PERSONAL DETAILS FORM

TO BE COMPLETED BY HR Employee Code:

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EMPLOYEE DETAILS
Name: Father Name:
Date of Brth: A!e:
Area of "er#$e: Ca"te:
Blood %ro&p: Rel!o':
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Male Female
Martal
Stat&"
Married Single
(or) E*pere'$e:
Separat
ed
Divorced Widowed
Co'ta$t No: Per"o'al Emal ID:
Pre"e't Addre"": Perma'e't Addre""
EMER%ENCY CONTACT DETAILS
F&ll Name: Relato'"hp:
Addre"":
Co'ta$t No:
Note:
POST DETAILS
Lo$ato': Departme't:
+o, De"!'ato': +o''! Date:
Compa'y ID: S)ype ID:
Te$h'$al S)ll":
BAN- DETAILS . Plea"e e'"&re that yo& ha#e a $ompleted a'd SI%NED form
A$$o&'t Holder" Name:
Name of Ba'): A$$o&'t N&m,er:
Bra'$h/Cty0: Ba') A$$o&'t Type:
Bra'$h Code /IFSC0 No: Pa' No:
(OR- E1PERIENCE DETAILS
D2RATION
/Mo'th3Year0TO/Mo'th3
Year0
COMPANY
/Name 4 Pla$e0
DESI%3NATION
/La"t0
LAST %ROSS
SALARY
REASONS
FOR LEA5IN%
REFERENCE CONTACT DETAILS
Name: Compa'y:
Addre"":
Po"t:
Telepho'e N&m,er:
Co'ta$t No:
2NDERSTANDIN% OF LAN%2AN%E 6Note:
LAN%2AN%E READ (RITE SPEA-
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ACADEMIC DETAILS
NO
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SCHOOL8BOARD9
COLLE%E82NI5ERCITY
E1AM PASSED
YEAR
OF
E1AM
CLASS 4
:
S2B+ECT
FAMILY BAC-%RO2ND DETAILS
N
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NAME RELATION A%E
ED2CATI
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SELF E5AL2ATION
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A2THORISATION
Authorised by !ull name"#
$ hereby declare that the particulars given by me are true % correct&
Signature#
Date:
HR 2"e o'ly
Date 'eceived by H' H' (eri)cation *ote