFICATES (MANDATORY)
6) ID PROOF AND ADDRESS PROOF: (MANDATORY)
PASSPORT COPY
PAN CARD COPY
