INDEX OF JOINING FORMS

Sr. Description of Form Applicability

No.
Management SAM After Other posts under
Trainee completion Direct Recruitment
of Training
1 Joining Report Yes Yes Yes
2 Undertaking for Yes Yes Yes
production of documents
3 Form of CPF Nomination No Yes Yes
(Single Nominee)

4 Form of CPF Nomination No Yes Yes

(More than one Nominee)

5 Surety Bond Yes Yes Yes

6 Declaration of fidelity Yes Yes Yes
and secrecy

7 Declaration regarding Yes Yes Yes

marital status

8 Payment of Gratuity No Yes Yes

(Form „F‟)

9 Medical fitness certificate Yes No Yes

10 Character Certificate Yes No Yes
11 Certificate for proficiency Yes No Yes
in Hindi

12 Attestation form Yes No Yes

13 Form for lump-sum No Yes Yes
compensation in lieu of
compassionate
appointment
14 Form for registration of No Yes Yes
employees in pension
scheme

Page 1 of 19
 CENTRAL WAREHOUSING CORPORATION
(A GOVT. OF INDIA UNDERTAKING)

JOINING REPORT

I hereby report for duty in Central Warehousing Corporation as

___________________________ with effect from the ____________ of ____________.

I also furnish following particulars regarding myself:

1. Name __________________________________

2. Father‟s Name __________________________________

3. Nationality __________________________________

4. Date of Birth (Proof should be __________________________________

produced)
__________________________________
5. Present Address __________________________________
__________________________________

6. Whether belongs to Scheduled __________________________________

Caste/Scheduled Tribe/OBC/PH
(Proof should be produced)

7. Permanent Address (Home Town) __________________________________

__________________________________
__________________________________

__________________________________
8. Previous post(s) held, if any with
dates

9. Whether married or unmarried __________________________________

10. Educational Qualification

(Original certificate should be __________________________________
produced)

11.Personal marks of identification __________________________________

Signature ______________________
Designation ____________________
Station_________________________

Page 2 of 19
 Undertaking for Production of Documents

I........................................................., undertake to produce all original documents along

with one set of photocopy as mentioned in the offer of appointment for verification at the
time of joining in CWC. I do undertake to produce any / all Original documents for
verification to CWC authorities, if called for at any stage, if need so arise.

Signature ....................................

Name (in BLOCK letters) ...........................................

Address : ....................................

.................................................................................

To,

SAM (R&P)-I, Personnel Division

Central Warehousing Corporation
4/1, Siri Institutional Area, August Kranti Marg
Hauz Khas, New Delhi – 110 016

Page 3 of 19
Form No-1 CPF CODE NO.____________

FORM OF NOMINATION
(WHEN THE SUBSCRIBER HAS A FAMILY AND WISHES TO NOMINATE ONE PERSON THEREOF)

The Trustees,
Central Warehousing Corporation,
Employee‟s Provident Fund,
New Delhi-110016.

Gentlemen,
I hereby nominate the person mentioned below who is a member of my family as defined in
regulation 16 of Central Warehousing Corporation Employee‟s Provident Fund Regulations,
1962 to receive the amount that may stand to my credit in the Fund in the event of my
death before the amount has become payable, or having become payable has not being
paid.

NAME AND ADDRESS OF RELATIONSHIP AGE CONTINGENCIES OF NAME, ADDRESS, AGE &
THE NOMINEE WITH THE THE HAPPENNING OF RELATIONSHIP OF THE
SUBSCRIBER WHICH THE PERSON IF ANY TO
NOMINATION SHALL WHOM THE RIGHT OF
BECOME INVALID THE NOMINATION SHALL
PASS IN THE EVENT OF
HIS PRE-DECEASING
THE SUBSCRIBER OR TO
WHOM THE PAYMENT
SHOULD BE MADE
DURING THE MINORITY
OF THE NOMINEE

(1) (2) (3) (4) (5)

(NOTE: SHOULD BE FILLED ONLY IN CAPITAL LETTERS)

Dated this ________________ day of _____________ 20____ at ______________________________

Two witness to subscriber‟s signature

1. Name and Signature:_____________ Signature________________________________

__________________________________
Address: _________________________ Subscriber‟s Name:______________________
__________________________________
__________________________________ Father‟s/Husband Name:________________

Designation:_____________________________
2. Name and Signature:_____________
__________________________________ Date of Birth:____________________________
Address: _________________________
__________________________________ Date of Appointment in CWC:____________
__________________________________

Nomination accepted for Central Subscriber‟s Signature verified by me

Warehousing Corporation Employee‟s
Provident Fund Name and Designation of immediate
superior authority with official seal.

AUTHORISED SIGNATORY _________________________________________

_________________________________________

Page 4 of 19
Form No-1 CPF CODE NO.____________

FORM OF NOMINATION
(WHEN THE SUBSCRIBER HAS A FAMILY AND WISHES TO NOMINATE MORE THAN ONE MEMBER THEREOF)

The Trustees,
Central Warehousing Corporation,
Employee‟s Provident Fund,
New Delhi-110016.

Gentlemen,
I hereby nominate the person mentioned below who is a member of my family as defined in
regulation 16 of Central Warehousing Corporation Employee‟s Provident Fund Regulations,
1962 to receive the amount that may stand to my credit in the Fund in the event of my
death before the amount has become payable, or having become payable has not being
paid.

NAME AND ADDRESS RELATIONSHIP AGE AMOUNT OF CONTINGENCIES NAME, ADDRESS, AGE &
OF THE NOMINEES WITH THE SHARE OF OF THE RELATIONSHIP OF THE
SUBSCRIBER ACCUMULATION HAPPENNING OF PERSON IF ANY TO
TO BE PAID TO WHICH THE WHOM THE RIGHT OF
EACH (PLEASE NOMINATION THE NOMINATION SHALL
SEE BELOW) SHALL BECOME PASS IN THE EVENT OF
INVALID HIS PRE-DECEASING THE
SUBSCRIBER OR TO
WHOM THE PAYMENT
SHOULD BE MADE
DURING THE MINORITY
OF THE NOMINEE

(1) (2) (3) (4) (5)

(NOTE: SHOULD BE FILLED ONLY IN CAPITAL LETTERS)

Dated this ________________ day of _____________ 20____ at ______________________________

Two witness to subscriber‟s signature

1. Name and Signature:_____________ Signature________________________________

__________________________________
Address: _________________________ Subscriber‟s Name:______________________
__________________________________
__________________________________ Father‟s/Husband Name:________________

Designation:_____________________________
2. Name and Signature:_____________
__________________________________ Date of Birth:____________________________
Address: _________________________
__________________________________ Date of Appointment in CWC:____________
__________________________________

Nomination accepted for Central Subscriber‟s Signature verified by me

Warehousing Corporation Employee‟s
Provident Fund Name and Designation of immediate
superior authority with official seal.

AUTHORISED SIGNATORY _________________________________________

_________________________________________

Page 5 of 19
 SURETY BOND

KNOWN ALL MEN BY THESE PRESENT THAT WE (1) _____________________________________

_________________ Son of Shri ______________________________________and__________________

(Name of the Employee)
___________________________son of Shri ___________________________do hereby bind ourselves
(Name of the Surety)
jointly and severally and our respective heirs, executors, administrator to pay the Central
Warehousing Corporation on demand a sum of Rs._____________
(Rupees_____________________________only) dated this ____ day of Two Thousand
___________________.

___________________________ _______________________
1. Name of the Employee 2. Name of the Surety

___________________________ _______________________
1. Signature 2. Signature

WHERE AS THE ABOVE BOUNDEN (1) is appointed to the post of__________________

Now the conditions of the above written obligation is that:-

In the Event, above bounden (1) _________________________________

Name of the Employee
unless his services are terminated by the Corporation under Regulation 10 of Central
Warehousing Corporation (Staff) Regulations, 1986 fails to serve the Corporation for any
reason whatsoever for a period of two years from the date of his joining in the Corporation.

He and the above bounden ______________________________________

(Name of the surety)
shall forthwith pay the CWC on demand the amount of Rs. ____________________________
(Rupees ________________________________________only) being the reasonable estimate of
compensation for leaving the services of the Corporation before completion of two years
service.

And upon making such payment the above written obligation shall be void and of no
effect, otherwise it shall remain in full force.

(1) Full Name of the appointee ____________________________

(2) Full Name of the Surety Signed ________________________
and delivered by the above bounded (i)

Signature of the Employee

In the presence of:

i)_____________________________ Surety

ii) ____________________________
Signed and delivered by the above bounded
Signature of the Surety with his address
In the presence of :

i)_____________________________

ii) ____________________________

Page 6 of 19
 CENTRAL WAREHOUSING CORPORATION
(A Government of India Undertaking)

DECLARATION OF FIDELITY AND SECRECY

I _________________________________________________declare that I will

faithfully, truly and to the best of judgement, skill and ability execute and
perform the duties which are required of me as an employee of the Central
Warehousing Corporation and which properly relate to any office or position
in the said Corporation held by me.

I, further declare that I will not communicate or allow to be

communicated to any person not legally entitled thereto any information
relating to the affairs of the said Corporation nor will I allow any such
person to inspect or have access to any books or documents belonging to, or
in the possession of the Corporation and relating to the business of the
Corporation.

Signature______________________
Signature______________________
Signature______________________
Signed before me
Designation____________________
Date _________________________
Date __________________________

Page 7 of 19
 CENTRAL WAREHOUSING CORPORATION
(A Government of India Undertaking)

DECLARATION W.R.T. MARITAL STATUS

Shri/Smt/Miss __________________________________________ declare as

under:-

i) That I am unmarried/a widower/a widow.

ii) That I am married and have only one wife living.
iii) That I am married and have more than one wife living. Application
for grant of exemption is enclosed.
iv) That I am married and that during the life time of my spouse I have
contracted another marriage. Application for grant of exemption is
enclosed.
v) That I am married and my husband has no other living wife to the
best of my knowledge.
vi) That I have contracted a marriage with a person who has already
one wife or more living. Application for grant of exemption is
enclosed.

2. I solemnly affirm that the above declaration is true and I understand

that in the event of the declaration being found to be incorrect after
my appointment, I shall be liable to be dismissed from service.

Date __________________ Signature ___________________

Note: Please delete clauses not applicable.

Page 8 of 19
 (1)
FORM „F‟
SEE SUB RULE (1) OF RULE 6
OF PAYMENT OF GRATUTITY (GENERAL) RULE, 197
NOMINATIION

To,
The General Manager (Personnel)
Central Warehousing Corporation,
4/1, Siri Institute Area,
Hauz Khas, New Delhi – 110016

Sir,
I, ____________________________________________________________________
(Name in the full here)
Whose particulars are given in the statement below, hereby nominate the person (s)
mentioned below to receive the gratuity payable after my death as also the gratuity
standing to my credit in the event of my death before the amount has become
payable or having become payable has not been paid and direct that the said
amount of gratuity shall be paid in proportion indicated against the name (s) of the
nominee(s).

2. I hereby certify that the person(s) mentioned is/are member(s) of family within
the meaning of clause (h) of Section (2) of the payment of Gratuity Act, 1972.

3. I hereby declare that I have no family within the meaning of clause (h) of section
(2) of the said Act.

4. a) My father/mother/parents is/are dependent on me.

b) My husband‟s father/mother/parents is/are not dependent on my husband.

5. I have excluded my husband from my family by a notice dated the

_______________________ to the controlling authority in terms of the proviso to
clause (a) of Section (2) of the said Act.

6. Nomination made herein invalidates my previous nomination.

Nominee (S)
Name in full with Relationship with Age of Nominee Proportion by
full address of the employee which gratuity will
nominee (s) be shared
(1) (2) (3) (4)

Page 9 of 19
 (2)

STATEMENT

1. Name of employee in full ________________________________________

2. Sex ________________________________________
3. Religion ________________________________________
4. Whether unmarried/married/
Widow/widower ________________________________________
5. Department/Branch/Section
Where employed ________________________________________
6. Post held with Ticket or
Serial No. If any ________________________________________
7. Date of appointment ________________________________________
8. Permanent address ________________________________________
9. Signature of the employee ________________________________________

DECLARATION BY WITNESS
Nomination signed before me

Name in full & full address of witness Signature of witnesses

1. 1.
2. 2.
Place:
Date:

Certificate by the Employer

Certified that the Particulars of the above nomination have been

verified and recorded in this establishment.

Employer‟s reference No. if any

Signature of the employer/

officer authorized

Designation
Name & address of the establishment
or rubber stamp thereof

Date

Acknowledgment by the employee

Received the duplicate copy of nomination in form „F‟ filled by me and duly
certified by the employer.

Date ___________________ Signature of the employer

Page 10 of 19
 FORM OF MEDICAL CERTIFICATE

I __________________________________________________________
do hereby certify that I have examined Shri/Smt/Kum.
______________________________________________________________ a candidate
for appointment in the Central Warehousing Corporation and cannot
discover that he/she has any disease (communicable or otherwise),
constitutional weakness or bodily infirmity, except
_______________________________________ I consider/do not consider this
disqualification for employment in the Central Warehousing Corporation.
Shri/Smt/Kum. ______________________________, age according to his/her
own statement is ________________years and by appearance is about
____________________years.

Name & Designation of the

Medical Officer ______________________
Seal of the Medical Officer

Signature of the
Candidate

(to be signed by Govt. Medical

Officer of the status not below
Asstt. Surgeon Grade-I)

Page 11 of 19
 CHARACTER CERTIFICATE

Certified that I have known Shri/Smt/Kum. ________________________

________________________son/daughter of Sh/Smt. _________________________
_________________ for the last ____________ years ____________ months and
that to the best of my knowledge and belief his/her character and
antecedents are satisfactory.

He/She is not related to me.

Signature _________________
Place ____________________ Designation ______________
Date ____________________ Status ___________________

(Certificate to be signed by any one of the following)

i) Gazetted Officers of Central or State Govt.

ii) Member of Parliament or State Legislature belonging to the

constituency where the candidate or his parents/guardian is
originally resident.

iii) Sub-Divisional Magistrate/Officers.

iv) Principal/Head Master of the recognized School/College Institution

where the candidate studies last.

v) Tehsildars or Naib/Deputy Tehsildars authorized to exercise

magisterial powers.

vi) Block Development Officer

vii) Post Masters.

viii) Panchayat Inspectors.

Page 12 of 19
 CERTIFICATE FOR PROFICIENCY IN HINDI

Certified that I ___________________________________________ am having

proficiency in Hindi/have acquired working knowledge of Hindi as I have
passed Hindi Examination in __________________ ______________________
(name of the standard).

Signature of the Employee

Date: ____________

A. Proficiency in Hindi- The Trainee shall be deemed to possess

proficiency in Hindi if;

(a) He has passed the Matriculation or any equivalent or higher

examination with Hindi as the medium of examination; or
(b) He has taken Hindi as in elective subject in the degree examination
or any other examination equivalent to or higher than the degree
examination; or
(c) He declares himself to possess proficiency in Hindi in the form
annexed to these rules.

B. Working knowledge of Hindi (1) An employee shall be deemed to have

acquired a working knowledge of Hindi -

(a) if he passed

(i) the Matriculation or an equivalent or higher examination with

Hindi as one of the subjects; or
(ii) The Pragya examination conducted under the Hindi Teaching
Scheme of the Central Govt. or when so specified by that
Government in respect of any particular category of posts, any
lower examination under that scheme; or

(b) If he declare himself to have acquired such knowledge in the form

annexed to these rules (as given above).

Page 13 of 19
 (1)

ATTESTATION FORM (04 SETS)

WARNING

The furnishing of false information or supersession of any factual information in

the Attestation form would be disqualification, and is likely to render the candidate
unfit for employment under the Corporation.

2. If detailed, convicted, debarred etc. subsequent to the completion and

submission of this form, the details should be communicated immediately to the
Corporation failing which it will be deemed to be a supersession of factual information.

3. If the fact that false information has been furnished or that there has been
suppression of any factual information in the attestation form comes to notice at any
time during the service of a person, his services would be liable to be terminated.

1. Name in full (In block capital) with Surname Name

atleast, if any. (Please indicate, if
you have added or dropped at any
stage any part of your name or
surname)

2. Present Address in full:

(i.e. Village, Thana, Distt. or
House No., Lane/Street/Road and
Town)

3. Home Address in full:

(i.e. Village, Thana, Distt. or
House No., Lane/Street/Road/
Town and name of Distt.
Headquarters.
b) If originally a resident of
Pakistan, the address in that
country and the date of migration
to Indian Union

4. Particulars of places (with periods, or residence) where you have resided

for more than one year at a time during the preceding 5 years. In case of
stay abroad (including Pakistan) particulars of all places where you have
resided for more than one year after attaining the age of 21 years should
be given.

From To Residential address Name of the Distt. Head

in full (i.e. Village, Quarter of the place
Thana & Distt. or mentioned in the
House No. preceding column.
Lane/Street, Road
& Town.

Page 14 of 19
 (2)
5. Name Nationality Place of Occupation (if Present postal Permanent Home
(by birth Birth employed give address (if dead Address
and by designation & give last
domicile) full official address)
address
i)
Father
(Name in
full with
Aliases,
if any)

ii)
(Mother)

iii)
Wife/
Husband

6. Nationality

7. (a) Date of Birth (a)

(b) Present Age (b)

(c) Age at Matriculation (c)

8. a) Place of birth, Distt. (a)

& State in which
situated
b) Distt. and State to (b)
which belong
c) Distt. and State to (c)
which your father
originally belongs
9. a) Your Religion
b) Are you member of
Scheduled Castes/
Scheduled Tribes/
OBC
c) „Yes‟ or „No and if the
answer „yes‟ State
the name thereof.

10. Educational Qualifications showing places of education with

years in schools and colleges since 15th year of age.
Name of School/ Date of entering Date of leaving Examination
College with full passed
address

Page 15 of 19
 (3)
11.A. If you have at any time been employed, give details.

Designation of Period Full address of Full reasons

post held or office, firm or for leaving
description of From To Institution
work

11.B If the previous employment was under the Govt. of India, a State
Govt/an undertaking owned or controlled by the Govt. of India or
a State Govt. an autonomous body/University local body, or if
you had left service on giving a months notice under Rule 5 of the
Central Civil Services (Temporary service), Rule,1949 or any
similar corresponding rules were any disciplinary proceedings
framed against you, or had you been called upon to explain your
conduct in any matter at the time you have notice of termination
of service, or at subsequent date, before your services actually
terminated?
12.A Have you ever been arrested, prosecuted, kept under detention of
bound down/fined, convicted by a court of law for any office or
debarred/disqualified by a Public Service Commission from
appearing at the examination rusticated by any University or
authority/Institution?
12.B If any case pending against you in any Court of Law, University or
any other educational Authority/Institution at the time of filling
up this attestation form?

If the Answer to „a‟ or „b‟ if „yes‟ full particulars of the case, arrest,
detention fine conviction, sentence etc. and the nature of the case
pending in the Court/University/Educational Authority etc. at the
time of filling up the form should be given.

Note: Please also see the “Warning” at the top of this attestation
form
13. Name of two responsible persons i) __________________________
of your locality or two references ____________________________
to whom you are known
(with their full address) ii) __________________________
_____________________________

I certify that the foregoing information is correct and complete to the best
of my knowledge and belief, I am not aware of any circumstances which might
impair my fitness for employment under Government.

Signature of candidate

Date _________________Place _____________

Page 16 of 19
 (4)

IDENTITY CERTIFICATE
(Certificate to be signed by any one of the following)

i) Gazetted Officers of Central or State Govt.

ii) Member of Parliament or State Legislature belonging to the

constituency where the candidate or his parents/guardian is
originally resident.

iii) Sub-Divisional Magistrate/Officers.

iv) Principal/Head Master of the recognized School/College Institution

where the candidate studies last.

v) Tehsildars or Naib/Deputy Tehsildars authorized to exercise

magisterial powers.

vi) Block Development Officer

vii) Post Masters.

viii) Panchayat Inspectors.

Certified that I have known Shri/Smt/Miss. ___________________

___________________son/daughter of Shri ____________________________
______________for the last ___________years__________months and that to the
best of my knowledge and belief the particulars furnished by him/her are
correct.

Signature _________________________
Designation or ____________________
Status & Address: ______________________

To be filled by the Office

i) Name, Designation and full address

of the appointing authority

ii) Post for which the candidate is being

considered

Page 17 of 19
 CENTRAL WAREHOUSING CORPORATION
(A Govt. of India undertaking)

FORMAT FOR NOMINATION FOR LUMP-SUM COMPENSATION IN LIEU OF

COMPASSIONATE APPOINTMENT
(All entries in capital letters)

1. Name of the Employees _____________________________

2. Designation _____________________________
3. Name of the Centre /Region/Division _____________________________
4. Father‟s Name/Husband‟s Name _____________________________
5. Sex _____________________________
6. CPF Code No. _____________________________
7. Date of Birth _____________________________
8. Date of initial joining in CWC _____________________________
9. Permanent Address with pin code _____________________________
_____________________________
_____________________________
10. Address for communication _____________________________
11. Phone/Mob. No. _____________________________
12. E-Mail ID _____________________________
13. Name and age of the Nominees with
percentage of share (proof of age may be _____________________________
submitted)

Date _____________
(Signature of the employee)

___________________________________________________________________________

DECLARATION BY WITNESS

Name and Address of Witness Signature of the Witness

1. _____________________________

____________________________ ____________________________

2. _____________________________

_____________________________ _____________________________

_______________________________________________________________________________________________

CERTIFICATE BY THE WM/RM/EE/HOD

Certified that the signatures of the above employees have been verified by me.

Signature

(Name & Desgn. of immediate

superior with office seal)

Page 18 of 19
 CONTROLLED
Document No. BMP/F/PER/Pen’s/01

CENTRAL WAREHOUSING CORPORATION

(A Govt. of India undertaking)

FORMAT FOR REGISTRATION OF EMPLOYEES IN PENSION SCHEME

(All entries in capital letters)
1. Name of the Employees _____________________________
2. Designation _____________________________
3. Name of the Centre /Region/Division
_____________________________
4. Father‟s Name/Husband‟s Name _____________________________
5. Sex _____________________________
6. CPF Code No. _____________________________
7. Date of Birth _____________________________
8. Date of superannuation _____________________________
9. Name of the Spouse _____________________________
10. Permanent Address with pin code _____________________________
_____________________________
_____________________________
11. Address for communication _____________________________
12. Phone/Mob. No. _____________________________
13. E-Mail ID _____________________________
14. Name of the bank _____________________________
15. IFSC Code _____________________________
16. Bank A/C No. _____________________________
17. Name and age of the Nominees with
percentage of share _____________________________

18. Date of Joining In CWC _____________________________

Date _____________
(Signature of the employee)

__________________________________________________________________________________________

DECLARATION BY WITNESS

Name and Address of Witness Signature of the Witness

3. _____________________________

_____________________________ ____________________________

4. _____________________________

_____________________________ __________________________

__________________________________________________________________________________________

CERTIFICATE BY THE WM/RM/EE/HOD

Certified that the signatures of the above employees have been verified by me.

Signature

(Name &Desgn. of immediate

superior with office seal)

Page 19 of 19