EMPLOYEE ID: PRIVATE & CONFIDENTIAL
HUMAN RESOURCE INFORMATION SYSTEM (HRIS)
Photo
Date of Joining:
EMPLOYEE INFORMATION FORM
Employee Personal Information First Name: Last Name/Surname:
Name in Full (In block letters)
Father’s Name
Date of Birth (as per Records) (DD/MM/YYYY) Age
Place of Birth (Native) District (Native) State
Nationality Religion
Email Address
Gender / Sex & Marital Status
Male / Female Single / Married Marriage Date
(Please tick the appropriate)
Driving License No
PAN Number
Aadhar Number
Passport Number Place of Issue Validity
Languages Known
Read
Write
Speak
Mother Tongue
Health Information
Blood Group (Please tick the appropriate) A+ / A- / B+ / B- / AB+ / AB- / O+ / O-
Bank Details
Bank Name:
Account No:
IFSC Code:
Branch Name:
Name as in Bank:
EMPLOYEE ID:
Address Information
Present Address:
Phone No. / Mobile No. Pin Code
Permanent Address
Phone No. / Mobile No. Pin Code
In Case of Emergency
Contact Person
First Name Last Name / Surname
Relationship
Contact Person Address
Phone No. / Mobile No.
Academic Information (Please specify from Secondary Education onwards & provide photocopy of all relevant documents)
Full
Qualificat Subject / Marks time/ Year of
Sl.No. Name of the School /College/ Institute Name of the Board/ University
ion Specialisation % Part Passing
time
Professional Experience
Employer Details From date To date
Salary PM Nature of Reason for
Sl.No. (Name & Address) (dd/mm/yy) (dd/mm/yy) Designation
/ PA. Industry leaving
Functional / Technical Skills:
Professional Achievements:
EMPLOYEE ID:
Details for Insurance
The Group Mediclaim Insurance (5 Lakhs floater policy between Employee, Spouse and 2 Kids) and Group Accidental Cover
(10 Lakhs for employee) at the expense of the company.
Emp ID Name of the DOB (
Emp Name Joining Date Insurer Details
insurer DD/MMM/YYYY)
Employee
Spouse
Son/Daughter
Son/Daughter
Also, we intend to facilitate Group Medical insurance coverage for parents/parents-in-law at the expense of the employee.
Name of the DOB (
Emp ID Emp Name Joining Date Insurer Details
insurer DD/MMM/YYYY)
Employee
Father
Mother
Other Information
Name: Name:
Designation: Designation:
Company: Company:
References : (Please specify
any two other than your relatives, one
Address: Address:
should be from your last Company)
Contact No.: Contact No.:
DECLARATION
This is to confirm that the information furnished / mentioned herein is complete, true, correct and authentic to the best of my
knowledge without any discrepancy. In case, the above information is found false / incorrect during the course of employment, the
management will be fully competent to dismiss my employment and same will be deemed to be the part of the contract of
employment.
Signature
Date: (Name)