Sl.No.
EMP ID
Frist Name
Middle
Name
Last
Name
Gender
Date of
Birth
Birth
Place
Native
Place
Native
Mandal
Native
District
Native State
Home Town
Sl.No.
EMP ID Design.
Place of
Working
Caste
Sub-Caste
Blood
Group
Physically Challenged (Employee)
(If yes mentioned the details
Challenge Group
1.
2.
3.
4.
Blindness/Low Vision
Hearing Impairment
Locomo tive Disability
Permanent Partial Diability
Physically Challenged (Employee)
(If yes mentioned the details
Type of Challenge
N1- Disabled
under Sec 10 (14)
N2- Permanent
Disability
Identification mark1
Identification mark2
Sl.No.
EMP ID
Marital Status
Marriage Date
Dependents Details
DOOR NO.
STREET
VILLAGE/
TOWN
DIST.
PIN CODE
Sl.No.
EMP ID
Pan No.
Aadhar Card No.
Passport No.
From date
1
Expiry Date
Driving Linces No.
From date
Driving Linces No.
Expiry Date
Sl.No.
Employee leave balance as
on 31-10-2016
EMP ID
EL
1
HPL
Sl.No.
EMP ID
e-mail ID
Contact No.
Medical Details
(like Claiming of Medical Benefits
If Any)
Dept. LOAN Details
(like Availing of Dept. Loans If Any)