Employee Information Form
Employee Code: __________________ Date: ____________
1. Full Name :_______________________________________________________
[Surname] [Own Name] [Middle Name]
2. Age :_______ Years
3. Date of Birth :____________ [DD/MM/YYYY]
4. Sex :____________
5. Blood Group :____________
6. Local Address :_______________________________________________________
________________________________________________________
_______________________________________PIN______________
7. Permanent Address :_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________PIN_____________
8. Mobile Number : a.) ________________________ b.) _________________________
9. E-mail Address :_______________________________________________________
10. Marital Status :_______________________________________________________
11. Spouse Name :_______________________________________________________
12. Spouse Employer :_______________________________________________________
13. Spouse Contact No. :_______________________________________________________
14. PAN :_______________________________________________________
15. Aadhaar No :_______________________________________________________
16. Driving Licence No. :_______________________________________________________
17. Insurance Policy No. :_______________________________________________________
18. Passport No. :_______________________________ Valid Till_________________
19. Bank Account No. :_______________________________________________________
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Employee Information Form
20. Name on bank a/c :_______________________________________________________
21. Bank :_______________________________________________________
22. Branch :_______________________________________________________
23. IFSC :_______________________________________________________
24. Earlier Employee :_______________________________________________________
25. Designation :_______________________________________________________
26. Tenure :_______________________________________________________
27. Emergency Contact 1. :_______________________________________________________
a. Ph. No. :_______________________________________________________
b. Relation :_______________________________________________________
28. Emergency Contact 2. :_______________________________________________________
a. Ph. No. :_______________________________________________________
b. Relation :_______________________________________________________
29. Vehicle No. :_______________________________________________________
30. Make & model :_______________________________________________________
31. Medical condition :_______________________________________________________
[if any] ________________________________________________________
32. Concerned Dr. :_______________________________________________________
33. Dr. Contact No. :_______________________________________________________
___________________
Signature of Employee
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Employee Information Form
List of Attached Documents
1. Copy of Aadhaar Card [front and back]
2. Copy of PAN card
3. Copy of Driving Licence [front& back for smart card, relevant pages in case of other format]
4. Copy of passport [first and last page]
5. Copy of Bank passbook [only first page]
6. Cancelled cheque
7. Proof of local address [rent agreement copy or any equivalent document]
8. Copy of Degree certificate
9. Experience cum relieving letter from past employer [original]
10. Copy of vehicle RC
11. Signed returned copy of Offer letter
12. Medical Certificate
13. Insurance Certificate.
Declaration
I, _________________________________________________________ solemnly declare that all the
information furnished in this document is free of errors to the best of my knowledge. I also ascertain
that the documents provided by me are legitimate and true in all aspects and without any ambiguity.
_____________________
[Sign above]
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